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Is It Ok I Am Taking 500 Mg Depakote ER Twice A Day For Mood Stabilization And 20 Mg Propranolol ?

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Posted on Thu, 9 Jan 2025
Question: Hello, I am taking 500 mg depakote ER twice a day for mood stabilization and 20 mg propranolol three times a day for tachycardia. I have been having chest pain for four days that radiates to my neck, jaw, back, and arms. I got it checked out at the ER and all my tests were normal. I am afraid I'm having a coronary artery spasm. Does this sound like a coronary artery spasm to you and would that show up in the troponin level because on Google it said you have to wear an ambulatory monitor or get an angiography of the chest done to diagnose it?
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Answered by Dr. Ilir Sharka (12 hours later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Icliniq!

I understand your concern and would explain that a coronary artery spasm would cause some ECG changes and elevations in troponin levels.

Anyway, I would recommend performing a dobutamine stress echo to help investigate for possible coronary artery disease.

A cardiac stress MRI would be a more accurate test to examine the blood flow in coronary arteries, the presence of possible myocardial ischemia and help examine better the cardiac tissues and structure.

Hope you will find this information helpful!

I would be glad to assist you again whenever you need!

Kind regards,

Dr. Ilir Sharka, cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Dr. Ilir Sharka

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Practicing since :2001

Answered : 9534 Questions

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Is It Ok I Am Taking 500 Mg Depakote ER Twice A Day For Mood Stabilization And 20 Mg Propranolol ?

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome to Icliniq! I understand your concern and would explain that a coronary artery spasm would cause some ECG changes and elevations in troponin levels. Anyway, I would recommend performing a dobutamine stress echo to help investigate for possible coronary artery disease. A cardiac stress MRI would be a more accurate test to examine the blood flow in coronary arteries, the presence of possible myocardial ischemia and help examine better the cardiac tissues and structure. Hope you will find this information helpful! I would be glad to assist you again whenever you need! Kind regards, Dr. Ilir Sharka, cardiologist