apollo
  • Male
  • 41 Years
  • 20/02/2025

I've been feeling kind of uncomfortable in my chest, mostly at night, and sometimes the pain stretches out to my left arm. On top of that, I've been dealing with this left side neck pain and a bit of an ache in my upper back. Do you think I should be worried about this or is it something that might go away on its own? What could it be?

Doctor 1

Answered by 1 Apollo Doctors

The symptoms you are describing could be indicative of a heart-related issue. It is important to seek medical attention immediately. In the meantime, you can take Aspirin 325mg for potential heart-related chest pain. Please chew the tablet for faster absorption. Remember to call emergency services or go to the nearest emergency room for further evaluation and treatment.

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 04/07/2025

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For how long can we rely on the CT coronary angio results? My mom is 65, diabetic, and had one done in February 2020it all looked pretty normal back then, no plaque in the main artery and a calcium score of zero. Her recent ECG also came back normal and she's not having any symptoms, but we've found that she has mild pulmonary hypertension with a systolic pressure of 34 mmHg on a 2D echo. She's not taking any blood thinners right now. Do you think we should consider repeating the CT angio?

CT coronary angiography is a non-invasive imaging test that can provide detailed information about the coronary arteries. In your mother's case, since her CT angio done in Feb 2020 showed a fairly normal result with no plaque in the main artery and a calcium score of zero, it indicates a low risk of significant coronary artery disease at that time. Given that the recent ECG is normal and your mother has no complaints, the decision to repeat the CT angio should be based on her current symptoms, risk factors, and overall clinical condition. Mild pulmonary hypertension as seen in the 2D echo with a systolic pressure of 34 mmHg may not necessarily warrant a repeat CT angio unless there are new symptoms or concerns regarding her cardiac health. It is important to continue monitoring her condition regularly with follow-up visits to her healthcare provider, who can assess the need for any further investigations or adjustments to her treatment plan.

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Doctor 1Doctor 2

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I've done all the tests like an ECG, echo, and TMT, and they all came back normal, but I've been having this pain on my left side of the chest for a month now. I'm worried because it feels like it might be leading up to a heart attack. Could it still be something heart-related even if the tests were okay?

Since your ECG, echo, and TMT results are normal, your chest pain may not be related to a heart attack. However, it is important to further evaluate the cause of your chest pain. You can try taking a pain reliever like acetaminophen (Tylenol) 500mg as needed for the chest pain. If the pain persists or worsens, you may consider taking an antacid like omeprazole (Prilosec) 20mg once a day to see if it helps with the pain. Additionally, practicing relaxation techniques and stress management may also be beneficial.

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I've been experiencing a burning sensation across my chest, including the areas near my armpits on both sides. I'm worried it might be related to a heart issue. Could this be the case?

The presence of a burning sensation in the chest, particularly given your history and recent exercise, could indeed be related to a cardiac issue, particularly if accompanied by other symptoms like shortness of breath, sweating, or radiating pain. It's essential to seek immediate medical attention to rule out any serious conditions such as angina or a heart attack. In the meantime, avoid any further physical exertion and try to stay calm. Getting evaluated by a healthcare provider will allow for necessary tests, such as an electrocardiogram (ECG) and blood tests, to determine the cause of your symptoms and provide appropriate treatment.

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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.