- male
- 45 Years
- 22/01/2025
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?
Answered by 1 Apollo Doctors
since your age is not too much i suggest reduce your anxiety related to heart attack. try doing some exercise
Dr. Anshul Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allIve done all the heart tests like ECG and echocardiogram stress test, and everythings come back normal. But I still feel really anxious and notice my heart beating really fast. Should I be worried about this? Is there a chance it could be a sign of a heart attack or something serious?
It's good to hear that your heart tests have come back normal. Your symptoms of feeling anxious and experiencing a fast heart rate could be related to anxiety. To help manage your symptoms, you can try taking propranolol (Inderal) 10mg to 20mg as needed to help with the fast heart rate and anxiety. However, if you continue to have concerns or if your symptoms worsen, it's important to follow up with your healthcare provider for further evaluation and management.
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I'm often noticing my blood pressure is around 13090, and I've also been feeling my heartbeat more in my head and have shaky hands. I'm trying to understand why this might be happening. Should I be worried about these symptoms? I did a treadmill test last August, and it was completely normal. What do you think could be going on?
Your blood pressure of 13090 is slightly elevated, which may be causing the symptoms you are experiencing. The sensation of feeling your heartbeat in your head and shaky hands could be due to increased blood pressure. I would recommend starting with lifestyle modifications such as regular exercise, a healthy diet low in sodium, and stress management techniques. In terms of medication, you can consider starting with a low-dose of a medication like Amlodipine 5mg once daily to help lower your blood pressure. However, it is important to consult with your healthcare provider before starting any new medication.
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I'm really curious about something - I've had tons of ECGs, echos, and TMTs over the past year, and while I suspect I might have POTS because my heart rate jumps to 120 bpm when I walk, that's not what I'm most concerned about right now. Today, I'm experiencing these really strong, sharp chest pains. They come and go, happening in one small spot that hurts for 23 seconds and then disappears, or sometimes it's a dull ache lasting 24 seconds and then it's gone. Occasionally, the pain stays for 30 seconds to a minute, which I've found is called Texidor's twinges. The sharp pains are intense, happening in one spot or feeling like multiple wires in my chest wall are hurting for a second, but then they just vanish. Even with the dull pains, they stop after a few seconds, and I've also been coughing for the last few days. Do you think this could be heart-related? Sometimes, stretching makes the pain worse before it eases up. What could be causing this?
It is important to consider the possibility of musculoskeletal chest pain, especially given the description of sharp, localized pains that last for a few seconds and can be triggered or worsened by stretching. The fact that you have been coughing for the last few days also suggests a potential respiratory component to your symptoms. To address the sharp chest pains, you can try taking over-the-counter pain relievers such as acetaminophen or ibuprofen. Additionally, using a heating pad on the affected area may help alleviate the discomfort. It is also advisable to practice deep breathing exercises to help relax the chest muscles. If the symptoms persist or worsen, it would be prudent to follow up with your healthcare provider for further evaluation and to rule out any cardiac issues.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.