Download FREE Practo app
Get ₹200 HealthCash
Cardiac evaluation
Last year, I had an angio done, which was completely normal- my Dog told me that I did not worry about anything for the next five years and whatever I get are not heart related
A year later, I have started getting heaviness, tightness in my chest, neck, throat, etc - ECG and cardiac enzymes. All good. The cardio said that no need of any testing and I should get physiotherapy or relax my muscle.
But I asked on some forum, and I also chatted with Doctor on practo- they all advised that should get a fresh TMT, echo done or stress echo-
I was wondering, why do I need these cardiac tests done again ?? is this extra cautious approach
Answers (13)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Is there any family history?
Connect and consult
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+132
Kindly connect and consult for better treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at nine one one nine two five five six nine nine. Alternatively, you can connect with me through the Practo app for a detailed consultation
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Ur cardiologist is right no need of further test. But u have to done one 2 d echo because this report of angiography is one year back. No repet of angiography needed
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Does their is any muscle pain , time of chest pain and any relation with food
Share your answer by book appointment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
1 year is long enough for things to change. Even if few blocks have developed but is in one or more major blood vessels, it can cause problem.
Get TMT and stress echo done to have a clear picture.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
A normal angiogram a year ago is strong reassurance - fresh blockage in 12 months in a 26-year-old is very unlikely, and your ECG and enzymes during symptoms were normal. Your cardiologist is right, more tests will most likely be normal too. Chest, neck and throat tightness like this usually comes from chest wall/muscle spasm, acid reflux or anxiety-driven hyperventilation. TMT or stress echo makes sense only if symptoms come on with exertion and settle with rest.
Next Steps
Skip repeat angio; a single 2D echo plus a trial of anti-reflux treatment and chest wall physiotherapy is enough, and note whether the tightness is triggered by walking upstairs or by stress. Sudden crushing pain with sweating or breathlessness means go to casualty at once. Bring your old reports to a consult with me on Practo and I will tell you what actually needs testing.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
If the resting ECG and echo are normal, you don't need any further tests at this time,in view of the previous normal coronary angiography and your age
Next Steps
p wa
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
With a normal angiogram, ECG and cardiac enzymes, repeating TMT and echo is not necessary testing depends on your symptoms and risk factors, so a cardiology review can decide whether any repeat test would actually add value.
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.