Question 1

I've been experiencing some chest tightness on and off for the past 1.5 years. It'll usually happen and last for about 2 minutes, making it hard to breathe or move my upper body. Recently, I woke up in the middle of the night to get some water and felt the same tightness with a slight pain in my chest and heart. I went to a cardiologist and had an ECG and a 2D echo test, but they both came back normal. The doctor advised me to rest, and I did, but the chest tightness keeps happening. Why is this still going on? Could there be another cause, and should I see someone else for this? Any ideas on what might be causing it?

Accepted Answer

consult a pulmonologist

Question 2

I'm 25 and went for a full heart check-up. My ECG and echo were both normal, but my first TMT test came back positive even though I didn't feel any pain or issues while exercising. I decided to take the TMT test again just to be sure, and this time it came back normal or negative. Why would the first TMT show positive? Do I need to look into this more or get further tests done?

Accepted Answer

The initial positive TMT result may be attributed to factors like dehydration, anxiety, or a false positive, especially since you didn't experience any symptoms during exercise and the repeat test came back normal; however, to confirm the absence of any underlying cardiac issues, consider discussing further evaluation with your cardiologist, such as a stress echocardiogram or a cardiac MRI, to rule out any potential concerns.

Question 3

I've been taking propranolol 10mg for my anxiety whenever needed, and it's been a big help. But lately, I've had to take it every day for about a week, and now I'm experiencing this sharp, stabbing pain in the center of my chest that goes to my back. I'm not sure if it's just anxiety or something more serious. I'm a healthy 26-year-old guy, and my resting heart rate is between 52 and 56 bpm, but sometimes it drops into the 40s. I do have a history of gastroparesis. Do you think this chest pain could be an issue related to the medication or something else going on?

Accepted Answer

The symptoms you are experiencing could be related to the propranolol medication. Chest pain is a known side effect of propranolol, especially in individuals with a history of heart conditions. Given your symptoms and medical history, it is important to consult your healthcare provider as soon as possible to evaluate the chest pain and determine the appropriate course of action. In the meantime, it is advisable to avoid sudden discontinuation of propranolol as it can lead to withdrawal symptoms. If the chest pain is severe or persistent, seek immediate medical attention.

Visit Physician for evaluation and appropriate management

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