- male
- 45 Years
- 20/02/2025
I've been dealing with some pain near my heart, left shoulder, and back for the past three years. Theres a mild problem at C5 C6. I've had a bunch of ECGs and they always come back normal. With these results, do you think I still need an ECO or TMT? I'm just trying to figure out what should be my next steps.
Answered by 1 Apollo Doctors
From last 3 years, you have been experiencing pain near the heart, left shoulder pain, and back pain. You mentioned there was a mild disc prolapse in C5-C6. Despite undergoing multiple ECGs, they have all been normal. You are now wondering if an ECO (Echocardiogram) or TMT (Treadmill Test) is necessary. Given your symptoms and history of normal ECG results, it would be advisable to undergo an ECO to further evaluate the structure and function of your heart. An ECO can provide more detailed information that may not be captured by an ECG alone, especially in cases of suspected cardiac issues. Additionally, considering your persistent symptoms and the need for a more comprehensive assessment, a TMT may also be beneficial to assess your heart's response to physical activity. For your situation, I would recommend an ECO to assess your heart's structure and function, and a TMT to evaluate your heart's response to exercise. These tests can provide valuable insights into the cause of your symptoms and help guide further management.
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Understanding Your Symptoms
- Pain in the chest, left shoulder, and back can be concerning and warrants thorough evaluation to rule out cardiac and non-cardiac causes.
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Role of ECG in Diagnosis
- A normal ECG suggests no immediate electrical heart issues but may not detect all heart conditions.
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Purpose of Echocardiogram (ECO)
- An ECO provides detailed images of heart structure and function, identifying issues not visible on an ECG.
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Purpose of Treadmill Test (TMT)
- TMT evaluates heart performance under physical stress, revealing exercise-induced problems.
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When to Consider ECO or TMT
- Consider these tests if symptoms persist, especially with risk factors like family history or lifestyle concerns.
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Next Steps and Medical Consultation
- Consult a cardiologist for a personalized evaluation to determine the necessity of ECO or TMT.
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Additional Considerations
- Explore other potential causes of symptoms with a comprehensive assessment, possibly involving other specialties.
Recommended next steps
Consult a Cardiologist
Answered 10/09/2025
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More Cardiology Health Queries
View allI'm curious about some symptoms I've been experiencing. A few months back, I did an echo report and a TMT, which came back negative. Lately, though, I've been having this pressure and a burning sensation in my chest, plus a lot of burping. I'm a bit worriedis this something heart-related? Should I consider getting more tests done to check my heart health? Would love to hear your thoughts.
based on your symptoms of pressure in chest, burping, burning sensation, and pain in chest, it is important to further evaluate your heart health. In addition to the echo report and negative TMT, I would recommend a few more tests for a comprehensive heart evaluation. 1. **ECG (Electrocardiogram)**: To assess the electrical activity of your heart. 2. **Holter Monitor**: To monitor your heart's activity over a period of time. 3. **Cardiac CT Scan or MRI**: To get detailed images of your heart's structure and function. 4. **Blood tests**: Such as lipid profile and cardiac enzymes to check for any abnormalities. Based on the results of these tests, further treatment or management can be determined.
Answered by 1 Apollo Doctors
I'm dealing with a pretty fast heartbeat most of the time, usually between 100 to 115 beats per minute, and I often feel weak. My oxygen levels are fine, staying between 98 to 100, but I've had anemia since birth due to hereditary spherocytosis. Could you give me some advice on managing this high pulse rate?
High pulse rate can be concerning, especially if you have a history of anemia and hereditary spherocytosis. In your case, it is important to address the underlying cause of your high pulse rate. Since your SpO2 levels are normal, the high pulse rate may be due to other factors such as anemia or hereditary spherocytosis. To help lower your pulse rate, you can try taking a beta-blocker medication such as Metoprolol. The usual dosage for Metoprolol is 25-100mg once or twice daily, as prescribed by your doctor. This medication can help slow down your heart rate and reduce the symptoms of weakness that you are experiencing. It is important to consult with your doctor before starting any new medication, as they can provide personalized advice based on your medical history and current condition.
Answered by 1 Apollo Doctors
I've been dealing with these palpitations for the past three years. I've gone through all the heart-related tests like ECG and 2Decho, and everything seems to be normal. I recovered from jaundice about five years ago, and I don't smoke or drink or have insomnia. But every time I eat or lie down comfortably, I start feeling this sensation in my throat and the back of my head. My blood pressure is typically around 12585, and my pulse is usually 100. But after meals, my BP creeps up to 13590, and my pulse hits 120. Doctors have suggested I take propranolol 10mg, but it doesnt seem to help. What could be going on?
Considering your symptoms and the ineffectiveness of propranolol, you may benefit from a calcium channel blocker such as Verapamil. I recommend taking Verapamil 120mg twice daily to help control your palpitations and regulate your heart rate. Additionally, practicing stress-reducing techniques and maintaining a healthy lifestyle can also help manage your symptoms.
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.