Question 1

How do I know if my chest pain is serious?

Accepted Answer

Any chest pain needs physical examination by a doctor and tests to know the cause. On a general note, if chest pain is associated with heart burn, abdominal bloating, belching then it may be due to gastritis which may be managed at home. If chest pain is sudden, radiating to left arm/ shoulder and is associated with sweating, breathing issue then it may be due to a cardiac condition which needs immediate hospital visit.

Question 2

I'm really worried about my dad. His ECG came back showing sinus mode tachycardia and something called middling left axis deviation. What exactly do these mean? Is it something we should be seriously concerned about? Hes also been experiencing some pain on the left side of his chest. Could these symptoms be related?

Accepted Answer

Ecg shows Sinus mode tachycardia and Middling left axis deviation. Sinus mode tachycardia refers to a faster than normal heart rate originating from the sinus node in the heart. Middling left axis deviation indicates a slight deviation in the electrical activity of the heart towards the left side. These findings can be seen in conditions like anxiety, dehydration, fever, or heart conditions. It is important to correlate these findings with your symptoms and clinical examination. For your father's chest pain on the left side, it is crucial to rule out any cardiac issues. He should seek immediate medical attention for a proper evaluation, which may include further tests like an ECG, blood tests, and possibly imaging studies. The treatment will depend on the underlying cause of the chest pain.

Question 3

I'm worried about my heart. I've done a bunch of tests like ECG, echo, TMT, and stress echo, and everything's come back normal. But every time I have something like gastric pain or even just diarrhea, I can't shake this fear that I'm having a heart attack. Could this be cardiac anxiety, or is there something else I should worry about? Also, my blood tests were normal except my vitamin D was 13.56 Ngml and B12 was 173.8 ofml. Should I be concerned about those levels?

Accepted Answer

It sounds like you are experiencing significant anxiety about your heart health, despite having normal cardiac test results. This type of anxiety, often referred to as cardiac anxiety or health anxiety, can cause you to worry excessively about having heart problems even when tests repeatedly show that everything is normal. Your low levels of 25-hydroxyvitamin D (13.56 ngmL) and vitamin B12 (173.8 pmolL) should be addressed, as deficiencies in these vitamins can contribute to overall feelings of fatigue and possibly anxiety.

To manage your cardiac anxiety, consider the following steps:
1. Consult a mental health professional: Cognitive-behavioral therapy (CBT) can be very effective in managing health anxiety.
2. Lifestyle changes: Regular exercise, a balanced diet, and mindfulness or relaxation techniques can help reduce anxiety.
3. Vitamin supplementation: Your healthcare provider can recommend appropriate vitamin D and B12 supplements to address your deficiencies.

Please discuss your anxiety and vitamin deficiencies with your healthcare provider to develop a comprehensive plan for managing your health and anxiety.

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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