apollo
  • male
  • 60 Years
  • 20/02/2025

Why did my father-in-law's full body checkup indicate inducible ischemia? He has been feeling breathless after physical activity and sometimes gets numbness in his left hand. Should we be concerned and do something about it right away?

Doctor 1

Answered by 1 Apollo Doctors

Yes immediaely get a 2D echo and angiography done and visit Cardiologist for appropriate management

Dr. Kareemulla Suggests...

Consult a Cardiologist

Answered 25/07/2025

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So I got my ECG results and there's an RSR pattern showing up in lead 3 only, while everything else seems normal. Should I be worried about this, or is it just a normal variation? Could you help me understand what this might mean?

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Does walking lower blood pressure immediately?

No walking do not lower blood pressure immediately in minutes but a regular habit of at least 20 minutes of brisk or moderate walking for 5 days in a week helps in controlling it gradually. Exercise lowers blood pressure by reducing blood vessel stiffness so blood can flow more easily

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I've recently had a stress echo and it came back negative. Ten years ago, in 2011, I had an angiogram and it looked fine then too. In 2015, I went through a nuclear test, treadmill test, and some other checks, and they all turned out normal. Lately, Ive been having this dull pain in my neck that sometimes reaches up to my ear and jaw, and it also bothers my shoulder. My neck and upper back always feel stiff. My physiotherapist says my posture is pretty poor, mentions scoliosis, and thinks that might be causing this pain. I don't have issues when I'm walking and I can climb up to 12 floors without a problem but the neck and back pain, especially on the left side, really gets to me. Occasionally, I feel a sharp pain on the left side of my chest, but it fades away quickly. My chest is tender, and some spots are really sore to touch. Do you think it's safe to rule out any cardiac causes? Is there any other test I should consider doing?

Based on your history of negative stress echo, normal angio in 2011, and normal nuclear test and TMT in 2015, it is less likely that your current symptoms are related to cardiac issues. However, it is important to consider other potential causes for your neck, ear, jaw, shoulder, and chest pain. Given your description of neck stiffness and pain, along with the presence of scoliosis affecting your posture, it is possible that your symptoms are musculoskeletal in nature. To address your current symptoms, you may benefit from a muscle relaxant such as **Cyclobenzaprine** 10mg to help with the neck and back stiffness. Additionally, you can consider taking **Ibuprofen** 400mg for pain relief. Since you mentioned tenderness in your chest and certain points, it may be helpful to rule out any musculoskeletal chest wall pain. However, considering your history and current symptoms, further cardiac testing may not be necessary at this point. To improve your posture and alleviate the neck and back pain, regular physiotherapy sessions focusing on postural correction and strengthening exercises may be beneficial. It is important to continue working with your physiotherapist to address the underlying cause of your symptoms. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

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Answered by 1 Apollo Doctors

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