- Male
- 23 Years
- 07/02/2025
I've been dealing with chest pain for the past three months that comes and goes, and it often spreads to my left shoulder, arm, and even my jaw. Sometimes I get dizzy too. I had COVID before, and now I'm also experiencing some breathing issues since last week. I saw a cardiologist, and the ECG, trop test, and chest X-ray all showed nothing unusual. I had an echo and a TMT done today. Can you help me understand what's going on? What could be causing my symptoms if all these tests are normal?
Answered by 1 Apollo Doctors
Based on your symptoms and the tests you have undergone, it seems like you may be experiencing symptoms of angina or coronary artery disease. Since your ECG, troponin test, chest X-ray, echo, and TMT are normal, it is important to continue monitoring your symptoms and follow up with your cardiologist for further evaluation. In the meantime, you can take medications like Aspirin 75mg once daily to help reduce the risk of heart attack, and medications like Atorvastatin 20mg once daily to manage cholesterol levels. Additionally, Nitroglycerin sublingual tablets can be taken as needed for chest pain relief. It is also important to make lifestyle changes such as maintaining a healthy diet, regular exercise, quitting smoking (if applicable), and managing stress to improve your overall heart health. If your symptoms persist or worsen, please consult your cardiologist for further evaluation and management.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI've been really worried about my heart ever since last year when I started having these chest and left arm pains. I got a TMT and echo done back then, and they showed everything was normal, but I'm still having these pains out of nowhere. It's like I'm always scared I'm gonna have a heart attack. Do you think I should get checked again, or could this be something else altogether?
Since your TMT and echo tests were normal last year, it is less likely to be related to a heart condition. It is possible that your symptoms are more related to anxiety and panic attacks. I recommend discussing with your doctor about the possibility of starting an anti-anxiety medication such as Sertraline (Zoloft) at a low dose initially, along with counseling or therapy to address your fears and anxiety. Additionally, you can consider taking a low dose of Propranolol (Inderal) as needed for chest pain and palpitations. However, it is important to follow up with your doctor for further evaluation and management of your symptoms.
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I'm having this issue where my blood pressure keeps going up and downlike, sometimes it's around 143120 and other times it drops to 11063. I'm really not sure why this is happening, and it's making me anxious. Could you help me figure this out?
Fluctuating blood pressure readings can be concerning and may be influenced by various factors, including stress, anxiety, diet, and lifestyle habits. It is important to monitor your blood pressure regularly and consult with a healthcare professional for proper evaluation and management. In your case, since you are also experiencing anxiety, it is crucial to address both issues. For your fluctuating blood pressure, you can consider taking medications like Amlodipine 5mg for high blood pressure and Propranolol 20mg for anxiety. It is important to follow the prescribed dosage and consult with a healthcare provider for further guidance. Additionally, lifestyle modifications such as reducing salt intake, regular exercise, and stress management techniques can also help in managing your blood pressure and anxiety.
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