How to relieve chest pain that isn’t improving with medication?

Question

Hello doctor,

I am 30 years old, and I have had mild chest pain for the past month. I visited a hospital, and the doctor asked me to take 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 my 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.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Thank you for your query.

A positive TMT (treadmill test) is an indication of an angiogram. But there can be a 30 percent 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 a tablet of Nicorandil 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.