Suggest Treatment For High BP, Pain In Left Shoulder, Arm And Chest

Posted on Thu, 12 Nov 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 12 Nov 2015 Answered on

Thu, 3 Dec 2015 Last reviewed on

Question : Hi ..my mother got high BP...160\100...performed ECG and report is normal....but she has pain in her left shoulder, arm and chest....Why?

Answered by Dr. Anshul Varshney (27 minutes later)

Brief Answer:
Go for TMT.

Detailed Answer:
Welcome To HCM. I am Dr Anshul Varshney. I understand your concern.
Any Chest pain in a person with high BP and advancing age should be evaluated for Cardiac Chest pain until proved otherwise.
So, I would advice you to get her:
1. Treadmill Test.
2. Echocardiography.
3. Fasting lipid profile.
4. Fasting blood sugar.
Now if these investigations also come out to be normal the chest pain could be muscular or due to acid reflux. But we can't afford to miss cardiac causes of chest pain.
So get these investigations done and write back to me with reports.
I hope it helps you.
If you have any further query, please ask me.
Stay Healthy.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Anshul Varshney (17 minutes later)

Going for Cholesterol test and 2D-ECHO test tomorrow...anything to be done? TMT is not part of this?

Answered by Dr. Anshul Varshney (5 minutes later)

Brief Answer:
TMT is different.

Detailed Answer:
Hello at this point where ECG is normal TMT is more reliable then ECHO. Tread mill test (TMT) is a stress test which provides you information of heart when it is stressed while walking on TMT.
Go ahead with all the investigations I have advised including TMT.
Good luck.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar