Question 1

I'm really concerned because every few days, I feel my heart beating really strongly, especially when I'm lying down. It's so intense that my whole upper body shakes with each heartbeat. I've had an ECG and an echo, and both came back normal, but these episodes still happen occasionally. What could be causing this? Should I be worried?

Accepted Answer

It sounds like you may be experiencing palpitations. Since your ECG and echo results came back normal, it's good to rule out any underlying heart conditions. In this case, you can try using a beta-blocker medication such as Metoprolol (brand name: Lopressor) at a low dose of 25mg to help reduce the strength and frequency of your heartbeats. It is important to follow up with your doctor to discuss this option and any potential side effects.

Question 2

I'm a bit worried about a possible heart issue. So, I was working and suddenly got this intense headache. I went to see a doctor, and my ECG was a bit off. The Troponin I test showed 0.15 while my BP was 144. The doctor advised me to rest for 45 days with some meds and said there's no need to worry. After two days, I checked my ECG and BP, and they were both normal. I'm really curious if there's still a risk of any heart stroke or damage. What do you think?

Accepted Answer

A sudden headache and an elevated troponin I level of 0.15 ngmL can be concerning, as troponin is a marker of heart muscle damage. However, since your ECG and blood pressure are now normal and your doctor advised rest and medication, it appears that any immediate risk has been managed. It's important to follow your doctor's advice, take your medication, and rest as prescribed. Additionally, continue to monitor your symptoms and follow up with your healthcare provider for any further evaluation or tests they recommend. If you experience any new or worsening symptoms, such as chest pain, shortness of breath, or another severe headache, seek medical attention immediately.

Question 3

I've been noticing this tingling sensation on the left side below my chest and sometimes at my back. It's not constant but usually happens when I'm lying down and occasionally when I'm sitting. I checked my blood pressure, which was 12381, and when I'm relaxed my pulse rate is around 60, but sometimes it drops to 55. Do you think this is something to be concerned about?

Accepted Answer

Tingling sensation on the left side below the chest and at the back could be due to nerve compression or irritation. Since your blood pressure and pulse rate are within normal limits, it is less likely to be related to a cardiovascular issue. However, it is important to rule out any musculoskeletal or neurological causes. I recommend taking a muscle relaxant like Flexeril (cyclobenzaprine) 5mg to help with any muscle tension that may be contributing to the tingling sensation. Additionally, you can take an anti-inflammatory medication like ibuprofen 400mg to reduce any inflammation that may be affecting the nerves. If the symptoms persist or worsen, it is advisable to consult a healthcare professional for further evaluation and management."

I'm experiencing chest tightness for the past three days, and I also have shortness of breath at night. Could these be symptoms of COVID? I'm really worried about this, and I'm not sure what I should do. Can you help?

Ecg and x-ray chest pa view is advised to the patient.

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