Question 1

I'm experiencing this odd sensation in my chest where it feels like my heart is having a spasm or beating irregularly for a few seconds. It's not exactly painful, just really weird, and it's been happening every few months. Sometimes it even feels like its happening in my right chest or arm, which made me think it might be nerve-related. I've had heart tests done in the past, and everything came back normal, but this sensation worries me.

Also, whenever I stand up or walk upstairs, my heart rate jumps up to 150 bpm and then drops back to 100 bpm shortly after, which makes me wonder if I could have POTS. I often forget to check my pulse when this happens because it scares me so much. Could these spasms be related to muscles or nerves instead of my heart? Is it normal to experience this kind of chest pain and heart sensations for just a few seconds?

Accepted Answer

It sounds like you may be experiencing palpitations and chest pain, possibly related to your heart or nervous system. Given your history of normal heart tests and symptoms like random spasms and irregular heartbeats, it may be worth considering a condition called supraventricular tachycardia (SVT). SVT can cause sudden, rapid heartbeats and chest discomfort. In your case, since you also mention the possibility of POTS (Postural Orthostatic Tachycardia Syndrome) and nerve-related symptoms, it would be important to discuss these new symptoms with your healthcare provider. For symptomatic relief, you can consider taking a beta-blocker medication like Metoprolol (e.g., Lopressor) at a starting dose of 25mg once daily, as it can help regulate your heart rate and reduce palpitations. However, it is crucial to consult with your doctor before starting any new medication to ensure it is safe and appropriate for you.

Question 2

My dad just got a health check-up, and his TMT test came out positive. The doctor suggested we go for an angiogram, and I'm curious if we're on the right path here. Is there a possibility that the angiogram might show no blockages at all? Also, are t...

Accepted Answer

Yes, you're on the right track. A positive TMT (Treadmill Test) suggests that there may be reduced blood flow to the heart, and an angiogram is a standard follow-up to check for any blockages. It is possible that an angiogram might show no significant blockages; sometimes TMT results are positive due to other factors. Angiograms are generally safe, but they do carry minimal risks, such as bleeding, infection, or, rarely, an allergic reaction to the dye used.

Question 3

I'm really worried because I've been having this right-sided chest pain in the upper part for the last few days. It's been getting worse after I eat, and once in a while, I even feel it in my arms. Do you think this could be a heart-related issue, or...

Accepted Answer

It is important to rule out any heart-related issues, especially given the symptoms of chest pain on the right side that worsens after meals and radiates to the arms. This could potentially be a sign of angina or a heart attack. I recommend seeking immediate medical attention for a proper evaluation and diagnosis. In the meantime, you can take Aspirin 325mg to help with any potential heart-related symptoms.

Question 4

I've been dealing with persistent high triglycerides for the past 1.5 years, and my levels are usually around 180 or 190. No matter what I do with my diet or how much I exercise, nothing seems to help. What could be going on, and is there something e...

Accepted Answer

I am sorry to hear about your high triglyceride levels despite efforts with diet and exercise. In this case, you may benefit from medication to help lower your triglycerides. I recommend starting with a prescription of Fenofibrate (brand name Tricor) at a dosage of 145 mg daily. This medication can effectively lower triglyceride levels and reduce the risk of cardiovascular events. It is important to continue monitoring your levels regularly and follow up with your healthcare provider for further guidance.

Question 5

I've noticed when I'm lying down that I can really feel my heartbeat in my left chest and sometimes even in other parts of my body. I've already had an ECG, echo, and TMT, and they all came back normal. My anxiety has been under control, but this is ...

Accepted Answer

can be due to benign causes such as heightened awareness of your heartbeat (palpitations) or muscle twitching. This can be exacerbated by anxiety. To help alleviate these symptoms, you can try taking a beta-blocker medication like Metoprolol (25-50mg) once daily to reduce the sensation of palpitations. Additionally, practicing relaxation techniques such as deep breathing exercises or yoga can also be beneficial in managing these symptoms.

Question 6

I'm 32 and recently had a couple of ECG tests that showed an abnormal ECG reading. The first one mentioned sinus bradycardia and a borderline first-degree AV block IV conduction defect. Then, the next day, my ECG showed abnormal results again, this t...

Accepted Answer

Sinus bradycardia with borderline first degree A-V block and right axis deviation on ECG can indicate certain heart conditions. It is unlikely to be a machine error, but it is important to follow up with a healthcare provider for further evaluation and management. In this case, you may need to consult a cardiologist for a detailed assessment and appropriate treatment. The doctor may prescribe medications such as Metoprolol to help regulate your heart rate and rhythm. It is important to follow up with your healthcare provider for proper management and monitoring of your heart health.

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Related Questions

My dad just got a health check-up, and his TMT test came out positive. The doctor suggested we go for an angiogram, and I'm curious if we're on the right path here. Is there a possibility that the angiogram might show no blockages at all? Also, are t...

I'm really worried because I've been having this right-sided chest pain in the upper part for the last few days. It's been getting worse after I eat, and once in a while, I even feel it in my arms. Do you think this could be a heart-related issue, or...

I've been dealing with persistent high triglycerides for the past 1.5 years, and my levels are usually around 180 or 190. No matter what I do with my diet or how much I exercise, nothing seems to help. What could be going on, and is there something e...

I've noticed when I'm lying down that I can really feel my heartbeat in my left chest and sometimes even in other parts of my body. I've already had an ECG, echo, and TMT, and they all came back normal. My anxiety has been under control, but this is ...

I'm 32 and recently had a couple of ECG tests that showed an abnormal ECG reading. The first one mentioned sinus bradycardia and a borderline first-degree AV block IV conduction defect. Then, the next day, my ECG showed abnormal results again, this t...

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