I'm having this persistent pain on the left side of my chest, and I've already seen a cardiologist about it. They had me do a bunch of tests like an ECG, 2D echo, TMT, CT coronary angiography, and even conventional angiography. Everything came back normal, which was a relief. But just a few days ago, the chest pain came back and the ECG now shows a T wave abnormality, possibly anterior ischemia. I'm really worried about what this could mean. Is this something I should be seriously concerned about, and what do you think my next steps should be?

Dr Dr Khaleel Ur Rahim

General Practitioner

• MBBS
• 1+ Yrs

Consult Now

Hello, based on your history and the recent ECG findings showing T wave abnormality suggesting anterior ischemia, it is important to further evaluate the cause of your chest pain. Since your cardiac tests have all come back normal, the T wave abnormality may be due to other factors such as coronary artery spasm, inflammation, or even non-cardiac causes. I recommend discussing with your doctor about starting medication like Nitroglycerin sublingual tablets for immediate relief during chest pain episodes. Additionally, you may benefit from medications like Beta-blockers (e.g. Metoprolol) and Calcium channel blockers (e.g. Amlodipine) to help prevent chest pain episodes. It would also be helpful to consider a referral to a gastroenterologist to rule out any gastrointestinal causes of chest pain, as well as a follow-up with a cardiologist for further evaluation and management. Remember to follow up with your healthcare provider for a personalized treatment plan.

Answered 04/07/2025