I am experiencing chest pain, discomfort on left side (front and back chest, and left upper arm). So far, doctors have performed Echo (clear, no issues indicated), TMT (when the technician stopped it, it showed Max HR 152 bpm 83% of max predicted 179 bpm. Max BP 160/100. Remarks say -" Good effort tolerance. No Angina or Arrhythmia. No Significant ST-T changes found), Endoscopy (didn't show any ulcers or any issues, normal mucosa), and Ultrasound scan of abdomen (only issue as per report is Fatty Liver measuring 17.5 cms). However, I have been to emergency room 4 times during last 1 month due to chest pain, sweating, etc. Everytime, they did ECG and Troponin tests and then sent me home after giving Pantoprazole injection. Doctor says I don't have any heart related condition. According to him, I have" Non-ulcer Dyspepsia" that is being worsened by my anxiety and panic. He has suggested - Pantodac DSR (twice a day), Atorvastatin 10 mg (at night), and Alprazolam 0.25 (at night). My cardiologist says that since TMT and Echo were normal, there is no possibility of a heart attack. I asked him whether I should undergo any further tests like CT Angiography to rule out any blockages etc. He told me very clearly that I am panicking for no reason and I should consult a psychiatrist. He says that my pain is result of anxiety and panic. I tried explaining to him that I do get anxiety and panic but it happens after I get chest pain, sweating, and breathlessness. What to do now? Should I consult another cardiologist? Is a clear TMT indicator that there is no risk of a heart attack? Is a clear Echo indicator that there are no other heart issues?
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A clear echo and tmt suggest that the possibility for your complaints is not cardiac in origin. That is the complaints are not suggestive of any heart disease. Chest pains with sweating and raised heart beats are a commonplace in anxiety disorders and are treatable with medications and therapy. I would also advise you to do a serum free t3, serum free t4 and serum tsh level also.
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Dear lybrate user, -you have undergone most of the tests & since they were normal the cardiologist has not advised further testing so do not panic & take the prescribed medicines, sometimes acidity also causes similar symptoms. -engage yourself in various activities like walking for 20-30 min daily, yoga, meditation & other day to day activities. -avoid spicy & fried food -give sometime to the medicines to take effect -if you donot find any improvement then go for a second opinion.
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