apollo
  • Male
  • 22 Years
  • 29/01/2025

I'm experiencing some left arm pain and dizziness lately, and I also have GERD issues. From time to time, I get this jaw pain too. Could this be something related to my heart? I had a Holter test done back in February and everything seemed normal, but I'm still a bit worried. Would really appreciate your insight on this.

Doctor 1

Answered by 1 Apollo Doctors

Visit your Physician for appropriate management

Dr. Anshul Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm 26 and a few months back, I had a fever that went away in a week. Then, out of nowhere, my heart rate shot up to 144 bpm, and I felt like there was an air bubble in my chest. I got an ECG done, which showed minor ST and T wave abnormalities, and I'm attaching it here. Now and then, I still get these episodes. While my 2D echo and blood pressure are normal, I've been dealing with random chest pains that last just a secondsometimes on the right and then on the left. My stomach feels upset too, and I get really gassy during these times. I'm confused about what might be causing these ECG changes. Curiously, I never feel chest pain when jogging or exercising, only when I'm at rest. Different doctors have told me different things; some say it's normal, and others think it might be gas. What's really going on here? Should I be worried about these ECG changes?

The symptoms you are experiencing, along with the ECG changes showing minor ST and T wave abnormality, could be indicative of a condition called Premature Ventricular Contractions (PVCs). PVCs are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). They may feel like a fluttering or a flip-flop in your chest. The sensation can be triggered by certain activities, emotions, or medications. To help manage your symptoms and reduce the occurrence of PVCs, you can try taking over-the-counter medication such as **Propranolol (Inderal)** at a dosage of 10-30 mg three to four times a day. This medication can help regulate your heart rate and reduce the frequency of PVCs. Additionally, you can try to reduce stress and anxiety through relaxation techniques such as deep breathing exercises or yoga. It is important to follow up with a cardiologist for further evaluation and management. They may recommend additional tests such as a Holter monitor or an event monitor to capture your heart's activity over an extended period. This will help determine the underlying cause of your symptoms and guide appropriate treatment. In the meantime, try to avoid triggers such as caffeine, alcohol, and tobacco, which can exacerbate PVCs. Stay hydrated, maintain a healthy diet, and get regular exercise to support your heart health. If you experience severe chest pain, dizziness, or fainting spells, seek immediate medical attention.

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My mom had an angioplasty a couple of weeks ago, and she's also got type 2 diabetes. I'm really concerned because her ESR level is at 78. Should I be worried about this? Does it mean something serious?

An elevated ESR (erythrocyte sedimentation rate) of 78 mmhr indicates inflammation or infection in the body, which can be concerning, especially in a patient who has recently undergone angioplasty and has type 2 diabetes. While a high ESR is not specific to one condition, it warrants further investigation to identify the underlying cause. It's important to consult with your mother's healthcare provider to determine the source of the elevated ESR and address it appropriately. They may recommend additional tests or treatments based on their findings. Close monitoring and managing her diabetes effectively are also crucial to avoid complications.

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grade 1 left ventricular diastolic dysfunction is normal and common in prople over 60..However some risk factors include hypertension, type 2 diabetes, obesity and coronary heart disease..salt restricted diet ,dash diet and regular aerobic exercises is advised to the patient.

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