apollo
  • Female
  • 28 Years
  • 29/01/2025

I'm dealing with chronic anemia and have been experiencing shortness of breath, and chest pain too. I got an ECG done, and it showed something called STT depression. Can you explain what that is and how worried I should be about it?

Doctor 1

Answered by 1 Apollo Doctors

ST-T depression on an ECG can indicate myocardial ischemia, which means there may be reduced blood flow to the heart muscle. This can be serious as it may lead to a heart attack if not addressed. To help improve blood flow and manage your symptoms, you can take Aspirin 75mg once daily to prevent blood clot formation and improve blood flow to the heart. Additionally, you can take Ferrous Sulfate 325mg twice daily to help with your chronic Anemia. Remember to follow up with your healthcare provider for further evaluation and management.

Dr. Kareemulla Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been experiencing some concerning health issues lately and could really use some guidance. I'm 32, from Hyderabad, and generally healthyI don't smoke and only drink beer like once in every three or four months. I used to be really active with running, climbing, and cycling, even training for triathlons. But around five months ago, I started having chest pain that spreads to my back and left arm, especially when I'm lying down. Despite having had an ECG, echo, TMT, troponin, and a CT angiography, all these tests came back negative. The only thing I've been diagnosed with is high heart rate, for which I'm on medication. This has helped bring down the chest pain but not completely. Now, for the past month, I've had intense headaches and dizziness that make me feel like I might just collapse. Last night was particularly bad with the headache and chest pain. I'm really worried and not sure how to proceed. Could you advise on what might be causing this and what I should do next?

It sounds like you are experiencing a combination of chest pain, back pain, left arm pain, headaches, and dizziness. Since your cardiac tests have come back negative and you are already being treated for high heart beats, it is important to consider other possible causes for your symptoms. The chest pain, back pain, and left arm pain could be related to musculoskeletal issues or nerve impingement. For your headache and dizziness, it may be helpful to explore the possibility of migraines or other neurological conditions. I recommend trying a medication like Acetaminophen for your headache and pain relief. For your ongoing chest pain, back pain, and left arm pain, you can try a muscle relaxant like Cyclobenzaprine. Additionally, for your high heart beats, you can continue with the medication prescribed by your doctor. However, it is important to follow up with your healthcare provider to discuss these new symptoms and explore further evaluation or treatment options.

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I'm a bit worried because I've been experiencing palpitations and when I took an ECG, it showed sinus tachycardia. My 2D echo test came back normal, so my doctor prescribed Betacap TR 20mg. After a week of taking it, the follow-up ECG was normal. Can you explain what sinus tachycardia is? Should I be concerned about any heart-related issues? I've also been dealing with anxiety for the past six months. I've attached my ECGs. Can you take a look and let me know what's going on? I'm really worried about my health.

Sinus tachycardia is a condition where the heart beats at a faster rate than normal, typically over 100 beats per minute. It is usually a normal response to stress, exercise, or certain medications. In your case, since your 2d echo test was normal and your follow-up ECG was also normal after taking Betacap TR 20mg, there is likely nothing to worry about. Betacap TR 20mg is a brand name for Propranolol, which is a beta-blocker medication that helps to slow down the heart rate and reduce palpitations. For your anxiety, you can continue taking Betacap TR 20mg as prescribed by your doctor. Additionally, you may benefit from therapy or relaxation techniques to help manage your anxiety symptoms. Overall, it seems like your heart is healthy and the medication is helping with your symptoms. Keep following up with your doctor for further guidance and monitoring.

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I'm feeling worried because I've been experiencing chest discomfort and shortness of breath for the past three months. I recently got my blood report back, and it shows my lymphocytes level is at 55. Should I be concerned about that? Also, my ECG, echocardiogram, PFT, and chest X-rays came back normal. Can you help me understand what's going on?

Based on your symptoms and normal test results, a high percentage of lymphocytes in the blood may indicate an underlying infection or inflammation. However, since your other tests are normal, it is less likely to be related to a serious heart or lung condition. To address the chest discomfort and shortness of breath, you can try taking over-the-counter antacids for possible acid reflux or GERD symptoms. Additionally, you can take a short course of antibiotics like Azithromycin 500mg once daily for 3 days to cover any potential infection. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

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