Question 1

I'm having some issues with chest pain on my left side, and it's been going on for the last couple of months. The pain comes and goes and often extends from my upper chest to my left arm. I've also experienced some pulling in my left leg and occasional abdominal pain. I've had 5 ECG tests which were normal, and my echo showed an LVEF of 55. Today, we did a TMT. Could you help explain what all this means? Do you think I need any other tests?

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. The pain in your upper chest that extends from your shoulder to your left arm, along with left hand pain and abdominal pain, could be related to this. The normal ECG results and an LVEF of 55% from the echo are positive findings. Since you have already undergone a TMT (Treadmill Test), it is good for assessing how your heart responds to exertion. If the TMT results are inconclusive or if your symptoms persist, you may consider getting a coronary angiography to visualize any blockages in the coronary arteries. This test can help determine if there is any significant blockage that may be causing your symptoms. In the meantime, it is important to manage your symptoms. You can take medications like Aspirin to help reduce the risk of blood clots, and medications like Atorvastatin to lower cholesterol levels. Additionally, Nitroglycerin can help relieve chest pain during episodes of angina. It is important to follow up with your healthcare provider for further evaluation and management.

Question 2

I'm really worried because for the past four months I've been dealing with high blood pressure, fatigue, and dizziness. A month ago, I saw a physician who told me my BP was 150100 and put me on some tablets. I started with Prolomet XL 25, then added Amlong 2.5 after dinner. For a couple of weeks, things seemed better with my BP at 13080, but the dizziness and fatigue haven't gone away. I've never felt like this before. Do you think there are other medicines I should consider or any other advice you might have?

Accepted Answer

It's good that your blood pressure has improved with the medications you are currently taking. However, if you are still experiencing dizziness and fatigue, it may be necessary to adjust your medication regimen. I would recommend adding a medication like Hydrochlorothiazide (HCTZ) 12.5mg once daily in the morning. This medication can help further control your blood pressure and reduce the dizziness and fatigue symptoms you are experiencing. Remember to consult with your physician before making any changes to your medication regimen."

Question 3

I'm feeling a vibration sensation in my left chest that's been going on for a few seconds at a time. I had an ECG and ECO test done, and both came back normal, and the doctor told me that I don't need any medicine. But I'm still experiencing it sometimes, and I'm just wondering how long it might take for this vibration to stop?

Accepted Answer

In this case, you may be experiencing palpitations or muscle spasms. To help alleviate these symptoms, you can try taking a beta-blocker medication such as Metoprolol 25mg once daily. Additionally, practicing stress-reducing techniques such as deep breathing exercises or yoga may also be beneficial. If the symptoms persist or worsen, it is important to follow up with your doctor for further evaluation.

I'm having some discomfort on my left side, and I've already done an ECG and ECHO 2D, both of which came back normal. My SPO2 level is also above 95. Can anyone help me figure out what might be going on?

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