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My ECG and lipid profile are normal but still I have chest pain. Why?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I had chest pain very lightly in different areas of the chest. The pain was not continuous but occurs only sometimes during day or night but not in the sleep. I have taken an ECG and lipid profile test, but both are normal. My doctor advised me to take Ecosprin on daily basis life long. Kindly advise on this. I have a habit of smoking 7 to 8 cigarettes per day. Due to gastric problems, I felt this pain, but after taking gastric medicine, it will disappear. The gastric drug that I used was Atorva for cholesterol, but not now. My cholesterol level is in the normal range. Total cholestrol is 191 mg/dL and triglycerides are 177 mg/dL.

Hello,

Welcome to icliniq.com.

For chest pain, I advise you to have treadmill test and exercise tolerance test (ETT), in which you have to walk and run on a treadmill and simultaneously your ECG and blood pressure recorded. If chest pain is due to heart, it will be confirmed. Keep taking Statin (Atorvastatin) but no need of Ecosprin (Aspirin) according to new guidelines. For on and off chest pain, take pain killers such as Paracetamol. Have an ETT done and send me the report so that further planning can be done.

Medically reviewed byDr. Nithila. A

Published At June 3, 2019
Reviewed AtDecember 19, 2023

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