- Male
- 40 Years
- 22/01/2025
I'm dealing with severe anxiety and depression symptoms for the past few years, and I've had a couple of panic attacks. Now I'm seeing some ECG changes, but my Troponin levels are within normal limits. Both my ECHO and Angiography came out normal. Does this mean my heart is okay? Is it safe for me to do intense exercise? Sometimes I feel a sharp pain in my chest area that only lasts for a few seconds and goes away quickly. Any idea why my ECG has changed? What can I do about feeling weak all the time? And it's weird, but my feet are always cold. Any thoughts on what's going on?
Answered by 1 Apollo Doctors
The ECG changes could be related to your anxiety and panic attacks, but it's important to monitor them closely. To address the sharp pain in your heart area, you can take a low dose of a beta-blocker like Metoprolol (25-50mg) as needed for chest pain relief. For your weakness, you can try taking a daily dose of a multivitamin like Centrum to ensure you're getting essential nutrients. Cold feet can be improved by wearing warm socks and keeping your feet elevated when possible. Regular exercise is beneficial for anxiety and depression, but start with low to moderate intensity workouts and gradually increase the intensity based on your tolerance.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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ecg,cardiac enzymes and echo is advised.
Answered by 1 Apollo Doctors
I've been experiencing some concerning health issues lately and could really use some guidance. I'm 32, from Hyderabad, and generally healthyI don't smoke and only drink beer like once in every three or four months. I used to be really active with running, climbing, and cycling, even training for triathlons. But around five months ago, I started having chest pain that spreads to my back and left arm, especially when I'm lying down. Despite having had an ECG, echo, TMT, troponin, and a CT angiography, all these tests came back negative. The only thing I've been diagnosed with is high heart rate, for which I'm on medication. This has helped bring down the chest pain but not completely. Now, for the past month, I've had intense headaches and dizziness that make me feel like I might just collapse. Last night was particularly bad with the headache and chest pain. I'm really worried and not sure how to proceed. Could you advise on what might be causing this and what I should do next?
It sounds like you are experiencing a combination of chest pain, back pain, left arm pain, headaches, and dizziness. Since your cardiac tests have come back negative and you are already being treated for high heart beats, it is important to consider other possible causes for your symptoms. The chest pain, back pain, and left arm pain could be related to musculoskeletal issues or nerve impingement. For your headache and dizziness, it may be helpful to explore the possibility of migraines or other neurological conditions. I recommend trying a medication like Acetaminophen for your headache and pain relief. For your ongoing chest pain, back pain, and left arm pain, you can try a muscle relaxant like Cyclobenzaprine. Additionally, for your high heart beats, you can continue with the medication prescribed by your doctor. However, it is important to follow up with your healthcare provider to discuss these new symptoms and explore further evaluation or treatment options.
Answered by 1 Apollo Doctors
I sometimes feel like there's an extra heartbeat in my chest, especially when I bend down. Could this be related to my mild tricuspid regurgitation? I'm really worried about it.
Yes, palpitations can be related to mild tricuspid regurgitation (TR). To help manage your symptoms, you can take a beta-blocker medication such as Metoprolol at a dosage of 25-50mg once daily. This can help regulate your heart rate and reduce the sensation of extra heartbeats. Remember to consult your doctor for proper evaluation and management.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.