- Male
- 32 Years
- 29/01/2025
I'm experiencing all the symptoms that feel like angina. I've had chest pain, shortness of breath when walking, pain in my left arm, and jaw pain. I already did an ECG and an echocardiogram, and they came back normal. Should I have more tests done?
Answered by 1 Apollo Doctors
Visit your Physician for appropriate management
Dr. Dhankecha Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allI'm experiencing arm pain that started in my left arm, but now it's also in my right arm. I've got this weird center chest pain too. I did an ECG, echo, and some blood tests, including a thyroid test about four days ago, and everything came back normal. The doctor mentioned it might be anxiety because my heart rate was really highlike 130 bpm during the ECG and my blood pressure was 15080. I've had this fear of heart issues for months, and now the symptoms seem to have gotten worse. They gave me Betanol TR 40 to try and help. Sometimes the arm pain gets really bad, but then it goes away and comes back. It feels like pins and needles, maybe like cramps. What could this be?
It sounds like you are experiencing symptoms of anxiety and cardiophobia, which can manifest as arm pain and chest discomfort. The medication prescribed to you, Betanol TR 40, is a brand name for Propranolol. This medication can help with managing symptoms of anxiety and can also help with reducing heart rate and blood pressure. The usual dosage for Propranolol in anxiety is 20-40mg taken 2-3 times a day. It is important to follow your doctor's instructions regarding the dosage and frequency of taking the medication. If you experience worsening symptoms or have any concerns, it is important to follow up with your doctor for further evaluation and management.
Answered by 1 Apollo Doctors
I've noticed my heart rate has been pretty low for the past couple of days, like around 55 beats per minute when I'm just resting or sleeping. Should I be worried about this, or is it normal?
Slow heart rate can be concerning, especially if it persists for a few days. A heart rate of 55 beats per minute or above at rest or during sleeping time may indicate bradycardia. It is important to identify the underlying cause of this slow heart rate. Some common causes of bradycardia include medication side effects, electrolyte imbalances, heart disease, or an underactive thyroid gland. If you are experiencing symptoms such as dizziness, fainting, chest pain, or shortness of breath along with the slow heart rate, it is important to seek medical attention promptly. Your doctor may recommend further evaluation, which may include an electrocardiogram (ECG) or other tests to determine the cause of the bradycardia. In some cases, medication may be prescribed to help regulate the heart rate. However, the specific treatment will depend on the underlying cause of the slow heart rate. It is important to follow up with your healthcare provider for a proper evaluation and management plan.
Answered by 1 Apollo Doctors
I'm really worried about my health lately. I've been dealing with diabetes and high blood pressure for a year now. Last October, I went through some tests like an echo, and everything seemed normal except for some grade 1 diastolic dysfunction. The TMT was negative, and my ECG looked okay. But I'm still having chest pain and pain in my left hand every week, and my heart sometimes races to 150160 bpm, with blood pressure at 180110. I even feel like passing out once a month. I've got pain in my chest, left hand, and jaw too. The doctor said last year that it wasn't a cardiac issue, but I can't shake off these symptoms. Without my blood pressure meds, my blood pressure spikes to 170110 and my heartbeat to 130. I'm currently on metoprolol, talmisartan, and vildapride. Its been seven months since those tests; should I go for another echo or TMT? Ive attached my last years reports and recent ECG too. What do you think?
Based on your history and symptoms, it would be advisable to undergo a repeat echocardiogram and stress test (TMT) to assess your heart function and rule out any cardiac issues. Considering your persistent symptoms and the changes in your blood pressure and heart rate, it is crucial to ensure that your current medications are effectively controlling your conditions. In addition to your current medications (metoprolol 50mg twice a day, telmisartan 40mg twice a day, and vildagliptin-metformin 50500mg twice a day), your healthcare provider may need to adjust the dosages or consider adding other medications to better manage your blood pressure and heart rate. Please follow up with your healthcare provider for a thorough evaluation, including a repeat echocardiogram and stress test, to determine the underlying cause of your symptoms and to optimize your treatment plan. Regular monitoring and follow-up are essential in managing your diabetes, hypertension, and cardiac symptoms.
Answered by 1 Apollo Doctors
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