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Suggest Treatment For High BP, Pain In Left Shoulder, Arm And Chest

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Posted on Thu, 3 Dec 2015
Question: Hi ..my mother got high BP...160\100...performed ECG and report is normal....but she has pain in her left shoulder, arm and chest....Why?
doctor
Answered by Dr. Anshul Varshney (27 minutes later)
Brief Answer:
Go for TMT.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
Any Chest pain in a person with high BP and advancing age should be evaluated for Cardiac Chest pain until proved otherwise.
So, I would advice you to get her:
1. Treadmill Test.
2. Echocardiography.
3. Fasting lipid profile.
4. Fasting blood sugar.
Now if these investigations also come out to be normal the chest pain could be muscular or due to acid reflux. But we can't afford to miss cardiac causes of chest pain.
So get these investigations done and write back to me with reports.
I hope it helps you.
If you have any further query, please ask me.
Stay Healthy.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Anshul Varshney (17 minutes later)
Going for Cholesterol test and 2D-ECHO test tomorrow...anything to be done? TMT is not part of this?
doctor
Answered by Dr. Anshul Varshney (5 minutes later)
Brief Answer:
TMT is different.

Detailed Answer:
Hello at this point where ECG is normal TMT is more reliable then ECHO. Tread mill test (TMT) is a stress test which provides you information of heart when it is stressed while walking on TMT.
Go ahead with all the investigations I have advised including TMT.
Good luck.
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Anshul Varshney

Internal Medicine Specialist

Practicing since :2009

Answered : 3071 Questions

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Suggest Treatment For High BP, Pain In Left Shoulder, Arm And Chest

Brief Answer: Go for TMT. Detailed Answer: Welcome To HCM. I am Dr Anshul Varshney. I understand your concern. Any Chest pain in a person with high BP and advancing age should be evaluated for Cardiac Chest pain until proved otherwise. So, I would advice you to get her: 1. Treadmill Test. 2. Echocardiography. 3. Fasting lipid profile. 4. Fasting blood sugar. Now if these investigations also come out to be normal the chest pain could be muscular or due to acid reflux. But we can't afford to miss cardiac causes of chest pain. So get these investigations done and write back to me with reports. I hope it helps you. If you have any further query, please ask me. Stay Healthy.