Question 1

I'm feeling really worried about some symptoms I've been experiencing. I've been having mild chest pain in both my chest and some pain in my shoulder and back when I'm at rest. My ECG showed WPW, but my echocardiogram came back normal. The doctor mentioned these symptoms aren't cardiac-related, which was a relief at first, but then my routine TMT test came back positive with a report of ST depression ischemia. I'm also concerned about my cholesterol levels, with total cholesterol at 139, HDL at 33, and LDL at 103. Given my situation and age, is there some risk I should be aware of? What should I do because I'm really worried about my health? By the way, I don't feel any pain while I'm working or walking.

Accepted Answer

Mild chest pain in both the chest while resting and shoulder and back pain, ulcer and anxiety. ECG found WPW and echo normal. Doctor said nothing to worry. Symptoms are non-cardiac but in routine test TMT test came positive, conclusion in report was ST depression ischemia. My overall cholesterol is 139, HDL 33, and LDL 103. Is there some risk as per my age? What to do? I am really worried a lot. I have no pain while working or walking. Based on your symptoms and test results, it is important to address the positive TMT test with ST depression ischemia. This could indicate a risk of heart disease, especially with your cholesterol levels. To manage this condition, you can start taking a medication like Atorvastatin (Lipitor) 20mg to help lower your LDL cholesterol levels and reduce the risk of heart-related issues. Additionally, considering your anxiety and chest pain, you can take medications like Pantoprazole (Protonix) 40mg for ulcer symptoms and an anti-anxiety medication like Lorazepam (Ativan) 0.5mg to help with anxiety symptoms. It is also recommended to follow up with your doctor for further evaluation and management. Regular exercise, a healthy diet, and stress management techniques can also help improve your overall health and reduce the risk of heart disease.

Question 2

I just found out there are blockages in both arteries on the left and right sides of my heart. The doctor said they're about 6 to 8 months old. Should I be worried about how old these blockages are and what kind of treatment is usually recommended for this? I'm feeling a bit anxious about what this means for my health going forward.

Accepted Answer

As there are 2 vessels blocked you can be on conservative management and closely monitored if needed stenting might be done,follow your doctors advice

Question 3

I'm getting these weird feelings where it seems like my heart is struggling to beat at times. Sometimes, out of nowhere, I get these intense palpitations that eventually settle down, but it's really unsettling. Another thing I've noticed is that just when I'm about to burp, the palpitations get much stronger and faster, which honestly freaks me out a bit. Any idea what might be happening?

Accepted Answer

These symptoms could be related to acid reflux causing irritation of the esophagus, which in turn can trigger palpitations. I recommend trying over-the-counter antacids like Tums (500mg) or Maalox (5ml) to help with the acid reflux. Additionally, you can try avoiding trigger foods like spicy or fatty foods, caffeine, and alcohol. If the symptoms persist, it's important to consult with a healthcare provider for further evaluation and management.

No need to stop medications , all the medications are to be continued including ecosprin.

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