Patient's Query
Hello doctor,
I am a 44-year-old Indian vegetarian male, six feet tall, weighing 150 pounds, with a normal BMI, cholesterol within limits, normal blood pressure, and a normal 2D echocardiogram. I do not consume alcohol and do not smoke.
For the last two years, I have been experiencing slight breathlessness when climbing two floors. I can manage to climb more, but I start feeling exhausted after about 30 to 40 steps. Last month, I underwent a health package that included a treadmill test (TMT), which yielded a positive result. The technician stopped the test at 2.53 minutes without consulting me. I had the test done again at a different location and was able to reach nine minutes.
However, the doctor noted depressions in my ECG charts and recommended an angiogram, which came back normal. The doctor then advised a pulmonary function test (PFT), which also came back normal. The doctor concluded that a heart issue was unlikely and prescribed a beta-blocker. However, I had to stop the medication due to low blood pressure issues. The problem of breathlessness and slight chest pain persists, and I am unsure how to resolve it.
What can be done?
Kindly advise.
Hello,
Welcome to icliniq.com.
I read your query and understood your concern.
Regarding your symptoms, I believe you may have developed myocardial ischemia due to coronary vasospasm, which is depriving adequate oxygen supply to the heart. This is likely why your ECG (electrocardiogram) showed depression. I suggest you check your oxygen level with an oximeter and reply with the result. I suggest you follow the below-mentioned instructions:
I also suggest you take one tablet of Aspirin 75 mg by mouth once daily for one week for the chest pain. I suggest you consult a specialist, talk with them, and take the medications with their consent. If your symptoms persist, I suggest you follow up.
I hope this has helped you. Kindly follow up if you have more doubts.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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