- Male
- 24 Years
- 29/01/2025
I'm feeling some chest and back pain that seems to move around my upper body, and it's been going on for about 4-5 months now. I've done a bunch of tests like an endoscopy, throat scope, and both ECG and a 2D echo, and they all came back normal. I'm just curious, could this be related to something like variant angina? And do painkillers even help with angina pain?
Answered by 1 Apollo Doctors
based on your symptoms and normal test results, it is possible that you may be experiencing variant angina, also known as Prinzmetal's angina. Variant angina is a type of chest pain caused by coronary artery spasm, which can lead to temporary narrowing or constriction of the coronary arteries. For variant angina, painkillers like nitroglycerin can help relieve the chest pain by relaxing and dilating the coronary arteries, improving blood flow to the heart muscle. Nitroglycerin is commonly prescribed for angina and is available in various forms such as sublingual tablets or spray. The usual dosage is 0.3 to 0.6 mg sublingually as needed for chest pain. It is important to follow up with a cardiologist for further evaluation and management of your symptoms.
Dr. Dhankecha Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?
Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
I'm 60 years old and dealing with severe hypertension along with diabetes. I recently did a treadmill test following the Bruce protocol, and I could exercise for about 7 minutes and 16 seconds. I reached a maximum heart rate that was 91% of whats expected for my age. They noted 1mm ST segment depression in the inferiolateral leads, and I'm a bit concerned. Maximum workload achieved was 13.50 METs. Could you help me understand what these results mean? Should I be worried about the ST segment depression?
Based on your TMT report showing 1mm ST segment depression, you may be experiencing myocardial ischemia. To manage your Severe Hypertension and Diabetes Mellitus, as well as reduce the risk of further cardiac events, I recommend starting with antiplatelet therapy such as Aspirin 75mg daily to prevent blood clot formation. Additionally, a beta-blocker like Metoprolol 25mg twice daily can help reduce your heart rate and blood pressure, thereby decreasing the workload on your heart. Lastly, a statin medication like Atorvastatin 20mg daily can be beneficial in lowering cholesterol levels and reducing the risk of atherosclerosis progression. It is important to follow up with your healthcare provider for further evaluation and management.
Answered by 1 Apollo Doctors
I'm really worried about my dad. He's 73 years old and his recent 2D echo report showed an LVEF of 50 percent, no MR, no TR, and a paradoxical IVS. How serious is this situation and is there anything we can do to improve it? Should we be thinking about getting more tests done?
My father 73 years old his 2Decho report says LVEF 50 percent, no MR no TR, paradoxical IVS. How critical it and and how it can be improved. Any further investigation required? LVEF of 50% indicates a slightly reduced heart function, which may increase the risk of heart-related issues. The paradoxical IVS refers to an abnormal movement of the interventricular septum during the cardiac cycle. To improve the condition and prevent further complications, medications such as ACE inhibitors like Enalapril 5mg daily and beta-blockers like Metoprolol 25mg daily can be prescribed. Additionally, lifestyle modifications such as regular exercise, a heart-healthy diet, and stress management can help. Further investigation may include a stress test or coronary angiography to assess coronary artery disease.
Answered by 1 Apollo Doctors
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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.