Question 1

I've been noticing this feeling of palpitations or a flickering sensation in my chest about two or three times a day, and it lasts between 5 to 10 seconds. I had some tests done, like an ECG, an echo, and a TMT, and they all came back normal. Should I be worried about this, or is this something that can happen even if those tests are alright? Is there anything else I should consider or do?

Accepted Answer

Experiencing palpitations or flickering in the chest for brief periods, despite normal ECG, echo, and TMT results, is often benign and can be related to factors such as stress, caffeine intake, anxiety, or hormonal fluctuations. While these sensations can be unsettling, they are usually not a cause for concern if cardiac tests are normal. To manage these symptoms, consider reducing caffeine and alcohol intake, practicing stress-relief techniques such as mindfulness or yoga, and ensuring adequate hydration and sleep. If the palpitations persist or worsen, consult your healthcare provider for further evaluation and to discuss additional monitoring, such as a Holter monitor, to capture intermittent episodes.

Question 2

I'm 60 years old and dealing with severe hypertension along with diabetes. I recently did a treadmill test following the Bruce protocol, and I could exercise for about 7 minutes and 16 seconds. I reached a maximum heart rate that was 91% of whats expected for my age. They noted 1mm ST segment depression in the inferiolateral leads, and I'm a bit concerned. Maximum workload achieved was 13.50 METs. Could you help me understand what these results mean? Should I be worried about the ST segment depression?

Accepted Answer

Based on your TMT report showing 1mm ST segment depression, you may be experiencing myocardial ischemia. To manage your Severe Hypertension and Diabetes Mellitus, as well as reduce the risk of further cardiac events, I recommend starting with antiplatelet therapy such as Aspirin 75mg daily to prevent blood clot formation. Additionally, a beta-blocker like Metoprolol 25mg twice daily can help reduce your heart rate and blood pressure, thereby decreasing the workload on your heart. Lastly, a statin medication like Atorvastatin 20mg daily can be beneficial in lowering cholesterol levels and reducing the risk of atherosclerosis progression. It is important to follow up with your healthcare provider for further evaluation and management.

Question 3

I've had an angioplasty with a drug-eluting stent placed back in March, and I'm currently on medication. I'm really wondering if it's okay for me to have alcohol socially. I used to enjoy whiskey about twice a week before all of this. Can you give me some advice on whether that's still safe?

Accepted Answer

After angioplasty with a drug-eluting stent, moderate social alcohol consumption is generally allowed, but consult your cardiologist first; if permitted, limit whiskey consumption to 1-2 units (30-60ml) per occasion, 1-2 times a week, and prioritize medications, healthy diet, regular exercise, and stress management for optimal heart health.

I'm feeling a bit anxious about an angiography procedure I'm considering. Could you tell me what risks are involved? Are there any serious complications I should be aware of? Also, what's the cost estimate for undergoing this procedure?

More Cardiology Health Queries

I've had an angioplasty with a drug-eluting stent placed back in March, and I'm currently on medication. I'm really wondering if it's okay for me to have alcohol socially. I used to enjoy whiskey about twice a week before all of this. Can you give me some advice on whether that's still safe?

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