Question 1

I'm 29 and since 2018, I've been experiencing skipped or missed heartbeats, which make me feel really uneasy. In 2019, I had an ECG, an echo, and a TMT done, and they didn't find anything. Recently, I've had two more ECGs and still nothing showed up. The doctor prescribed ivabradine and some anxiety medicine. I also discovered I have hyperthyroidism. I got some relief, but the symptoms have started again, and I'm really scared and worried that something serious is going on. Can you help me figure out what's happening and where I should go to find out the exact cause?

Accepted Answer

It's understandable to feel anxious and concerned about your symptoms. Skipped or missed heartbeats, known as palpitations, can be distressing but are often benign, especially with normal ECG, echo, and TMT results. Hyperthyroidism can contribute to palpitations and should be managed effectively. Since you have already been prescribed ivabradine and an anxiety medication, it's important to continue following your doctor's advice and taking your medications as directed.

Given your ongoing symptoms and anxiety, it might be beneficial to seek a comprehensive evaluation at a specialized center, such as a tertiary care hospital with a cardiology and endocrinology department. They can conduct further tests, such as a Holter monitor to track your heart rhythms over 24-48 hours, and refine your treatment plan.

Additionally, managing anxiety through therapy, relaxation techniques, and lifestyle changes can also help alleviate your symptoms. Please consult with your healthcare provider to discuss your concerns and consider a referral to a specialist if needed.

Question 2

I'm feeling really confused and worried. Last year, my echocardiogram showed diastolic dysfunction, but when I did it again this year, it showed everything was fine with no sign of it. I'm trying to understand if diastolic dysfunction can reverse itself? I read online that it usually happens to older people, but I'm not that old and my blood pressure, sugar, and thyroid levels are all normal. Why did this happen to me, and should I be worried about it?

Accepted Answer

Your present echocardiogram is normal, previous report may reflect your clinical condition on that time. At present your reports are within normal limits.

Question 3

I'm 29 years old and I've been dealing with chest pain for the past week. My blood pressure is under control now, but the initial ECG was abnormal. We did a 2D echo and that came back normal. I've been prescribed medications like Nico Star, Angiplan 2.5, and Plevix. I feel like I'm too young for this kind of medication. Could you guide me on what I should do next?

Accepted Answer

It sounds like you are experiencing chest pain and have been prescribed medications for it. The medications you mentioned are: - Nico Star (Nicorandil) 2.5mg: This medication helps to widen the blood vessels and improve blood flow to the heart. The usual dose is 2.5mg twice daily. - Angiplan (Amlodipine) : This medication is used to treat high blood pressure and chest pain (angina). The usual dose is 5mg once daily. - Plavix (Clopidogrel): This medication helps to prevent blood clots. The usual dose is 75mg once daily. It is important to follow your doctor's advice and continue taking the medications as prescribed. These medications are commonly used to manage chest pain and other heart conditions, regardless of age. If you have any concerns about the medications or their side effects, please discuss them with your healthcare provider.

That could be due to anxiety visit Psychiatrist for evaluation and appropriate management

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