Question 1

I'm a bit concerned about my heart rate. It's usually around 96, but it goes up to 120 when I walk. I don't have any other symptoms and I've had a thyroid test, ECG, and echo done, all of which came back normal. The only thing on the ECG was sinus tachycardia. I did have mild Covid last April. Should I be worried about this, or will my heart rate settle down on its own over time?

Accepted Answer

Sinus tachycardia is a common condition where the heart rate is elevated but the heart rhythm is normal. Since your thyroid, ECG, and echo results are normal, and considering your history of mild COVID-19 last year, your elevated heart rate may be due to post-viral effects. In most cases, sinus tachycardia resolves on its own as the body recovers from the viral illness. To help manage your heart rate, you can try to reduce stress, stay hydrated, and ensure you are getting adequate rest. If your symptoms persist or worsen, you can consider taking a beta-blocker medication like Metoprolol at a low dose of 25mg once daily to help control your heart rate. However, it is important to consult with your doctor before starting any new medication. Monitoring your heart rate regularly and following up with your healthcare provider for further evaluation is recommended.

Question 2

I'm a 29-year-old male with a BMI of 32, and I've been dealing with this weird chest pain for the last 6 to 8 months. It kind of moves around between the right and left side of my chest, and every morning there's this dull pain on the left side that just goes away after a while. It's starting to bug me. Could this be something serious, or is it just normal?

Accepted Answer

You may be experiencing musculoskeletal chest pain, especially given the fluctuating nature of the pain and the fact that it is more noticeable in the morning and improves throughout the day. However, it's important to rule out any other potential causes of chest pain. Given your age, gender, and BMI, it's important to consider lifestyle factors that may be contributing to your symptoms. I recommend trying over-the-counter pain relievers such as acetaminophen or ibuprofen for relief. Additionally, incorporating regular exercise, maintaining a healthy weight, and improving your posture may help alleviate the chest pain. If the pain persists or worsens, it's important to consult with a healthcare professional for further evaluation and management.

Question 3

I'm really worried about my dad. He's been having some discomfort in his left hand, and sometimes right hand, that goes up to his wrist and neck. He's 55 and has been experiencing this for the past few months. His cholesterol levels are at 225, and his blood pressure is around 13075. Do you think these could be signs of a pre-heart attack? I would really appreciate any advice.

Accepted Answer

These symptoms could indeed be concerning for potential heart issues. It is important to act promptly. I recommend that your father take Aspirin 81mg immediately to help prevent blood clot formation. Additionally, he should take Nitroglycerin sublingual tablets for immediate relief of chest pain or discomfort. It is crucial to seek emergency medical attention as soon as possible.

I'm a bit puzzled because my ECG is coming back normal, but I'm still feeling pain in my left arm and shoulder. Last Tuesday, my blood pressure was at 160, and now it's around 11064. Can you help me figure out what's going on?

it should be normal

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