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

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

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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.

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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.
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.
Importance of Blood Pressure Management
- High BP increases cardiovascular risk.
- Implement lifestyle changes: reduce salt, exercise, and consider medication.
Next Steps and Recommendations
- Explore ambulatory BP monitoring or consult a cardiologist.
- Address potential non-cardiac pain causes and manage stress.
ECG Review Note
- Without the ECG image, detailed interpretation isn't possible.
- Share the ECG with your cardiologist for expert analysis.
Emotional Support and Reassurance
- Acknowledge your anxiety; normal cardiac tests are reassuring.
- Maintain open communication with your healthcare provider.

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Answered 20/08/2025

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My dad is 59 and he's been having occasional chest pain, especially when he exercises. He had an echo cardiography and an ECG, and the reports say something about a regional wall motion abnormality with mild left ventricular systolic dysfunction. Can you explain what that means? What should we do next for treatment? Ive attached the reports.

Based on the reports of echo cardiography and ECG showing regional wall motion abnormality with mild left ventricular systolic dysfunction, it indicates that there is a problem with the contraction of the heart muscle in a specific region, leading to reduced pumping function of the left ventricle. The next steps for treatment may include medication to improve heart function and reduce the workload on the heart. A specialist consult will be required to assess and work out a suitable medication regimen. It is important to closely monitor his condition with regular follow-up visits and additional tests as advised by the cardiologist. Additionally, lifestyle modifications such as a heart-healthy diet, regular exercise, and stress management are also important for overall heart health. If he experiences any worsening symptoms or new symptoms, such as increased chest pain, shortness of breath, or swelling, seek medical attention immediately. Regular follow-up with the cardiologist is essential to adjust the treatment plan as needed.