Question 1

I'm 29 years old and I've noticed that my resting heart rate is usually between 50 and 60. However, sometimes when I check it in the morning right after getting up, it shows numbers like 46 to 48. During a 2 km run, my heart rate shoots up to 160 or 170, and while walking, it's around 90 to 120. My ECG results have all come back normal, so Im wondering if my low resting heart rate is something I should be concerned about. Is this normal?

Accepted Answer

A resting heart rate between 50 to 60 beats per minute is considered normal for adults, especially for individuals who are physically active. It can be a sign of good cardiovascular fitness. However, if you are experiencing symptoms such as dizziness, fainting, chest pain, or shortness of breath along with the low heart rate, it is important to consult a doctor for further evaluation. Since your ECG reports are normal, the low resting heart rate is likely due to your good physical fitness level. During exercise, it is normal for the heart rate to increase significantly, as you mentioned reaching 160-170 beats per minute while running. This response is expected and shows that your heart is able to adapt and meet the increased demand for oxygen during physical activity. Overall, based on the information provided, your heart rate variations seem to be within normal ranges for someone who is physically active and with normal ECG results.

Question 2

I've been noticing that whenever I exercise for a while, my left carotid artery starts pulsating really strongly and it actually hurts a bit. I'm a 16-year-old female, and I recently got my bloodwork done and saw both a cardiologist and a lung specialist. They said everything's fine, except I've got costochondritis. I also tend to feel a little lightheaded, and I get a few headaches each week. Could this be genetic or related to something else? I'm just a bit worried and looking for some advice on what might be going on.

Accepted Answer

Maintain a healthy weight as per your BMI
- Keep yourself well hydrated (Aim to drink 3-4 litersday)
- Have a healthy and well balanced diet
- Monitor your BP when you get lightheaded
If the condition persists or worsens visit the cardiologist so that you can be examined and undergo investigations such as ECHO, thyroid profile, etc to find the underlying cause and have it treated accordingly.

Question 3

I'm a 20-year-old guy, and I've been dealing with some health stuff thats freaking me out a bit. Out of nowhere, Ill get hit with high blood pressure, anxiety, and then it just snowballs into feeling nauseous, sweating, and I start having trouble breathing. It's really unsettling, and Im starting to worry. What do you think could be going on, and what should I do about it?

Accepted Answer

You can take Metoprolol (brand name: Lopressor) for high blood pressure and anxiety. The recommended dosage is 25-100 mg per day. For nausea, you can take Ondansetron (brand name: Zofran) 4-8 mg every 8 hours as needed. Additionally, you can use Albuterol inhaler (brand name: ProAir) for breathlessness as needed. It is important to monitor your symptoms closely and follow up with a healthcare provider for further evaluation and management.

I'm having this weird tingling sensation and sometimes my heart starts racing. I got an ECG and my blood pressure was checked, and both came back normal. I'm not sure what to do next or who I should reach out to. Can you guide me on this?

That could be due to anxiety, or any endocrine disorder too,visit Physician for evaluation and appropriate management.

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