apollo
  • 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?

Doctor 1

Answered by 1 Apollo Doctors

causes like gastritis, myocardial infraction. do one ECG and take tablet. pantop for 3 days once a day

Dr. Anshul Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been using beta blockers for my anxiety, mainly because of heart palpitations. I'm thinking about stopping them, but I'm a bit anxious about the right way to do it safely. What's the best approach to taper off them without causing issues?

To safely come off beta blockers used for anxiety symptoms like heart palpitations, it is important to gradually reduce the dosage under the supervision of your healthcare provider. Abruptly stopping beta blockers can lead to rebound symptoms and potential complications. Your doctor may recommend tapering the dose over a period of time, such as reducing the dose by 25% every week until you can safely discontinue the medication. One common beta blocker used for anxiety symptoms like heart palpitations is Propranolol. The dosage and tapering schedule may vary depending on your individual circumstances, so it is important to follow your healthcare provider's guidance closely during this process.

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I'm worried that my anxiety might be causing my blood pressure to increase. Its been six months, and while I dont feel as anxious now, I still feel a strong pulse all overchest, fingers, head, neck, legs, everywhere. Its really affecting my life! Ive tried everythingeating better, exercising, meditatingand nothing helps. My blood pressure and pulse are still the same. I even tried magnesium, but no change. I'm really scared about the side effects of anxiety and blood pressure meds. If this is anxiety, how long will it take to go away? What should I do?

It sounds like you may be experiencing symptoms of anxiety that are affecting your blood pressure and pulse. To help manage these symptoms, you can try taking Propranolol (Inderal) at a low dose of 10-20mg once or twice daily. Propranolol is a beta-blocker that can help reduce the physical symptoms of anxiety such as a bounding pulse. Additionally, for anxiety relief, you can consider taking Escitalopram (Lexapro) at a dose of 10mg daily. Escitalopram is a selective serotonin reuptake inhibitor (SSRI) that can help alleviate anxiety symptoms. It is important to note that the duration for anxiety to be cured varies from person to person. With medication and therapy, many individuals see improvement in their symptoms within a few weeks to a few months. It is recommended to continue with the prescribed treatment plan and follow up with your healthcare provider for monitoring and adjustments as needed.

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I'm trying to understand my echo report and I'm a bit concerned. It says my cardiac size is normal with some terms like Lvdd being 5.4 cm, La at 3.8 cm, and mild lvh. Then it mentions good lv systolic function and an EF range of 55 to 60. Plus, normal right systolic function and no abnormal wall motion. Should I be worried about anything here? Just looking for some clarity on what all this means for my heart health.

Your echo report indicates that you have Cardiac Hypertrophy with normal left ventricular size (LVDD 5.4 cm) and mild left ventricular hypertrophy (LVH). Your left atrium is also within normal size (LA 3.8 cm). The report shows good left ventricular systolic function with an ejection fraction (EF) of 55-60%. Additionally, your right ventricular systolic function is normal with no abnormal wall motion. Based on the information provided, you may consider medications such as: - ACE Inhibitors like Lisinopril 10mg once daily to help reduce the workload on the heart and manage blood pressure. - Beta-blockers like Metoprolol 25mg twice daily to help lower blood pressure and reduce the heart's workload. - Diuretics like Furosemide 40mg once daily to help reduce fluid buildup in the body and manage symptoms of heart failure. It is important to follow up with your healthcare provider for further evaluation and management.

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