HomeAnswersCardiologychest painI am having chest pain and palpitations despite taking medications. Please help.

How to overcome chest pain that does not reduce despite taking medicines?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At April 28, 2023
Reviewed AtAugust 8, 2023

Patient's Query

Hello doctor,

I am 30 years old and I am having mild chest pain for the past one month. I visited a hospital and the doctor asked me to do some tests. My heart echo test was normal but the TMT test was positive. My blood lipid profile was tested and my cholesterol level was below 150, but HDL was 30. Then I had a CT scan coronary angiography which also came out normal. The doctor prescribed me medications for GERD for one month. But I am still having chest pain and also palpitations sometimes. I do not smoke or consume alcohol. My food habits are also good. I do not know if I am going in the right direction or if there is any risk. I have never had such issues in the past and have no family history too. I am currently taking Rablet for GERD. What should I do? Kindly help.

Hello,

Welcome to icliniq.com.

Thank you for your query. TMT (treadmill test) positive is an indication of an angiogram. But there can be a 30 % chance of false positive TMT. As your angiogram is normal it can indicate two things, either your TMT is false positive or you may have microvascular angina in which vessels cannot be seen in an angiogram. You can have tablet Nikoran OD 10 milligrams once a day. You can ask your cardiologist about microvascular angina and why your TMT is positive. Kindly consult a specialist, talk to them, and take medications with their consent. I hope this has helped you. Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prashant Valecha
Dr. Prashant Valecha

Cardiology

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