apollo
  • Male
  • 35 Years
  • 22/01/2025

I'm experiencing this sharp pain in my left chest, like someone is poking me with a needle. It's been happening for the last 34 hours, not continuously, but I notice it every few months. It's not regular, but it keeps coming back. What could be causing this?

Doctor 1

Answered by 1 Apollo Doctors

pain could be a cause of either myocardal infarction, acid reflux and could be either pericarditis or pericardial efusion or it could be precordial catch syndrome

Dr. Dr Khaleel Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm really worried about my mom who's 62. She recently had some chest pain, and her ECG came out abnormal. We consulted with a cardiologist, and they did a TMT test, which was strongly positive. She's also had an echo test done. Now we've been told she needs to go for a CAG angiogram test. I'm just trying to understand how serious her condition might be. Could there be a severe blockage? What do these tests tell us about her heart health?

Given the information that your mother's TMT (treadmill test) result is strongly positive and she has had chest pain along with an abnormal ECG, it suggests a significant likelihood of coronary artery disease (CAD). An angiogram (CAG - coronary angiography) is the next appropriate step as it will provide a detailed view of the coronary arteries to identify the presence, location, and severity of any blockages. This test is crucial for determining the best treatment plan, which may involve medications, angioplasty, or coronary artery bypass grafting (CABG) depending on the findings. Please follow your cardiologist's recommendations and proceed with the angiogram for a definitive diagnosis and treatment plan.

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I'm feeling really shaky and I've been having these spells of dizziness, lightheadedness, and nausea. I've been keeping an eye on my blood pressure since around 5pm, and it's been all over the place. It started at 12987 with a pulse of 75, then went to 13994 with a pulse of 89, 13795 with a pulse of 84, 13387 with a pulse of 70, and now it's at 13290 with a pulse of 76. I made sure I was sitting up straight and resting before and during each check. I'm really trying to figure out what's going on with me. Can you help?

Your symptoms of shakiness, dizziness, lightheadedness, and nausea, combined with fluctuating blood pressure readings, may indicate dehydration, anxiety, or an underlying condition such as orthostatic hypotension, hypoglycemia, or autonomic nervous system dysfunction; consider consulting a healthcare professional for a thorough evaluation and potential tests, such as blood work or an ECG, to determine the underlying cause.

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Can we avoid going through angioplasty even though there are two clots in the heart? The patient seems fine, so I'm wondering if we could just start rehab without surgery.

Angioplasty may be necessary to treat the clotting in the heart to prevent any potential complications. However, if the patient is stable and asymptomatic, a conservative approach can be considered. It is important to closely monitor the patient's condition and follow a strict medication regimen. Rehabilitation can be started under the supervision of a healthcare provider. Medications such as antiplatelets (e.g. Clopidogrel) and anticoagulants (e.g. Warfarin) may be prescribed to manage the clotting. Regular follow-up with a cardiologist is essential to assess the need for any further interventions.

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