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Suggest Treatment For Chest Pain, Sweating And Acidity
Question: Dear Sir ,
before 2 days i was having little chest pain and sweating and also i have long term acidity problem but this time the pain which i felt in chest was like pin point pain , i consulted immediately to the doctor and doctor suggested me ECG , blood test and TMT , now my ECG is normal , blood report is normal but TMT test is positive attaching the reports for your reference , my question is what next step to do and after seeing my reports what is your clinical suggestion , is there any possibilities of any abnormality and if ECG normal blood test normal but tmt is positive than will it be any complications or any problem in the heart
before 2 days i was having little chest pain and sweating and also i have long term acidity problem but this time the pain which i felt in chest was like pin point pain , i consulted immediately to the doctor and doctor suggested me ECG , blood test and TMT , now my ECG is normal , blood report is normal but TMT test is positive attaching the reports for your reference , my question is what next step to do and after seeing my reports what is your clinical suggestion , is there any possibilities of any abnormality and if ECG normal blood test normal but tmt is positive than will it be any complications or any problem in the heart
Brief Answer:
Yes - it is possible / need more tests
Detailed Answer:
Hi friend
Welcome to Health Care Magic
Your symptoms are not typical / do not suggest Coronary Artery Disease (CAD). However, absence of proof is no proof of absence…
Resting ECG and ECHO are normal – that means, the heart is able to maintain irs blood supply at rest / but when the demand is more, as in stress … typically exercise…
If TMT (Treadmill Exercise ECG) suggests ischemia, it is an indication for further work up – because at times, there may be false positive or false negatives. You need to be investigated for Coronary Artery Disease. The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.
Also, get investigated for treatable risk factors – Cholesterol / sugar etc…
You appear to be on good hands / keep following…
Good luck
God bless you
Yes - it is possible / need more tests
Detailed Answer:
Hi friend
Welcome to Health Care Magic
Your symptoms are not typical / do not suggest Coronary Artery Disease (CAD). However, absence of proof is no proof of absence…
Resting ECG and ECHO are normal – that means, the heart is able to maintain irs blood supply at rest / but when the demand is more, as in stress … typically exercise…
If TMT (Treadmill Exercise ECG) suggests ischemia, it is an indication for further work up – because at times, there may be false positive or false negatives. You need to be investigated for Coronary Artery Disease. The next step is TMT with thallium isotope. It is the ideal non-invasive way to evaluate ischemia / to assess the PHYSIOLOGY (function) – to see whether the blood arriving at the heart muscle.
If there is a suggestion, the next step is to see the ANATOMY (structure) – undergo catheterisation and coronary angiography with a view for possible intervention. It is the only way to directly ‘see’ the block, if any – and its location, extent, severity and so on. Coronary arteriography is invasive but it is the gold standard for this. CT angio is non-invasive study for the anatomy. If positive, she will need catheterisation, anyway.
Also, get investigated for treatable risk factors – Cholesterol / sugar etc…
You appear to be on good hands / keep following…
Good luck
God bless you
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
Answered by
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