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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Chest Pain. Took Pantoprazole. ECG And Echo Test Done, Normal. What Is To Be Done Next?

hai
am a doctor ..
i want to ask about my mom..
sh e had a chest pain last week..n was subsided with pantoprazole.but later on ecg changes were T wave inversion in v4 v5 v6..as per the crdiologist advice didi an echo ..it shpwed MVP mild ,MR ...she didint had any pain after that.risk factor in LDL 165..total chl is 248..post menopsal she is..and a pan chewer too..cardiac markeres wer negative at that time..sir wat chould i do next..sholu i ame a treadmill test ..?
Thu, 2 May 2013
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Internal Medicine Specialist,  's  Response
Hi,
Welcome to HCM,
Your mother is having Mitral valve prolapse and she had chest pain which subsided with Pantoprazole that means it was probably due to acid peptic disorder.
Her ECG and 2 D Echocardiography confirmed Mitral Valve Prolapse which can cause chest pain this defect is detected now but present from birth, usually benign condition and can be treated symptomatically and if required a low dose Beta blocker may be useful.
Take care of Lipid profile with diet and exercise and statin consult a Cardiologist.
Stop any pan or Tobacco use.
Remember TMT may come false positive so let cardiologist decide if coronary artery disease is suspected then CT Angiography or catheter angiography will be done.
Please take care
Good Luck
Dr. Akhilesh Dubey M.D.
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Had Chest Pain. Took Pantoprazole. ECG And Echo Test Done, Normal. What Is To Be Done Next?

Hi, Welcome to HCM, Your mother is having Mitral valve prolapse and she had chest pain which subsided with Pantoprazole that means it was probably due to acid peptic disorder. Her ECG and 2 D Echocardiography confirmed Mitral Valve Prolapse which can cause chest pain this defect is detected now but present from birth, usually benign condition and can be treated symptomatically and if required a low dose Beta blocker may be useful. Take care of Lipid profile with diet and exercise and statin consult a Cardiologist. Stop any pan or Tobacco use. Remember TMT may come false positive so let cardiologist decide if coronary artery disease is suspected then CT Angiography or catheter angiography will be done. Please take care Good Luck Dr. Akhilesh Dubey M.D.