Question 1

I'm really confused and a bit anxious about this chest tightness that happens whenever I lie down flat or stretch my left hand. It's been going on for about three months. I went to an orthopedic doctor who said it's probably due to poor posture and muscle spasm. Then I saw a cardiologist, had all the tests like ECG, echocardiogram, TMT, and even checked my cholesterol and BP. Everything was normal except for my cholesterol which was a bit high at 196, and LDL at 121.8. The cardiologist said I don't have heart issues and just need to change my lifestyle and lose some weight. But I wanted a second opinion, so I visited another cardiologist and even without any new tests, he said the same thing that everything's normal. Still, I feel this tightness at night and sometimes it makes me sweat and I get really scared thinking it might be a heart attack. When I went back to the cardiologist, he reassured me again. So, should I keep doing ECGs every time I feel this tightness or maybe see a pulmonologist? Why does this keep happening if everything's supposed to be normal?

Accepted Answer

since your age is not too much i suggest reduce your anxiety related to heart attack. try doing some exercise

Question 2

I'm experiencing heart palpitations and my heart beats faster sometimes along with chest discomfort, all this in the past six months or so. I've had an ECG, echo, and TMT and they all came back normal. My blood pressure at home is usually below 12085, but when I go to the doctor's office, it shoots up to 13090 and sometimes even 150100. Should I be worried about this difference in blood pressure readings, and could it be linked to the palpitations I'm feeling?

Accepted Answer

Since six months some time feel heart palpitation and beat faster and chest discomfort. I have done ecg echo tmt everything normal. Bp also below 12085 at home But doctor clinic always 13090 some time 150100. It sounds like you may be experiencing episodes of palpitations and chest discomfort despite normal results on your ECG, echo, and TMT tests. Your blood pressure readings are also slightly elevated at the doctor's clinic. In such cases, your symptoms may be related to anxiety or stress. I recommend trying a beta-blocker medication such as Metoprolol (dosage: 25-50mg once daily) to help with the palpitations and chest discomfort. Additionally, practicing stress-reducing techniques such as deep breathing exercises or yoga may also be beneficial.

Question 3

I've been dealing with a super fast heartbeat whenever I lie down in bed for the last 56 days. It's weird because I don't feel any pain or like my chest is congested, but I do feel a lot of anxiety. I'm 24, my height is 5'9", and I weigh about 80kgs. Whenever I'm walking or sitting, my heartbeat seems normal; it's just when I'm laying down that it speeds up. Do you have any idea what could be going on? Is it something serious?

Accepted Answer

It sounds like you may be experiencing a condition called orthostatic intolerance, where your heart rate increases when you change positions, such as lying down. This can be due to various reasons such as dehydration, anemia, or autonomic nervous system dysfunction. However, it's important to rule out any underlying heart conditions. I recommend you consult a doctor for a thorough evaluation. In the meantime, you can try increasing your fluid intake and consuming electrolytes. If symptoms persist or worsen, please seek medical advice promptly.

I'm looking at my lipid profile and I'm a bit worried because my triglycerides are 361. My LDL is at 76, and my HDL is 35. The total cholesterol while fasting came out to 134. I'm not sure what steps I should be taking to bring my triglyceride levels down. Any advice?

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