- Male
- 27 Years
- 07/02/2025
I'm feeling really concerned about some symptoms I've been having lately. There's this persistent pain on the left side of my chest and in my left arm, and it's been going on for about four months now. I did a TMT test three months ago and it came back negative, but I'm still worried. I got my ECG and Echo done a few days ago and was told it's anxiety. Could you take a look at the results I've attached and let me know what you think?
Answered by 1 Apollo Doctors
"Based on your symptoms and previous tests, it seems like you may be experiencing musculoskeletal pain or nerve-related pain rather than a cardiac issue. You can try taking over-the-counter pain relievers like acetaminophen (Tylenol) for the chest and arm pain. Additionally, you can apply a topical pain relief cream like diclofenac gel to the affected areas. Make sure to follow the recommended dosage instructions on the packaging. If the pain persists, you should follow up with your doctor for further evaluation and management."
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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View allI'm really worried about my heart health. I had an echocardiogram about 7 months ago, and it showed a 60% ejection fraction with trace mitral regurgitation and aortic regurgitation. I've been asking my doctor for another echo for weeks, but he's not keen on it, saying the heart structure won't change that quickly. I'm experiencing what I think are classic heart failure symptoms thoughevery heartbeat feels weak and faint, like my heart's struggling to pump blood. When I stand up, I get short of breath, and my heart rate shoots up. Should I keep pushing for a repeat echo? Is it possible for my heart to get worse in less than a year?
ECHO is done atleast every 6-12 months.
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Is it normal for my resting heart rate to sometimes drop to 55? I've been keeping an eye on it using my Apple Watch, and I've noticed this happens on about six days over the past month. I'm currently taking Ciplar LA 20 since July, and before that, I was on Petril Beta for two months. Also, when I exercise, my heart rate shoots up to between 150 and 180 but returns to normal pretty quickly after I stop. I had a stress echo test done last December and everything was fine, but I'm wondering if I need any further testing. What do you think?
Resting heart rate between 54 to 60 beats per minute is considered normal for adults. Since you have a history of taking Ciplar LA 20 and Petril beta, which are beta blockers, it is expected to have a lower resting heart rate. Your heart rate increasing to 150 to 180 beats per minute during exercise is also normal and shows that your heart is responding appropriately to physical activity. As long as your heart rate returns to normal after you stop exercising, and considering your previous normal stress echo test results, there is no immediate need for further testing. Just continue monitoring your heart rate and consult your doctor if you notice any concerning symptoms.
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I've been experiencing this weird sensation where I can feel my heartbeat or pulse when I'm lying down on my pillow. It usually happens in the side of my neck or at the back of my head. This has been going on for about three months now. I've had an ECG and an echo, and they were normal, except the ECG showed sinus tachycardia. I also got a thyroid test, which came back normal. My blood pressure is fine too, and I dont have any other symptoms. Its just strange that it only happens when Im lying down. I did have COVID nine months ago, but that feels like ages ago now. What should I do next?
It sounds like you may be experiencing palpitations, which can be concerning. Since your ECG and echo were normal and your thyroid test was also normal, it is good news that there are no major issues detected so far. Sinus tachycardia can sometimes cause palpitations, especially when lying down. One possible next step could be to monitor your heart rate with a Holter monitor to see if there are any irregularities in your heart rhythm over a longer period of time. In the meantime, you can try to avoid caffeine, alcohol, and stress, as these can sometimes trigger palpitations. If the symptoms persist or worsen, it would be best to follow up with your healthcare provider for further evaluation and management.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.



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