- male
- 50 Years
- 29/01/2025
I'm still experiencing this pin-pointing chest pain even though my ECG was normal and my cholesterol level dropped from 207 to 140 after some diet changes. I also got a TMT done and it was negative. But now, the pain seems to be spreading to my left hand too. What could be causing this?
Answered by 1 Apollo Doctors
"Based on your symptoms and test results, it is possible that you may be experiencing musculoskeletal pain or nerve-related pain rather than a cardiac issue. You can try taking over-the-counter pain relievers like acetaminophen for the chest and left hand pain. Additionally, you can use a muscle relaxant like Flexeril (cyclobenzaprine) to help with any muscle tension contributing to the pain. It is also important to continue following a healthy diet and lifestyle to maintain your cholesterol levels. If the pain persists or worsens, it would be advisable to follow up with your healthcare provider for further evaluation and management."
Dr. Dhankecha Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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More Cardiology Health Queries
View allI'm in a bit of a dilemma here. All of my tests, like ECG, echo, TMT, and chest X-ray, came back normal except for high LDL cholesterol. So the doctor put me on Rosuvas, which I've been taking. But now, after a month of feeling okay, the chest pain and tightness are creeping back. I remember the doctor saying to take BP meds if this happened, but I'm not sure which one to pick. My weight is around 110 kg, and my blood pressure was 14090 last month, but I can't check it now because of the lockdown. Should I stick with the Metoprolol I got last year, or should I go out and get Amlopidine? Which one would be better in this situation?
"Based on your symptoms of chest pain and tightness, and your history of high LDL cholesterol, it is important to manage your blood pressure effectively. Considering your weight and previous blood pressure reading of 14090, you can take amlodipine to help lower your blood pressure. Amlodipine is a calcium channel blocker that can help relax the blood vessels, making it easier for the heart to pump blood. Since you already have metoprolol with you, you can also consider taking it as it is a beta-blocker that can help lower blood pressure and reduce chest pain. The usual dosage of metoprolol for high blood pressure is 25-100mg once or twice daily. However, please note that metoprolol may not be as effective in controlling chest pain compared to amlodipine. If you choose to take metoprolol, start with a lower dose and monitor your blood pressure closely. If your symptoms persist or worsen, it is important to seek medical advice promptly. Additionally, try to monitor your blood pressure regularly, especially during this time when access to healthcare may be limited due to the lockdown."
Answered by 1 Apollo Doctors
Can left ventricular diastolic dysfunction be reversed? I'm really curious to know what methods or treatments are available to possibly improve this condition.
Left ventricular diastolic dysfunction can be managed and sometimes improved with lifestyle changes and medications. Some ways to help reverse left ventricular diastolic dysfunction include: - ACE inhibitors like Enalapril (5-20 mg once daily) - ARBs like Losartan (25-100 mg once daily) - Beta blockers like Metoprolol (25-100 mg once daily) - Calcium channel blockers like Amlodipine (5-10 mg once daily) - Diuretics like Furosemide (20-80 mg once daily) It is important to consult with your healthcare provider to determine the best treatment plan for your specific condition.
Answered by 1 Apollo Doctors
I'm 26 and I've been having anxiety symptoms. A couple of months ago, I experienced episodes of sinus tachycardia, and the ECG showed sinus tachycardia with ST and T wave depression in leads II, III, and AVF. I've had more ECGs since then with similar results, but my 2D echo was normal. My doctor suggested a TMT, which returned borderline positive with a low likelihood of significant CAD. During the TMT, METS was 8.8, BP was 15080, and the max heart rate was 187. I didn't feel any chest pain during the exercise. Do you think an angiogram is necessary, and what could be causing those ST and T wave changes?
Angiogram is needed any heart blocks..
Answered by 1 Apollo Doctors
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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.