Question 1

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?

Accepted Answer

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.

Question 2

I'm a bit concerned because I've been having chest pain for the past week. I got an echo done and it came out normal, but my TMT results showed mild positive for inducible ischemia. My cholesterol numbers are also worrying me - HDL is 34, triglycerides are at 195, and total cholesterol is 209. I don't smoke and I'm trying to follow the diet and lifestyle changes my cardiologist suggested but I'm still feeling worried. I'm 31 years old and my blood pressure is at 14080. Do you think I might need an angiogram?

Accepted Answer

Based on your symptoms and test results, it's important to continue following the advice of your cardiologist regarding diet changes and lifestyle activities. In addition, considering your age and the mild positive TMT result, an angiogram may be recommended to further evaluate any potential blockages in your coronary arteries. To help manage your cholesterol levels, you can consider taking Atorvastatin 20mg once daily to lower your total cholesterol and triglycerides. It's important to continue monitoring your blood pressure and cholesterol levels regularly.

Question 3

I'm a bit worried because my ECG test came back with something called Diagnosed402 pre-excitement syndrome. Is this dangerous? I'm also dealing with hypothyroidism, high eosinophils, and an increased red blood cell count. Can you shed some light on what all this means for my health?

Accepted Answer

Your ECG findings of pre-excitation syndrome (WPW syndrome) can sometimes lead to dangerous arrhythmias, especially in the presence of other medical conditions like hypothyroidism, elevated eosinophils, and high RBC count. It is important to manage these conditions to reduce the risk of complications. For pre-excitation syndrome, medications like **Procainamide** can be used to control arrhythmias. However, in some cases, a procedure called catheter ablation may be recommended to correct the abnormal electrical pathway in the heart. For hypothyroidism, you may need to take **Levothyroxine** to replace the deficient thyroid hormone. Elevated eosinophils may indicate allergies or parasitic infections, and treatment with antihistamines or anti-parasitic medications may be necessary. High RBC count can be managed by addressing the underlying cause, such as dehydration or lung disease. It is important to follow up with your healthcare provider for a comprehensive evaluation and personalized treatment plan.

I'm a bit confused about when to take my Cardace AM 5mg. Is it better to take it in the morning on an empty stomach or at night before going to bed? Would appreciate some guidance on this.

YES cardace tablet is taken in the morning only to avoid the complications.

More Cardiology Health Queries

I'm a bit worried because my ECG test came back with something called Diagnosed402 pre-excitement syndrome. Is this dangerous? I'm also dealing with hypothyroidism, high eosinophils, and an increased red blood cell count. Can you shed some light on what all this means for my health?

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