apollo
  • Female
  • 24 Years
  • 20/02/2025

I'm curious about what's happening with my heart. Sometimes my ECG shows these non-specific ST changes, and while my echo was normal, I'm still worried. I often feel chest discomfort and pains in my left arm. Is there something specific these ST changes could indicate, even though my ECG and echo seem alright? Could something be missed?

Doctor 1

Answered by 1 Apollo Doctors

Non-specific ST changes on an ECG can be caused by various factors, including electrolyte imbalances, medications, anxiety, or even normal variation. Since your echocardiogram was normal, it is less likely to be related to a structural heart problem. However, given your symptoms of chest discomfort and left arm pains, it is important to continue monitoring and investigating further. To address your symptoms, you can try taking a medication like aspirin for chest discomfort (75-325mg once daily) and acetaminophen for pain relief in your left arm (500-1000mg every 4-6 hours as needed). Additionally, you may benefit from a medication like ranitidine for acid reflux if present (150mg twice daily). It is important to follow up with your healthcare provider for further evaluation and management of your symptoms.

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Consult a Cardiologist

Answered 04/07/2025

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  1. Possible Causes for Non-Specific ST Changes: a. Electrolyte imbalances. b. Effects of medications. c. Anxiety or stress-related changes.

  2. Chest Discomfort and Arm Pain: a. Consider musculoskeletal causes. b. Monitor for any worsening symptoms.

  3. Recommendations: a. Follow up with a cardiologist for further evaluation. b. Consider lifestyle modifications to reduce stress. c. Keep a symptom diary to track any patterns.

  4. Immediate Actions: a. Seek urgent care if symptoms worsen or new symptoms develop.

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Consult a Cardiologist

Answered 10/09/2025

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.