apollo
  • male
  • 41 Years
  • 07/02/2025

I'm a 41-year-old guy and I've been dealing with this chest pain on my left side along with some breathing issues for about 20 days now. I had an ECG and Stress Echo, and both came out normal. I'm really confused about what could be causing this pain since it's been going on for so long. Can you recommend any medications or maybe some other tests that might help figure out what's going on? I'd really appreciate any guidance you can offer.

Doctor 1

Answered by 1 Apollo Doctors

do a chest xray

Dr. Mubarak Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really struggling to understand my heart issues. For someone who's been dealing with heart problems for 34 years, it's tough to know what's happening. I have diastolic relaxation abnormality, and my TMT was mildly positive, but that was dismissed with a normal CT angiography. I often feel my heart skip a beat with a thud during exercise and even at rest. My exercise tolerance seems to be getting worse, and my heart rate jumps past 130 after just a few minutes of daily activity, though it calms to 60s bpm in the morning. I often feel dizzy, weak, and fatigued. The ECGs say I have LVH, but the echo says normal LVM. Can diastolic relaxation abnormality indicate heart failure? Is the ECG more reliable than the echo for identifying LVH? And should I be comfortable trusting the CT angio results? Any insights would really help clarify things for me.

1. Diastolic relaxation abnormality does not necessarily mean you have heart failure, but it does indicate that your heart's ability to relax and fill with blood is impaired. It is a condition that can progress and should be monitored and managed carefully by your healthcare provider. 2. The echocardiogram (echo) is generally considered more accurate for assessing left ventricular mass (LVM) and structure, so you can trust the echo results over the ECG for diagnosing LVH. 3. A normal CT angiography report is generally reliable and indicates that your coronary arteries do not have significant blockages. Given your symptoms of skipped heartbeats, exercise intolerance, dizziness, and fatigue, it's important to follow up with your cardiologist. They may need to reassess your condition and consider other diagnostic tests or treatment changes. Continuous monitoring and a thorough evaluation by your healthcare provider are essential to address your concerns and ensure proper management of your heart health.

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Doctor 1Doctor 2

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I'm feeling some pain on the left side of my chest, and it honestly feels like it's coming from my heart. It's not excruciating, but it's definitely scary and annoying, almost like little stabbing pains. Should I be concerned that this could be a sign of a heart attack?

It's important to rule out any serious conditions like a heart attack. However, based on your description, it could also be musculoskeletal or related to anxiety. To help alleviate the pain and discomfort, you can take Acetaminophen 500mg every 4-6 hours as needed for pain relief. Additionally, if you have a history of acid reflux, you can try taking Omeprazole 20mg once daily before breakfast to see if it helps with the symptoms. Remember to follow up with your healthcare provider for further evaluation and management.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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