- male
- 45 Years
- 22/01/2025
Hey, I've been having this left chest pain for a year now. I've done a TMT test and it came back negative. In the past year, I've had a 2D echo done 3 times and about 40 ECGs, all normal, but the pain is still there on the left side of my chest. Even though the TMT was negative, the pain persists, and I'm really worried about heart issues. My cholesterol levels are fine, sugar levels are normal, but my BP is 16090. My liver, kidney, and urine tests are also normal. I'm really anxious, especially with all the scary news I see on TV and social media. I've attached the most recent ECG can you please check if there's anything wrong? What should be my next step?
Answered by 1 Apollo Doctors
Since your TMT test was negative and your ECGs have been normal, it's good to hear that your cholesterol, sugar levels, blood pressure, liver function, urine test, and renal test are all normal. Given your concerns and persistent symptoms, the next step would be to consider a stress echocardiogram to further evaluate your heart's function under stress conditions. This test can provide more detailed information compared to a standard 2D echo. Additionally, considering your fear and anxiety, it may be helpful to consult with a cardiologist for a more comprehensive evaluation and to address your worries. It's important to address both the physical and emotional aspects of your health.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
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AI powered Health Chatbot
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Understanding Your Test Results
- Normal cholesterol, sugar, liver, kidney, and urine tests suggest good metabolic and organ health.
- Elevated BP (160/90) indicates hypertension, which requires attention.
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Chest Pain and Cardiac Evaluations
- Persistent left chest pain with normal TMT, ECGs, and 2D echo suggests non-cardiac causes.
- Consider musculoskeletal or gastrointestinal origins.
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Importance of Blood Pressure Management
- High BP increases cardiovascular risk.
- Implement lifestyle changes: reduce salt, exercise, and consider medication.
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Next Steps and Recommendations
- Explore ambulatory BP monitoring or consult a cardiologist.
- Address potential non-cardiac pain causes and manage stress.
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ECG Review Note
- Without the ECG image, detailed interpretation isn't possible.
- Share the ECG with your cardiologist for expert analysis.
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Emotional Support and Reassurance
- Acknowledge your anxiety; normal cardiac tests are reassuring.
- Maintain open communication with your healthcare provider.
Recommended next steps
Consult a Cardiologist
Answered 20/08/2025
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View allMy echo showed mild mitral valve prolapse with trivial mitral regurgitation and trivial tricuspid regurgitation but no mitral stenosis. The doctor said there's a slight issue with my heart valve and prescribed nucoxia, pantocide, amixide, and liv52. They mentioned I'll be okay but I still get symptoms sometimes. Is this condition curable or will I eventually need surgery?
please consult CTVS for better advise.
Answered by 1 Apollo Doctors
I'm kind of worried about my recent heart echo results after having a COVID infection. It says I've got mild tricuspid and mitral regurgitation and borderline concentric hypertrophy. But it also mentions that my systolic function is good with an LVEF of 66, and that my cardiac valves look normal. There's no pulmonary arterial hypertension, intracardiac shunt, or pericardial effusion. Sometimes I get this weird feeling, like something's stuck on the left side, and then when it goes down, I can breathe a lot better. Other than that, I'm feeling okay. Should I be concerned about these findings? What do you suggest I do next?
There is no immediate cause for worry. The symptoms you are experiencing on the left side may be related to the mild regurgitation, but further evaluation may be needed to determine the exact cause. To address the mild tricuspid and mitral regurgitation, you can take medication like Losartan to help reduce the regurgitation and prevent any worsening of the condition. Additionally, Metoprolol can be prescribed to help manage any symptoms related to the regurgitation. It is important to follow up with your healthcare provider for further evaluation and management based on your symptoms and the echocardiogram findings. Regular monitoring and follow-up appointments will be essential to ensure your heart health is maintained.
Answered by 1 Apollo Doctors
I'm a bit worried about my blood pressure. It was normally around 11080, but every time I visit the doctor, it spikes to 14084. My doctor mentioned that it might be due to anxiety and prescribed torsemide for 20 days. He said I could stop taking it after that. Are there any side effects I should be aware of with this medication? And does this mean I'm developing high blood pressure, even though it doesnt usually go over 140?
Torsemide is a diuretic medication that helps reduce fluid retention in the body, which can help lower blood pressure. It is commonly used to treat conditions such as high blood pressure and edema. When taken as prescribed, torsemide is generally well-tolerated. However, like any medication, it can cause side effects in some individuals. Common side effects may include dizziness, headache, muscle cramps, and increased urination. Since your doctor has prescribed torsemide for a specific duration of 20 days and then advised you to withdraw the tablet, it is important to follow their instructions carefully. Abruptly stopping diuretic medications can sometimes lead to rebound fluid retention and worsening of symptoms. It is important to monitor your blood pressure regularly and report any significant changes or concerns to your doctor. If your blood pressure does not exceed 14090 and you do not have any symptoms of high blood pressure, it is unlikely that you will develop hypertension. However, it is important to maintain a healthy lifestyle, including regular exercise, a balanced diet, and stress management, to help keep your blood pressure under control. If you have any further questions or concerns, please consult with your doctor for personalized advice.
Answered by 1 Apollo Doctors
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