- 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
0
0

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View allI've noticed my resting heart rate has been a bit higher than usual, usually between 90 and 110. Sometimes it goes over 100, although not too often. I'm wondering if this is normal or if I should be concerned? I had an ECHO last month, and it was normal. At what point should I think about this as potentially dangerous arrhythmia?
An arrhythmia can be dangerous if it leads to symptoms such as chest pain, fainting, dizziness, or shortness of breath. The frequency of arrhythmia that could be considered dangerous varies depending on the type and underlying cause. In your case, with a resting heart rate consistently between 90-110 and occasionally above 100, it is advisable to monitor it closely. Since your ECHO was normal last month, it is reassuring that there are no structural abnormalities with your heart. However, given the increased resting heart rate, it would be prudent to consult a healthcare provider for further evaluation. In the meantime, you can consider taking a beta-blocker medication like Metoprolol at a low dose of 25mg once daily to help control your heart rate.
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I've been feeling strange sensations in my heart, especially when I get home after work, and at first I thought it was from drinking too much coffee. I've cut down on coffee but the feeling is still there. I do drink 2 coffees and 4 cups of tea every day. I also exercise regularly, like doing push-ups and lifting weights. Should I be worried about these symptoms? Could it be linked to my caffeine intake, or might there be something else going on?
stop taking excess tea and coffee
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I recently got an ECG done that showed IRBBB, and after that, I had an echocardiogram and TMT, which both turned out normal. Should I be doing these tests every year? And do you know why the IRBBB showed up in my ECG? Is there any treatment I should consider for this?
Intermittent Right Bundle Branch Block (IRBBB) is a common finding in electrocardiograms and is usually considered a benign condition, especially if other cardiac tests such as echocardiogram (echo) and exercise stress test (TMT) are normal. It is not typically associated with any symptoms or specific treatment. In your case, since your echo and TMT results were normal, there may not be a need to repeat these tests every year unless your doctor specifically recommends it based on your overall health condition. IRBBB can sometimes be a normal variant or can be associated with underlying heart conditions, so it is important to follow up with your healthcare provider for further evaluation and guidance. If you do not have any symptoms and your other cardiac tests are normal, no specific treatment may be necessary for IRBBB. However, it is important to maintain a healthy lifestyle, including regular exercise, balanced diet, and avoidance of smoking and excessive alcohol consumption to promote overall heart health.
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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.


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