- Female
- 40 Years
- 20/02/2025
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?
Answered by 1 Apollo Doctors
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.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Immediate Concerns:
- T wave abnormalities can indicate ischemia or other cardiac issues. Given your history, this warrants attention.
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Next Steps: a. Consultation: Revisit your cardiologist promptly to discuss the new ECG findings. b. Further Testing: Consider additional tests like a stress test or repeat imaging if advised. c. Symptom Monitoring: Keep a log of symptoms, noting any triggers or patterns.
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Lifestyle Adjustments:
- Avoid strenuous activities until cleared by your doctor.
- Manage stress and maintain a heart-healthy diet.
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Emergency Signs:
- Seek immediate medical attention if you experience severe chest pain, shortness of breath, or dizziness.
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Consult a Cardiologist or Take a Apollo Stress Impact Management Test
Answered 10/09/2025
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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.