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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Chest Pain. TMT Echo Is Negative. Have Elevated BP. Have No CAD Or Blockage. Are The Findings In Normal Range?

HELLO DOCTOR,
I AM 59 YEARS OLD ,HAVING CHEST PAIN AND HAVE SEEN BY DOCTORS MANY TMT ECHO TESTS DONE ALL NEGATIVE.ELEVATED BP ONLY AT TIMES OTHERWISE NORMAL.I HAVE CONSTANT CHEST DISCOMFORT EVEN AT REST AND WENT THROUGH EXTENED THR TMT FOR 10MINTS TILL 185 BPM.THE TEST WAS NEGATIVE .IS THAT MEAN I HAVE NO CAD OR BLOCKAGE.I AM STILL HAVING PAIN AND CONTIOUS STAIR CLIMBING CANNOT BE DONE WITHOUT GASPING FOR BREATH BUT NORMAL WALK TO ANY DISTANCE NO PROBLEM NO PAIN ATALL.PLEASE ADVICE ME SHOULD I GO FOR ANGIO NOW.
Mon, 18 Nov 2013
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General Surgeon,  's  Response
Hi ! Good morning. I am Dr Shareef answering your query.

It is good that your extended TMT test has come out to be negative. It could be normal for anyone to become breathless if he climbs stairs continuously ( I do not know how many floors do you climb continuously without break). However, if you do get and are apprehensive, I would suggest you to get your blood sugar and serum lipid profile done, and take necessary medications depending on the reports.If I were your doctor, I would add a low dose aspirin of 75 mg for you at this age and in case the problem is significant, would advise you for a CT angiography initially before going for any invasive procedure with all other reports being normal.

I hope this information would help you in discussing with your family physician/treating cardiologist in further management of the problem. Please do not hesitate to ask in case of any further doubts.
Thanks for choosing health care magic for clearing doubts on your health problems. Wishing you an early recovery. Dr Shareef.



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Have Chest Pain. TMT Echo Is Negative. Have Elevated BP. Have No CAD Or Blockage. Are The Findings In Normal Range?

Hi ! Good morning. I am Dr Shareef answering your query. It is good that your extended TMT test has come out to be negative. It could be normal for anyone to become breathless if he climbs stairs continuously ( I do not know how many floors do you climb continuously without break). However, if you do get and are apprehensive, I would suggest you to get your blood sugar and serum lipid profile done, and take necessary medications depending on the reports.If I were your doctor, I would add a low dose aspirin of 75 mg for you at this age and in case the problem is significant, would advise you for a CT angiography initially before going for any invasive procedure with all other reports being normal. I hope this information would help you in discussing with your family physician/treating cardiologist in further management of the problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic for clearing doubts on your health problems. Wishing you an early recovery. Dr Shareef.