apollo
  • Female
  • 40 Years
  • 07/02/2025

I'm having chest pain for the past two years and have already done tests like HLA B27 by PCR, ECG, 2D Echo, TMT, and a CT Coronary Angiography. All the results have come back normal, but I'm still dealing with this left-sided chest pain. My recent blood tests show HS CRP is 9.7, Lipoprotein A is 35.09, SGOT is 70.9, SGPT is 88.4, and GGT is 80.9. Now my doctor wants me to do a 2D Echo with a GLS test. What do you think is going on? Is there something specific my doctor might be looking for with this new test?

Doctor 1

Answered by 1 Apollo Doctors

do echo

Dr. Kareemulla Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I recently went through a treadmill test (TMT) around mid-April, and just a few days after, I found out I had COVID. I got better by the end of April, but ever since, I've noticed that my heart races, especially when I'm doing things like climbing stairs. I went to a cardiologist, and both my ECG and echo tests looked fine, and he mentioned it might be anxiety. But, while my heartbeat is mostly normal now when I'm resting, I do notice a slight chest pain when I walk for more than 20-25 minutes. I'm curious, should I consider doing another TMT? And I'm really wondering, could having COVID possibly lead to plaque build-up in my arteries, even if the first TMT showed everything was fine? Any advice would be great.

It is unlikely that COVID infection would cause plaque in the arteries directly. However, COVID-19 can lead to inflammation in the body which may indirectly affect the heart and blood vessels. Since your previous TMT was fine, it may not be necessary to repeat it unless your symptoms worsen or persist. The chest pain you are experiencing while walking could be due to various reasons, including muscular pain or anxiety-related issues. To alleviate your symptoms, you can try medications like Ranitidine for acid reflux and Paracetamol for chest pain. If the symptoms persist, it is advisable to consult with your doctor for further evaluation and management.

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I've been dealing with some stuff after getting COVID and it's kind of worrying me. So, I'm a 22-year-old guy, and after COVID I noticed my heart rate was going up. My doctor put me on Nebicard 2.5, and I've been taking it since November 2021. It's helped with slowing my heart rate, but now it's sometimes dropping below 60 bpm. At home, my blood pressure readings are like 109121 with 6075 and sometimes 11569. But whenever I go to the doctor's office, it spikes because I'm so nervous. All my ECG and echo tests look normal though. Is there a way for me to maybe reduce the dosage of Nebicard? I'm trying to figure out if that's something I should be doing or if I should keep going as is. Can you give me some advice on this?

Since your heart rate has been well controlled with Nebicard 2.5 and your ECG and echo results are normal, it is important to consult with your doctor before making any changes to your medication dosage. However, if you are looking to reduce the dosage, you can discuss with your doctor about switching to Nebicard 2.5 every other day or reducing the dosage to Nebicard 1.25 under their guidance. It is important to monitor your heart rate and blood pressure regularly while adjusting the dosage.

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I'm really worried about my dad who's 59 and just got told he has a 'Non specific T abnormality' and 'Flat T wave' in his ECG. He's had a 2D echo too, showing a 60 LVEF and no RWMA at rest. Is this something we should be concerned about?

kk

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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.