apollo
  • male
  • 40 Years
  • 20/02/2025

I'm experiencing this bad pain in the middle of my chest that really bothers me when I'm lying down or trying to sleep. I can't even turn sides in bed because of it, and it's making me lose sleep. There's no other medical issue I know of, just this chest pain. What could be causing this, and what should I do?

Doctor 1

Answered by 1 Apollo Doctors

That could be costochondritis no need to worry,visit Physician for evaluation and appropriate managemnet

Dr. Dr Khaleel Suggests...

Consult a Cardiologist

Answered 25/07/2025

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I've noticed that my heart rate is usually somewhere between 68 to 83 bpm during the day. But for the past week, it's been up between 90 and 118 bpm, and it doesn't drop below 85 even when I'm sitting for a while. When I'm asleep, it goes from 50 to 75 bpm. I started going to the gym for cardio and strength training about a month ago, hitting it 5 days a week. Nothing's really changed with my diet or work hours. Had my ECG, ECO, and BP checked and everything seemed normal. What could be causing this increase in my heart rate? Should I be worried about it?

Based on the information provided, the increase in your heart rate could be due to the increased physical activity from your gym routine. It is common for heart rate to be elevated during and after exercise, especially if you have recently started a new workout regimen that includes both cardio and strength training. To help regulate your heart rate, you can consider taking a beta-blocker medication such as Metoprolol. I recommend starting with a low dose of Metoprolol 25mg once daily, and you can adjust the dosage as needed based on your heart rate response. It is important to monitor your heart rate regularly and consult with your healthcare provider for further guidance on medication management. In addition to medication, make sure to stay hydrated, get an adequate amount of rest, and listen to your body during workouts. If you experience any concerning symptoms such as chest pain, dizziness, or shortness of breath, seek medical attention immediately.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm really concerned about this situation. I recently experienced chest pain and pain in my left hand, so I went to the doctor and had a TMT test done. The results came back positive for exercise-induced myocardial ischemia. What's confusing is that I had a CT Coronary Angiogram back in 2019 and everything was normal then. Could you help me understand what this might mean for my heart health now? I've attached my TMT and Angiogram reports for reference.

Visit Physician for evaluation and appropriate management

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm really worried about the possibility of having plaque in my arteries or if my coronary artery might be narrowing. Could you please tell me what tests I should consider to find this out? I just want to make sure I'm covering all the bases and keeping my heart healthy.

The tests to detect plaque in arteries or narrowing of coronary arteries include: 1. Coronary Angiography: This test involves injecting a contrast dye into the coronary arteries and taking X-ray images to visualize any blockages or narrowing. 2. CT Coronary Angiography: This non-invasive test uses a CT scanner to create detailed images of the heart and blood vessels to detect any plaque buildup. 3. Stress Test: This test measures the heart's response to physical activity or medication to detect any reduced blood flow to the heart muscle, which can indicate narrowing of the coronary arteries. 4. Intravascular Ultrasound (IVUS): This test uses sound waves to create detailed images of the inside of the coronary arteries to detect any plaque buildup. 5. Cardiac Catheterization: This invasive test involves inserting a catheter into the coronary arteries to measure blood flow and detect any blockages or narrowing. These tests can help diagnose plaque buildup or narrowing of the coronary arteries.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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.