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 noticing my heartbeat feels really strong and visible in my stomach and chest all the time. Sometimes when I'm just sitting, it actually makes my body move with each beat. Is that something normal? My heart rate usually sits between 70 to 80 beats per minute, and my blood pressure is around 12090. Does that sound okay?

Accepted Answer

Having a visible heartbeat in your stomach and chest, along with feeling strong pulsations, can be concerning. This may be due to a condition called aortic aneurysm or other cardiovascular issues. Your blood pressure of 12090 is slightly elevated and should be monitored. It's important to consult a cardiologist for further evaluation and management.

Question 3

I'm really concerned about my mom's health. She's 65 and has both blood pressure and sugar issues. She recently had an ECG done, and the report mentions things like Normal sinus rhythm, longitudinal left axis deviation, possible old inferior MI, and some ST depression indicating mild anterolateral and high lateral myocardial ischemia with abnormal T waves. She's currently taking Sartel LN, Revolol XL 50, Plavix 75, Caat 40, Nikoran 5, Diamicron XR 60, and Ziten 20. Can you help me understand what all this means for her and if there's anything specific we should be worried about right now?

Accepted Answer

These medications are commonly used to manage conditions such as hypertension, heart disease, and potential ischemic events. It's important to follow the prescribed dosages and continue regular follow-ups with your healthcare provider for monitoring and adjustments as needed.

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