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Can chest pain on exertion be caused by heart blockages?

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

Patient's Query

Hello doctor,

For the past few weeks, my 65-year-old mother has been experiencing chest pain or slight discomfort only when walking for a while. We consulted a doctor, who recommended a stress echocardiogram, which we completed. The results came back positive, but not strongly positive. We would like to seek another opinion on the report.

Hello,

Welcome to icliniq.com.

If she is experiencing consistent chest pain, heaviness, or discomfort on exertion, it suggests the possibility of blockages. The stress echocardiogram further supports this possibility, showing hypokinesia with stress, which is indicative of blockages in the heart vessels. Therefore, she should be on medications such as Aspirin, statins like Atorvastatin, and Nitrates, as these are crucial for her management.

Additionally, she should undergo angiography to confirm the blockages and determine further treatment. In the meantime, she should take the prescribed medications regularly until the angiography is performed.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

Some of the blood test reports are attached below. Please refer to them. Additionally, there are three medications she has been prescribed: Nicorandil 5 mg, Amlodipine, a combination of Aspirin, Rosuvastatin, and Clopidogrel.

Hello,

Welcome back to icliniq.com.

Her reports are normal (attachment removed to protect patient identity). The medications are also appropriate and include all the essential components. She should take the medications regularly.

Regards.

Medically reviewed byDr. Divya Banu M

Published At May 27, 2019
Reviewed AtNovember 20, 2024

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