- female
- 60 Years
- 20/02/2025
I'm really worried about my mom. During her regular health checkup, they said she has a mildly positive TMT for inducible ischemia. Her report mentioned she exercised for 8 minutes, reaching a max METS level of 10, and her heart rate went from a resting 70 to a max of 164. Her blood pressure changed from 12078 to a max of 15090. They also found she has dyslipidemia with a total cholesterol of 216, HDL at 71, and LDL at 132. They advised her to take atorva and Ecospirin and to repeat the TMT after 6 months. I'm curious, is this something really serious? And does the medication usually help? Whats the next line of action after this?
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View allI've been experiencing chest pain on my right side after eating dinner. It's not constant, and I haven't had any other symptoms like sweating or pain in my armjust the chest pain. Should I be worried about this, or is it something that might go away on its own?
Right side chest pain after eating could potentially be related to gastrointestinal issues such as acid reflux or gastroesophageal reflux disease (GERD). It could also be due to gallbladder problems, especially if the pain is triggered by fatty meals. Considering your symptoms are not accompanied by sweating or arm pain, it is less likely to be cardiac in origin, but its still important to rule out other potential causes. I recommend trying some lifestyle and dietary changes, such as: - Avoiding large, heavy meals and opting for smaller, more frequent meals - Reducing the intake of fatty, spicy, or acidic foods - Not lying down immediately after eating If the pain persists or worsens, it would be wise to consult with a healthcare provider for further evaluation. They might suggest an upper endoscopy to check for GERD or an abdominal ultrasound to examine the gallbladder.
Answered by 1 Apollo Doctors
I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD family history. My lipid profile reads LDL at 101, triglycerides at 139, HDL at 33, and a total of 157. I'm quite sedentary, and lately, I've noticed pinpoint pain and pressure in my chest, shoulders, and upper abdomen. It flares up intermittently during brisk walking and feels really localized. I've also been dealing with anxiety for the past four years, so I sometimes have breathing difficulties whether I'm resting or active. Is it possible to have CAD at this age without any obvious risk factors, or could this pain just be anxiety? I did have stress echo tests in the past, which were negative, just like a TMT back in 2016. Could you offer some insight?
Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.
Answered by 1 Apollo Doctors
I'm feeling really confused right now. My ECG showed something called inferolateral ischemia, but then both my TMT and 2D echo tests came back normal. I'm not sure what's going on, and it's making me anxious. On top of that, my cholesterol and triglycerides levels are over 240. What could be causing these mixed test results, and what should I consider as the next step for treatment?
lipid profile is derranged, u can start tab fenofibrate 160 mg bed time for 3 months, review with lipid profile reports after 3 months.
Answered by 1 Apollo Doctors
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