Question 1

Ive noticed that my heart rate is really highlike around 96 to 108 when Im just sitting, and it shoots up to 110 to 120 once I start walking. I did have COVID about 10 months ago and got my ECG and echo tests done three months back, which came out normal. I also checked my cholesterol and thyroid levels, and they were fine. Should I be concerned about my heart rate, or is this something that will go back to normal over time?

Accepted Answer

Since your ECG and echo were normal 3 months back, it is less likely to be a serious issue. However, it is important to monitor your heart rate regularly and follow up with your healthcare provider. In the meantime, you can try taking a beta-blocker medication like Metoprolol at a low dose of 25mg once daily to help control your heart rate. Make sure to consult with your doctor before starting any new medication.

Question 2

I've been experiencing this odd pin-pricking sensation on the left side of my chest for the past couple of days. It's happening now and then, not consistently. I remember having similar pain about three years ago, but it went away on its own back then. Should I be worried this time? What might be causing this sensation?

Accepted Answer

pin-pricking sensation in the left side of the chest can be unsettling. Given that you've experienced similar pain 3 years ago, which resolved on its own, it's essential to take this incident seriously and explore possible explanations.

_Possible Causes_

1. _Costochondritis_: Inflammation of the cartilage that connects the ribs to the breastbone can cause sharp, stabbing pains.
2. _Musculoskeletal issues_: Strained or pulled muscles in the chest wall can lead to pin-pricking sensations.
3. _Gastrointestinal issues_: Gastroesophageal reflux disease (GERD), acid reflux, or stomach ulcers can cause chest pain.
4. _Cardiovascular concerns_: Although less likely, it's essential to rule out cardiovascular issues, such as angina or pericarditis.

_What to Do Next_

1. _Consult a doctor_: Schedule an appointment with your primary care physician to discuss your symptoms.
2. _Monitor your symptoms_: Keep a journal to track when the pin-pricking sensation occurs, how long it lasts, and any potential triggers.
3. _Avoid heavy lifting or strenuous activities_: Until you've consulted with your doctor, avoid any activities that may exacerbate the discomfort.

If you experience any of the following, seek immediate medical attention:

- Severe chest pain or pressure
- Difficulty breathing
- Dizziness or fainting
- Pain radiating to your arms, back, or jaw

Question 3

I've been dealing with hypertension for the past year and recently found out I have mild LVH. I'm currently taking nebivolol and amlodipine, but my blood pressure still won't go below 13585. I'm only 34, and I'm worried about why these meds aren't working. Is there something else I should consider doing or trying?

Accepted Answer

Managing hypertension with mild LVH (Left Ventricular Hypertrophy) requires a comprehensive approach.

_Current Medications_

1. _Nebivolol_: A beta-blocker that helps lower blood pressure and reduce LVH.
2. _Amlodipine_: A calcium channel blocker that helps relax blood vessels and lower blood pressure.

_Additional Strategies_

1. _Lifestyle Modifications_:
    - Regular aerobic exercise (at least 150 minutesweek)
    - Weight management (aim for a BMI between 18.5 and 24.9)
    - Balanced diet (emphasize fruits, vegetables, whole grains, and lean protein)
    - Stress reduction techniques (meditation, yoga, or deep breathing)
2. _Monitor and Adjust Medications_:
    - Regularly monitor blood pressure and adjust medications as needed.
    - Consider adding a diuretic or an ACE inhibitorARB to enhance blood pressure control.
3. _LVH Monitoring_:
    - Regular echocardiograms to monitor LVH progression
    - Adjust medications and lifestyle modifications accordingly

_Consult a Specialist_

Consider consulting a cardiologist to reassess your treatment plan and provide personalized guidance.

I'm having these weird experiences when I'm about to fall asleep, like when I'm in that transition phase. It's like I feel this single, really strong heartbeat that kind of moves my whole body. Its kind of freaking me out. Ive attached my ECG can you help me figure out whats going on with this?

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