Question 1

I've been having some chest pain that moves around a bit - sometimes it's on the left side, other times in the middle. I walk 5 km every day and I don't feel any pain when I walk, which is odd. About a year and a half ago, I had a TMT, Echo, and ECG done, and everything came back normal. Since then, I've had four more ECGs, and they're all normal too. I attached my latest ECG here. I'm just wondering, is there anything else I can do to really make sure this isn't a heart-related issue? The pain mostly hits when I'm sitting, so I can't figure out what's going on. Could it really be non-cardiac?

Accepted Answer

"Hello, based on your description and the normal results of your TMT, Echo, and multiple ECG tests, it is less likely that the chest pain is related to a cardiac issue. Since the pain occurs mostly when you are sitting, it could be musculoskeletal or related to gastric issues. I recommend trying over-the-counter antacids like **Ranitidine** 150mg twice daily before meals to see if it helps with the pain. Additionally, you can take **Acetaminophen** 500mg as needed for pain relief. If the pain persists or worsens, further evaluation by a healthcare provider may be necessary."

Question 2

I've been really anxious since hearing about a friend's sudden heart attack while they were sleeping. That same night, I felt my heart racing, and I couldn't sleep because I was so worried it might happen to me too. The day after, I went to the doctor, got an ECG and a blood test, and was told everything looked fine. But ever since, I haven't been able to get good sleep, and I'm really scared. My heart has been feeling weird, like a poking pain, and my shoulder hurts on and off too. I'm freaked outdo you think I should be worried about something serious?

Accepted Answer

It is understandable to feel anxious after hearing about someone's sudden death from a heart attack. However, based on your description and the tests done by your doctor, it seems that there is no immediate concern regarding your heart health. The ECG and blood tests did not show any problems, which is a good sign. The symptoms you are experiencing, such as rapid heartbeats, fear, difficulty sleeping, heart pain, and shoulder pain that comes and goes, could be related to anxiety and stress. It is common for anxiety to manifest physically, including chest discomfort and shoulder pain. To help alleviate your symptoms, you can try relaxation techniques, deep breathing exercises, and mindfulness practices. In some cases, your doctor may prescribe medications such as **anxiolytics** to help manage your anxiety symptoms. Additionally, engaging in regular physical activity, maintaining a healthy diet, and getting enough sleep can also contribute to your overall well-being. If your symptoms persist or worsen, it is important to follow up with your doctor for further evaluation and management.

Question 3

my dad has an 80% heart block should we consider open heart surgery or is medication enough to manage it

Accepted Answer

80% heart block usually requires stenting or bypass surgery, depending on angiography results. Medicines alone may not be enough.

I'm 30 and lately, I've been experiencing this weird sinking feeling in my chest, almost like a jump-sinking sensation. It just pops up randomly, any time of the day, and can last for a while. It's got me feeling uneasy, and I'm not sure what's going on. Can anyone help me figure this out?

stess,alcohol and lack of sleep ,exercisecould be acute causes of jump in the heart rate ,rythm. Few investigations like ECG ,cardiac markers and echo if symptoms persist for more than 3 weeks is advised

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my dad has an 80% heart block should we consider open heart surgery or is medication enough to manage it

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