- Female
- 28 Years
- 29/01/2025
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?
Answered by 1 Apollo Doctors
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.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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So I had this chest pain about 2 months ago, and it wasn't related to the heart. I got my ECG and 2D echo done, and they both were normal. I also got a chest X-ray, and some other blood tests like cholesterol and thyroid, and everything was normal except for high cholesterol. The pain went away after I took some medication. But now, after 2 months, I'm experiencing the same kind of chest pain. It's more moderate to mild this time, but last time it was really severe. I couldn't even lay on the bed then. This time too, my ECG checked out normal. Should I be doing more tests to make absolutely sure it's not something heart-related, or do you think it's enough for now?
Since your ECG results came back normal and you have already undergone tests like 2D echo, chest x-ray, FBS, HbA1c, and thyroid tests which were all normal except for high cholesterol levels, it is less likely that your chest pain is cardiac-related. However, if you are still experiencing chest pain, it may be beneficial to consult with your doctor to consider other possible causes such as musculoskeletal issues or gastrointestinal problems. In the meantime, you can continue taking Pantoprazole for acid reflux and Ulgel syrup for gastritis symptoms.
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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.