Question 1

I've noticed that my heart rate changes with my posture. When I stand, it's around 105-116 bpm, sitting brings it down to 90-100 bpm, and when I'm lying down, it's 75-85 bpm. My blood pressure doesn't really fluctuate much though. So, I went ahead and got an ECG, and it showed sinus tachycardia but otherwise normal. The strange thing is I can feel palpitations in my neck and chest when I stand, but I have no other symptoms. I run on the treadmill at 5-8 kmhr without any problems and my pulse stays between 100-120 bpm, but right after stopping, my pulse jumps to 163 bpm before gradually coming down, and my blood pressure was 140 over 75 at that moment. Should I be worried about this?

Accepted Answer

Based on your symptoms and the ECG report showing sinus tachycardia, it seems like your heart rate is elevated in response to changes in posture and physical activity. Sinus tachycardia is often a normal response to certain triggers such as exercise or stress. However, it is important to monitor your symptoms and follow up with a healthcare provider for further evaluation and management. In the meantime, you can try to stay hydrated, avoid caffeine and other stimulants, and practice relaxation techniques to help manage your heart rate.

Question 2

I've been having these short period chest pains for about 6 months now, and honestly, it's freaking me out a bit. I got my ECG and Doppler tests done, and they came back normal. I'm also taking esoz d every morning for gastric issues. But, the chest pains still show up sometimes, and I can't help but worry about them being signs of a heart attack. What do you think is going on here? Any guidance would really help.

Accepted Answer

Thats due to Gastritis,follow your doctors advice and consume bland food and maintain healthy lifestyle

Question 3

I've been really worried about some recent health issues and could use some advice. I had an angioplasty back in 2013 and also dealt with Covid in August '20. Recently, I had some pain in my left arm, so I went to the cardiologist. The ECG came back normal, but some of my test results are concerning. My homocysteine level is at 44, triglycerides are sitting at 275, but my creatinine and cholesterol are normal. My SGPT is at 46 and B12 is at 218. I'm really anxious because I know the high homocysteine could mean a higher chance of another heart issue. Should I be considering more tests, like angiography, or is there a treatment plan you would suggest? Just hoping to get some peace of mind here.

Accepted Answer

Based on your history of angioplasty in 2013, recent Covid infection, left arm pain, and abnormal test results (homocysteine at 44, triglycerides at 275, B12 at 218), it is important to further evaluate your cardiac health to determine the best course of treatment. Given your elevated homocysteine levels and previous history of angioplasty, it is advisable to undergo further cardiac evaluation. I recommend that you undergo a coronary angiography to assess the status of your coronary arteries and determine if there is any significant blockage that may require intervention. In addition to the angiography, it would also be beneficial to optimize your lipid profile and homocysteine levels through lifestyle modifications and medications. Your cardiologist may prescribe medications such as Atorvastatin for cholesterol control, Folic Acid supplements for homocysteine reduction, and lifestyle changes such as a healthy diet and regular exercise. Regular follow-up with your cardiologist is crucial to monitor your progress, adjust medications as needed, and reduce the risk of a second cardiac event. It is important to prioritize your cardiac health and work closely with your healthcare team to manage your risk factors effectively.

I'm looking at my ECG results and noticed a short PR interval of 104ms and a heart rate of 77 BPM. Is this something I should be worried about? What kind of care or steps should I take to address this?

Short pr interval probable diagnosis include sress, ectopics, junctional rhytmss,wolff-parkinsons -white syndrome (WPW) ,anxiety, etc.. A cardiologist opinion is advised..Salt restricted diet and dash diet is advised .Regular aerobic exercises is also advised to the patient..

More Cardiology Health Queries

Health Articles for you

Minimally Invasive Bypass Surgery Cost

Healthy Heart Day Celebrations 2025

Angioplasty vs. Angiography: Understanding the Critical Difference

What Leads To Heart Attacks In Young People And Early Signs?

Guide to Fainting Can Be Linked Your Heart Not Brain