Question 1

Greetings, doctors. I'm really worried about my heart. I'm 36, weigh 45 kg, and stand 5'4". I've been through countless tests like ECG, echo, TMT, and USG, and they all show I'm normal. Despite this, I'm terrified that I'll die of a heart attack. I witnessed my cousin's grandmother die from a heart issue right in front of me a couple of years ago, and ever since, Ive been living in fear. Because of this fear, my heart's always palpitating, I have difficulty breathing, feel dizzy, and get chest pains sometimes. Even when I had palpitations, my ECG showed normal at 116 bpm. My blood pressure is also steady, usually at 12080 or 70. It's scary, and I've even quit my job over this stress. All my tests like thyroid, KFT, lipid, vitamins, and LFT are also normal. Should I consider coronary angiography or maybe something else? I'm just feeling lost and need guidance, please.

Accepted Answer

It sounds like you are experiencing a lot of anxiety and fear related to your heart health. Given your age, weight, and the normal test results you have mentioned, it is less likely that you have a serious heart condition. The symptoms you are describing, such as palpitations, difficulty breathing, dizziness, and chest pain, could be related to anxiety and panic attacks. To help alleviate your fears and symptoms, I recommend trying a medication called **Propranolol**. It is a beta-blocker that can help with palpitations, chest pain, and anxiety. You can start with a low dose of **10mg** once a day and gradually increase it as needed under medical supervision. In addition to medication, it would be beneficial for you to seek counseling or therapy to address the underlying anxiety and fear you are experiencing. **Sertraline** is an antidepressant that can also help with anxiety. You can start with a dose of **25mg** daily and adjust as needed. Remember to practice relaxation techniques, such as deep breathing exercises and mindfulness, to help manage your anxiety symptoms. It is important to take care of your mental health as well as your physical health. If your symptoms persist or worsen, do not hesitate to follow up with a healthcare provider for further evaluation and support.

Question 2

I'm experiencing this left hand cramp and chest pain that comes and goes, and it's been joined by this left arm pain for about eight days now. I went for an ECG yesterday, and they said everything looked normal, though my heart rate was up a bitapparently due to stress. I actually had a similar hand cramp about a month ago. Should I be concerned or look into other causes for these symptoms?

Accepted Answer

Based on your symptoms of left hand cramp, chest pain, and left arm pain, along with a normal ECG result and slightly elevated heart rate possibly due to stress, it is important to consider muscle relaxants and pain relievers. You can take acetaminophen 500mg for pain relief and muscle relaxation. Additionally, you can use a muscle relaxant like cyclobenzaprine 5mg to help with the hand cramp. It is important to take these medications as directed on the packaging or as advised by a healthcare professional

Question 3

I'm really worried about my wife. She's 63 and her blood pressure reading is 14090. She's been taking Amlokind 2.5 mg like the doctor advised, but I'm not sure if this reading is okay for her age. Our doctor said it's normal, but I just want to double-check. Is there anything else we should be doing or watching out for?

Accepted Answer

take medicine

I'm a bit concerned about my ECG results. It mentioned "Sinus rhythm and ST Elevation probable normal early repolarization pattern." Can you help me understand what this means? Should I be worried about it?

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