- 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'm a bit worried about my recent 2D echocardiogram report. All the measurements seem to be in range and my EF is at 62, which I guess is normal? But the report mentions a mild MR on the mitral valve and mild PR on the pulmonary valve. I sometimes feel dizzy when I go outside, and my neurologist mentioned it might be cardiac neurosis. I can't shake the feeling that something might be wrong with my heart. Can you help me understand what's really going on?
In 2d echocardiogram report, all measurements are within range and EF is 62%. However, the report shows mild mitral regurgitation (MR) and mild pulmonary regurgitation (PR). You mentioned feeling dizziness sometimes when you go outside, and a neurologist suggested it may be a cardiac neurosis issue. It's understandable to be concerned about the findings in the report. The mild MR and PR in the echocardiogram report are common findings and may not necessarily be the cause of your symptoms. In your case, where the EF is normal and other measurements are within range, these mild valve issues may not be the primary reason for your dizziness. To address your symptoms of dizziness, it would be important to consider other factors such as hydration, blood pressure, inner ear issues, or anxiety. However, if you are still concerned about the mild valve issues, you can discuss with your cardiologist about monitoring them periodically. For your dizziness, you can try to stay hydrated, avoid sudden position changes, and practice relaxation techniques. If the symptoms persist or worsen, further evaluation may be needed. I hope this information helps alleviate some of your concerns.
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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.