- Male
- 35 Years
- 07/02/2025
I've got a situation with my aunty that's worrying me a bit. She's been having chest pain and even though the doctor said her ECG and 2D echo are normal, the TMT showed some changes. She's 46, and I'm just wondering what this could mean? Should we be concerned about the TMT results despite the other normal tests? Any insight you could give would be really appreciated.
Answered by 1 Apollo Doctors
Hello, based on the information provided, it seems like your aunt is experiencing chest pain despite normal ECG and 2D echo results. In this case, the doctor may consider prescribing anti-anginal medications to help with the chest pain. One common medication that can be prescribed is "Nitroglycerin" sublingual tablets, to be taken as needed for chest pain. The usual dosage is 0.3 to 0.6 mg sublingually every 5 minutes as necessary, up to 3 doses. Additionally, the doctor may also consider prescribing medications like "Beta-blockers" such as Metoprolol, starting at a low dose of 25 mg once daily and titrating up as needed. These medications can help manage chest pain and improve symptoms.
Dr. Chandra Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
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Answered by 1 Apollo Doctors
I'm wondering when it's necessary to go for a TMT test. Are there any side effects I should be aware of while considering it?
You can get it doen at your free time and that has no side effects if you have any episode of breathlessness or chest pain let your attending doctor know about the symptom
Answered by 1 Apollo Doctors
I've been told I have an Incomplete Right Bundle Branch Block, but I'm really concerned because I'm experiencing irregular heartbeats quite often, lasting anywhere from 30 minutes to an hour. My heart rate slows down, skips beats, speeds up, and this cycle keeps repeating. I've had an echo, and my blood tests are fine. The first ECG showed an abnormal sinus rhythm, but the more recent ones only show the IRBBB with a normal sinus rhythm. Im not stressed or anxious, so I cant figure out what might be causing this. What could be going on?
It sounds like you may be experiencing episodes of arrhythmia, given your symptoms of irregular heartbeats with variations in speed. Since your echo and blood tests came back normal, and your ECGs have shown Incomplete Right Bundle Branch Block (IRBBB) with a normal sinus rhythm, it's important to further investigate the cause of your arrhythmias. One possible reason for your symptoms could be Atrial Fibrillation (AF), which can sometimes be difficult to detect on ECGs. I recommend discussing with your healthcare provider about possibly wearing a Holter monitor or undergoing a cardiac event monitor to capture your heart's electrical activity over an extended period. This can help in identifying any underlying arrhythmias such as paroxysmal atrial fibrillation. In the meantime, to help manage your symptoms, you can consider taking a medication like Metoprolol (brand name: Lopressor) at a low dose under the guidance of your healthcare provider. Metoprolol is a beta-blocker that can help regulate your heart rate and reduce the frequency of irregular heartbeats. The usual starting dose for Metoprolol is 25mg to 50mg once daily, but your doctor will determine the appropriate dosage for you based on your individual health needs.
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.