- Male
- 31 Years
- 20/02/2025
I'm trying to understand how likely it is to have a heart blockage if my ECG comes back normal? Also, under what circumstances would a doctor suggest going for an angiography?
Answered by 1 Apollo Doctors
When ECG is normal no need to worry,if you have non specific chest pain,get a 2D echo done and visit Cardiologist for appropriate management
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Understanding Normal ECG and Heart Blockage
- A normal ECG indicates normal heart rhythm and electrical activity.
- It does not completely rule out heart blockages.
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Likelihood of Heart Blockage with Normal ECG in a 31-Year-Old Male
- Significant heart blockages are generally rare at this age without risk factors.
- Some blockages may not appear on an ECG unless they cause ischemia or symptoms.
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When Angiography is Recommended for a Young Male
- Symptoms like chest pain or shortness of breath might prompt angiography despite a normal ECG.
- Risk factors include family history, smoking, high cholesterol, diabetes, or obesity.
- Non-invasive tests like a stress test or CT coronary angiography might precede angiography.
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Role of Medical Specialties and Diagnostic Tests
- A cardiology consultation is essential for evaluation.
- Angiography is an invasive test to visualize coronary arteries.
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Summary and Reassurance
- Clinical evaluation beyond ECG is crucial.
- Discuss symptoms and risk factors openly with a healthcare provider.
Recommended next steps
Consult a Cardiologist or Take a Apollo Stress Impact Management Test
Answered 10/09/2025
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In the case of mitral valve prolapse (MVP) and mitral regurgitation (MR), an elevated CRP level of 55.4 mgl could be due to the presence of inflammation related to these conditions. Since you are not experiencing any symptoms, it is important to monitor your condition closely. To help manage inflammation and potentially reduce CRP levels, you can consider taking anti-inflammatory medications such as Ibuprofen (Advil) 400mg twice daily after meals. Additionally, maintaining a healthy lifestyle with regular exercise and a balanced diet can also help in managing inflammation. It is important to follow up with your healthcare provider for further evaluation and management of your MVP and MR, as they can provide personalized recommendations based on your individual health status.
Answered by 1 Apollo Doctors
I've had several EKGs, and they keep showing I have inverted T wave lines. Ive also done a few stress tests, which were said to be normal. But then I ended up in the ER with chest pain, and the doctor there said I need a heart cath because my stress tests werent completely normal. One doctor says they're normal, and another one disagrees. I'm only 45 years old, and I'm just wondering if a heart cath is really necessary. I've got an appointment with a cardiologist in 9 days, and I'm feeling a bit nervous about all this. What do you think?
ECHO is advised for further management.
Answered by 1 Apollo Doctors
I'm 60 years old and dealing with severe hypertension along with diabetes. I recently did a treadmill test following the Bruce protocol, and I could exercise for about 7 minutes and 16 seconds. I reached a maximum heart rate that was 91% of whats expected for my age. They noted 1mm ST segment depression in the inferiolateral leads, and I'm a bit concerned. Maximum workload achieved was 13.50 METs. Could you help me understand what these results mean? Should I be worried about the ST segment depression?
Based on your TMT report showing 1mm ST segment depression, you may be experiencing myocardial ischemia. To manage your Severe Hypertension and Diabetes Mellitus, as well as reduce the risk of further cardiac events, I recommend starting with antiplatelet therapy such as Aspirin 75mg daily to prevent blood clot formation. Additionally, a beta-blocker like Metoprolol 25mg twice daily can help reduce your heart rate and blood pressure, thereby decreasing the workload on your heart. Lastly, a statin medication like Atorvastatin 20mg daily can be beneficial in lowering cholesterol levels and reducing the risk of atherosclerosis progression. It is important to follow up with your healthcare provider for further evaluation and management.
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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.