Question 1

I'm trying to understand a recent exercise test result and have some worries. During the Bruce Protocol, I lasted for just over 7 minutes and reached 10.10 METs. My heart rate hit 179 beats per minute, which is apparently 95% of what they'd expect as my maximum. They stopped the test at that point, saying I'd hit my target heart rate. There was no usual chest pain, but I'm still concerned about whether stopping because of the heart rate is normal. Does this result suggest any potential heart issues I should be aware of?

Accepted Answer

The patient's exercise performance on the Bruce Protocol is impressive, reaching a workload of 10.10 METs and achieving a peak heart rate of 179 beatsminute, which is 95% of the predicted maximum. Since the exercise was terminated due to reaching the target heart rate without experiencing classical angina, it indicates good cardiovascular fitness. For the blood pressure response, it would be ideal to monitor the patient's blood pressure during exercise and recovery to assess their cardiovascular health comprehensively. In this case, considering the patient's exercise capacity and heart rate response, it would be beneficial to continue monitoring their blood pressure during physical activity to ensure safety and optimal performance. As for medication, based on the information provided, I would recommend discussing with a healthcare provider for personalized advice on any necessary medications or adjustments to the current regimen.

Question 2

I'm really confused about why I'm experiencing heart palpitations even when I'm not feeling anxious. For the past year, I've been dealing with anxiety and have been taking etizolem and propranolol for a few months to help with it. But if I miss just one dose of etizolem, my heart starts racing and feels very uncomfortable. It's really scary. Is it possible that these palpitations are more related to anxiety, like my psychiatrist suggests, or could it be something else, maybe related to my heart? I haven't had panic attacks or any other anxiety symptoms recently, just the palpitations when I skip the medication.

Accepted Answer

It sounds like you are experiencing symptoms of anxiety and possibly withdrawal effects from Etizolam. Etizolam is a benzodiazepine derivative used to treat anxiety disorders, and sudden discontinuation can lead to withdrawal symptoms such as increased heart rate or palpitations. Propranolol is a beta-blocker that helps with heart palpitations and can be used in combination with Etizolam. To address your concerns, it is important to follow your psychiatrist's advice regarding the management of anxiety and heart palpitations. It is possible that the palpitations you are experiencing when skipping Etizolam are due to withdrawal effects, as benzodiazepines should be tapered off gradually under medical supervision to avoid such symptoms. In addition to continuing your current medications, you may also benefit from therapy or counseling to address underlying anxiety issues. It is important to discuss any concerns or new symptoms with your psychiatrist for proper management.

Question 3

I've been feeling some pressure and tightness in my chest after eating, and my stomach gets really bloated. Sometimes it even feels like I'm having an anxiety attack. I'm not sure what's going on. Could there be a link between these symptoms, and what might be causing this?

Accepted Answer

GERD is the probable diagnosis , advised pan d ,orally before food for 14 days and syrup sucralfate 10 ml thrice daily ,Avoid spicy foods..

echo advised once in 6-12 months..

More Cardiology Health Queries

I've been feeling some pressure and tightness in my chest after eating, and my stomach gets really bloated. Sometimes it even feels like I'm having an anxiety attack. I'm not sure what's going on. Could there be a link between these symptoms, and what might be causing this?

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