Question 1

I got an ECG done yesterday and it shows a slight ST depression in V3. Should I be concerned about this? I've been feeling a bit uncomfortable on the extreme left side of my chest, which is why I went for the ECG in the first place. There aren't any other pains or symptoms bothering me. By the way, I took the test about 40 minutes after finishing a workout at the gym - would that have any impact on the results?

Accepted Answer

Slight ST depression on an ECG can sometimes be a normal variant, especially if you have no other symptoms. However, given your symptoms of chest discomfort and the timing of the ECG after a workout, it is important to rule out any cardiac issues. I recommend you take a low dose of Aspirin 75mg for now to prevent any clot formation and consult a cardiologist for further evaluation and management.

Question 2

I'm worried that my anxiety might be causing my blood pressure to increase. Its been six months, and while I dont feel as anxious now, I still feel a strong pulse all overchest, fingers, head, neck, legs, everywhere. Its really affecting my life! Ive tried everythingeating better, exercising, meditatingand nothing helps. My blood pressure and pulse are still the same. I even tried magnesium, but no change. I'm really scared about the side effects of anxiety and blood pressure meds. If this is anxiety, how long will it take to go away? What should I do?

Accepted Answer

It sounds like you may be experiencing symptoms of anxiety that are affecting your blood pressure and pulse. To help manage these symptoms, you can try taking Propranolol (Inderal) at a low dose of 10-20mg once or twice daily. Propranolol is a beta-blocker that can help reduce the physical symptoms of anxiety such as a bounding pulse. Additionally, for anxiety relief, you can consider taking Escitalopram (Lexapro) at a dose of 10mg daily. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) that can help alleviate anxiety symptoms. It is important to note that the duration for anxiety to be cured varies from person to person. With medication and therapy, many individuals see improvement in their symptoms within a few weeks to a few months. It is recommended to continue with the prescribed treatment plan and follow up with your healthcare provider for monitoring and adjustments as needed.

Question 3

I'm really struggling with these palpitations. Even though all my echocardiography results and other tests came back normal, I keep experiencing them out of the blue while I'm just going about my day. It's starting to worry me because I can't pin down why it's happening. Could there be something else going on that the tests didn't pick up? What should I do next?

Accepted Answer

Palpitations can be caused by various factors, including anxiety, stress, caffeine intake, or certain medications. In your case, since all tests are normal, you may consider trying a beta-blocker such as Metoprolol (25-50mg) to help manage the palpitations. It can help regulate your heart rate and reduce the intensity of palpitations. However, it's important to consult with your healthcare provider before starting any new medication.

Visit your Physician for appropriate management

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