Question 1

I'm really worried about this chest pain I've been having. It's been going on for about a month now, right where I can feel my heartbeat. It's been getting worse over the past few days, and it even hurts when I laugh or move my left hand. I did see a doctor when it was less painful, and they said it was muscular pain, but I'm honestly not convinced. I didn't lift anything heavy or suffer any injury, and it's just that specific spot that hurts. Could this be something more serious than muscular pain?

Accepted Answer

It sounds like you may be experiencing symptoms of angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. Since the pain has been increasing and is now triggered by laughing or moving your left hand, it's important to take it seriously. I recommend taking a low dose of aspirin (75-100mg) as a precautionary measure to help reduce the risk of a heart attack. Additionally, you should follow up with your doctor for further evaluation and possibly consider an ECG to rule out any heart-related issues.

Question 2

I'm a bit worried about my TMT results that showed inducible ischemia and mentioned a 1 mm ST change in certain leads during exercise. My max heart rate reached 206, with a maximum blood pressure of 18580, and I'm only 33 years old. I exercised for a total of 6 minutes and 19 seconds, reaching a workload of 7.40 METS, but the test was stopped when I hit my max heart rate. My 2D Echo came back normal. Do you think I need to get an angiogram, or is there anything else I should consider?

Accepted Answer

Given your positive TMT result showing inducible ischemia with 1 mm ST depression in multiple leads, achieving maximum heart rate during the test, and normal 2D Echo results, an angiogram may be recommended to further evaluate the extent and severity of coronary artery disease, especially considering your young age (33) and high workload achieved during the test; consult your cardiologist to discuss the risks and benefits of an angiogram and determine the best course of action.

Question 3

I'm 26 and have been experiencing chest pain for about a month and a half now. I checked my ECG, and it came back normal, but I'm still worried. Sometimes it feels like a pressing sensation, and other times it feels like something's moving inside my chest, shifting from the middle to the top, or from the left side to the middle. What could this be?

Accepted Answer

do chest x ray

I'm feeling healthy overall, but I've been experiencing this needle-like poking sensation in my heart a few times a day, and it's starting to worry me. I'm curious if there's something I can do naturally to stop it. Any advice?

Advised an ecg and cardiac markers.

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