So I had this chest pain about 2 months ago, and it wasn't related to the heart. I got my ECG and 2D echo done, and they both were normal. I also got a chest X-ray, and some other blood tests like cholesterol and thyroid, and everything was normal except for high cholesterol. The pain went away after I took some medication. But now, after 2 months, I'm experiencing the same kind of chest pain. It's more moderate to mild this time, but last time it was really severe. I couldn't even lay on the bed then. This time too, my ECG checked out normal. Should I be doing more tests to make absolutely sure it's not something heart-related, or do you think it's enough for now?

Answered by 1 Apollo Doctors

Dr Shubham Chauhan

General Practitioner

MBBS
4+ Yrs

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Since your ECG results came back normal and you have already undergone tests like 2D echo, chest x-ray, FBS, HbA1c, and thyroid tests which were all normal except for high cholesterol levels, it is less likely that your chest pain is cardiac-related. However, if you are still experiencing chest pain, it may be beneficial to consult with your doctor to consider other possible causes such as musculoskeletal issues or gastrointestinal problems. In the meantime, you can continue taking Pantoprazole for acid reflux and Ulgel syrup for gastritis symptoms.

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Answered 25/07/2025

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I'm really confused about my ECG results. It said there was a downslope in the ST segment and T wave inversion, and they mentioned something about infero-lateral ischaemia. When I went for a pre-employment medical exam, I had an echocardiogram and a color Doppler test, and the doctor said not to worry but didn't prescribe any medication. I'm not sure what to do next. Is there actually ischaemia, or is everything okay?

the ST segment downslope and T wave inversion indicate infero lateral Ischaemia. Since you have already undergone an ECHOCARDIOGRAM and color Doppler test, and the doctor mentioned that there is nothing to worry about, it is likely that the Ischaemia is not severe and does not require immediate medication. However, it is important to follow up with regular check-ups to monitor your heart health. If you experience any symptoms such as chest pain or shortness of breath, please consult your doctor for further evaluation and management.