Question 1

I've been having chest pain for the last 10 days and I'm really concerned because both my ECG and 2D Echo results came back normal. They mentioned something about PAH and mild TR. Could you please suggest what kind of medication or next steps I should consider?

Accepted Answer

Echo suggestive of tricuspid regurgitation , hence cardiologist opinion is advised for further management of the patient.

Question 2

Can you have a look at this EKG for me? I've been having a really tough time with chest discomfort that spreads to my left arm, back, and abdomen. Went to the ER and they did an EKG; the heart doctor said it was normal. They sent me home with meds for acidity and anxiety, but Im feeling even worse now, like it might be a heart attack. So I went to another hospital where they did another ECG, but no cardiologist checked it. Im having body shivers and tremors but no chills. My stomach's also upset, with loose motions a lot because of IBS and GERD, and I ate chocolates today which are the worst for GERD. Should I get a troponin test done? Its really expensivecan I skip it? Any advice would be helpful.

Accepted Answer

Based on your symptoms and medical history, it is important to rule out a heart attack as a cause of your chest discomfort. Given the persistent symptoms and the radiating pain to your left arm, back, and abdomen, along with the shivering and tremors, it would be advisable to go ahead with the Troponin test to assess for any cardiac damage. This test can help determine if there has been any injury to the heart muscles. It is a crucial test in cases of suspected heart attack. In the meantime, continue taking the acidity and anxiety medications prescribed to you. Additionally, avoid trigger foods like chocolates that can exacerbate your GERD symptoms. If the symptoms persist or worsen, seek medical attention promptly

Question 3

I'm a bit worried about my recent ECG results that show IRBBB, but my 2D echo came back normal. I don't have any family history of heart disease, so I'm wondering if my heart's in good shape. Is it okay for me to hit the gym regularly? I already walk more than 10,000 steps a day and jog for about 5 minutes.

Accepted Answer

based on your description of having an Incomplete Right Bundle Branch Block (IRBBB) on ECG but a normal 2D echo and no family history of heart disease, it is likely that your heart is healthy and normal. IRBBB itself may not necessarily indicate a heart abnormality, especially if the 2D echo is normal. You can continue with your daily activities like walking more than 10K steps and 5 minutes of jogging. However, if you have any concerns or symptoms like chest pain, shortness of breath, or dizziness during exercise, it is advisable to consult a cardiologist for further evaluation. As a precautionary measure, you can consider taking low-dose aspirin (75-100mg) daily to reduce the risk of cardiovascular events.

Yes that could be anxiety disorder,visit Psychiatrist for appropriate management

More Cardiology Health Queries

I've been having chest pain for the last 10 days and I'm really concerned because both my ECG and 2D Echo results came back normal. They mentioned something about PAH and mild TR. Could you please suggest what kind of medication or next steps I should consider?

Health Articles for you

Understanding Stress Tests and Their Implications

Your Quick Guide to Cardiac Emergencies: Signs, Response & Prevention

Understanding Heart Attack Symptoms and Treatments

Reasons for Right-Side Chest Pain

Understanding Congenital Heart Defects A Comprehensive Guide