
Echo Showed Hypokinesis And MRI Showed No Hypokinesis. Taking Medicine. What To Do?

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As you rightly point out, a second opinion will certainly help.
A different thought process may give clues.
Catheterisation is the gold standard.
A finding on ECHO / negative on XXXXXXX & MRI – could mean the phenomenon was transient / or the initial interpretation may not have been appropriate (less likely, because of automation).
A repeat ECHO may help.
Transient episodes have been known in anxiety, at times spasm. Anxiety is helped by your Xanax. Calcium Channel Blockers (CCB) may help in spasm. They are also useful in blood pressure.
These spells of ‘near syncope’ may need more tests – like 24-hour EKG monitoring (Holter), to analyse rate and rhythm anomalies. Also, a neurological assessment may be helpful.
Systolic of 165 is not too high to account for the symptoms.
Peaks – if they are intermittent only – may need more investigations / Pheochromocytoma is one such condition, pouring bursts of adrenaline – that could account for most of the features...
Instead of repeating routine EKG several times - Holter and TMT (Treadmill Exercise EKG), preferably with thallium isotope, may throw more light.
It is not a good idea to increase the medicines by yourself.
It should only be done under medical consultation...
Take care
Wishing speedy recovery
God bless
Good luck


No need to get depressed or become desperate at all.
The situation doesn't sound alarming or urgent.
Medicine, like rest of technology, has advanced.
It is question of time, patience and some fortune / and all will be well...
Regards

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