apollo
  • Male
  • 39 Years
  • 22/01/2025

Why do I get this pain in my chest on the left side when I climb stairs or even shout? I've done all the tests like ECG, Echo, TMT, and CT angio, and they all came back normal. The CT showed no blockage but mentioned deep myocardial bridges. My cardiologist says it's not angina or heart disease but put me on Beta lock 0.25 twice a day. Anytime I get startled awake or shout when I'm angry, the pain starts again, spreading to my left back, arms, and neck. It's so confusing because the doc says it's nothing serious, but the pain keeps coming back and it's worrisome. Do you have any idea what might be going on?

Doctor 1

Answered by 1 Apollo Doctors

It sounds like you may be experiencing symptoms of anxiety or panic attacks, which can manifest as chest pain and other physical symptoms. The Beta Block medication prescribed by your cardiologist can help manage these symptoms by reducing the effects of adrenaline on your body. In addition to the medication, it may be helpful to practice stress-reducing techniques such as deep breathing exercises, mindfulness, and regular physical activity. If these symptoms persist or worsen, it would be advisable to follow up with your cardiologist for further evaluation and possibly a referral to a mental health professional for additional support. Remember to take your Beta Block medication as prescribed and try to incorporate stress management techniques into your daily routine to help alleviate your symptoms.

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been experiencing this really painful, pinching sharp heartache that makes it hard to breathe. It's mostly in the upper part of my left chest and lasts around 2 minutes. It's happened a couple of times even when I was on an empty stomach or just had some warm lemon water. I've had it at night before dinner too. I got some blood tests done, and they said my lymphocytes were high, but sugar was normal. I often feel short of breath while sitting too, and climbing stairs always makes me breathless. This month, its happened like three times. Do you have any ideas about what this could be?

Could be due to a condition called angina. Angina is chest pain or discomfort caused when your heart muscle doesn't get enough oxygen-rich blood. It may feel like pressure or squeezing in your chest. Given your symptoms and the fact that it has occurred multiple times, it is important to consult a healthcare professional for a proper evaluation and diagnosis. However, based on the information provided, you may benefit from taking medications such as Nitroglycerin sublingual tablets for immediate relief during episodes of chest pain. The usual dosage is 0.3 to 0.6 mg sublingually or chewed at the first sign of chest pain. Additionally, you may also be prescribed medications like Aspirin to prevent blood clot formation and reduce the risk of heart attack. The usual dosage is 75-325 mg once daily. It is important to follow up with a healthcare provider for further evaluation and management of your symptoms.

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I'm feeling pretty anxious because I recently had some chest pain and my doctor recommended a CT angiography. The report mentions something about a small segment of myocardial bridging in the mid LAD. I'm really worried about what this means. Is it a big deal? Should I rush to consult a specialist, or is this something that I can keep an eye on for now? Would really appreciate your thoughts on this.

Myocardial bridging is a condition where a segment of a coronary artery tunnels through the myocardium rather than resting on top of it. In most cases, myocardial bridging is considered a benign condition and does not require any specific treatment. However, in some cases, it can lead to symptoms such as chest pain, especially during physical exertion. In your case, since you are experiencing chest pain and have already been advised angiography, it would be best to follow up with a cardiologist. They can further evaluate your condition and determine if any additional treatment or monitoring is necessary. In the meantime, you can manage your symptoms with medications like beta-blockers or calcium channel blockers to help relieve chest pain.

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I'm feeling really confused right now. My ECG showed something called inferolateral ischemia, but then both my TMT and 2D echo tests came back normal. I'm not sure what's going on, and it's making me anxious. On top of that, my cholesterol and triglycerides levels are over 240. What could be causing these mixed test results, and what should I consider as the next step for treatment?

lipid profile is derranged, u can start tab fenofibrate 160 mg bed time for 3 months, review with lipid profile reports after 3 months.

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