Hello doctor, I am 38 years old and my weight is 97 kg and height is 5 feet 7 inches. I had been having heaviness on the chest and pain on my shoulder and left arm since few days. I went for ECG twice but it was normal and even echo at rest was normal. My blood pressure was high around 160/100. Maybe due to anxiety. I shall be having a TMT test tomorrow. What other tests I can take to know if this pain is angina pain or gas pain? Should I try Sorbitrate when I have pain and see if the pain has gone or not? Is TMT final test to know if there is any blockage or not?
Hi. I have reviewed your health query and can well understand your worries and want to add that, TMT (treadmill test) is not the only test to rule out if this pain is cardiac in origin or not. Although it is a very sophisticated screening test and we can find out if there is any change in electrical activity of heart when we put heart under stress to see how it behaves under stress. If there is any blockage in heart's arteries, heart would definitely change its behavior and under stress (at any point during TMT) heart's activity would not be as expected. Here would be our next strategy to start at. There are two possibilities. Normal or abnormal TMT. Normal TMT- Usually there is no need to further investigate. Abnormal TMT- Your cardiologist may go for further investigation including but not limited to coronary CTA, coronary angiography, etc.  No, you should not take any medications to test by yourself if this is cardiac pain or not. Discuss the matter with your cardiologist and if he feels appropriate, he may advise you accordingly. Ask your physician to get your blood pressure under control. This is high blood pressure and I think you should go for a proper work-up for hypertension. Your cardiologist would also help you in this regards.