- Male
- 26 Years
- 22/01/2025
I'm having this pain or pressure in my chest, and sometimes my heart starts beating really fast. The pain goes from the middle of my chest up to my upper throat. What could be going on?
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View allI'm really struggling to understand my heart issues. For someone who's been dealing with heart problems for 34 years, it's tough to know what's happening. I have diastolic relaxation abnormality, and my TMT was mildly positive, but that was dismissed with a normal CT angiography. I often feel my heart skip a beat with a thud during exercise and even at rest. My exercise tolerance seems to be getting worse, and my heart rate jumps past 130 after just a few minutes of daily activity, though it calms to 60s bpm in the morning. I often feel dizzy, weak, and fatigued. The ECGs say I have LVH, but the echo says normal LVM. Can diastolic relaxation abnormality indicate heart failure? Is the ECG more reliable than the echo for identifying LVH? And should I be comfortable trusting the CT angio results? Any insights would really help clarify things for me.
1. Diastolic relaxation abnormality does not necessarily mean you have heart failure, but it does indicate that your heart's ability to relax and fill with blood is impaired. It is a condition that can progress and should be monitored and managed carefully by your healthcare provider. 2. The echocardiogram (echo) is generally considered more accurate for assessing left ventricular mass (LVM) and structure, so you can trust the echo results over the ECG for diagnosing LVH. 3. A normal CT angiography report is generally reliable and indicates that your coronary arteries do not have significant blockages. Given your symptoms of skipped heartbeats, exercise intolerance, dizziness, and fatigue, it's important to follow up with your cardiologist. They may need to reassess your condition and consider other diagnostic tests or treatment changes. Continuous monitoring and a thorough evaluation by your healthcare provider are essential to address your concerns and ensure proper management of your heart health.
Answered by 1 Apollo Doctors
Can cervical or anxiety be causing my chest pain? It's been 5 months and although my ECG and X-ray were fine, the chest pain just won't go away. Could it still be related to my heart?
Cervical issues and anxiety can indeed cause chest pain, especially if all cardiac tests like ECG and X-ray have come back normal. The persistent chest pain may be related to musculoskeletal issues or anxiety. To help alleviate the chest pain, you can try taking over-the-counter pain relievers like ibuprofen (e.g., Advil) as needed for pain and muscle relaxation. Additionally, practicing stress-reducing techniques such as deep breathing exercises or mindfulness meditation may also be beneficial. If the chest pain persists or worsens, it is important to follow up with your healthcare provider for further evaluation and management.
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I'm a bit worried about my father's health. His INR is 1.90, and I'm wondering how much warfarin he should be taking. Also, after his ECG, when should we schedule an ECG or ECO test? I'd really appreciate your guidance.
Typically, the initial dose of Warfarin is usually 2 to 5 mg per day. However, the dosage may need to be adjusted based on regular INR monitoring. As for when he should do his ECG and ECO after starting Warfarin, it is generally recommended to have these tests done regularly to monitor his heart health and the effects of the medication. It is best to consult his healthcare provider for specific guidance on the timing of these tests based on his individual health needs.
Answered by 1 Apollo Doctors
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.






