- male
- 30 Years
- 22/01/2025
I'm really worried about my brother. He had COVID-19 a few months back, and he's still dealing with some tough symptoms like a racing heart rate, tremors, tinnitus, and fatigue. Hes only 30 and was super healthy and fit before all this. His echo was normal a while ago, but the cardiologist did mention arrhythmia back then. Lately, he's been feeling chest pain just from walking or climbing stairs, and his heart rate shoots up to 150-180. It's affecting his daily life a lot post-COVID. We got an NT Pro BNP test done, and it came back at 160. Could this be an early sign of heart failure? Should we look into more tests or anything else?
Answered by 1 Apollo Doctors
"Based on the symptoms your brother is experiencing, along with the elevated NT Pro BNP levels, there may be concerns about the possibility of heart failure. It is important to further investigate and monitor his condition. I recommend consulting with a cardiologist for a thorough evaluation. In the meantime, to help manage his symptoms, he can be prescribed with medication such as Carvedilol 6.25mg twice daily to help reduce heart rate and improve heart function. Additionally, he can take Furosemide 20mg once daily to help reduce fluid buildup in the body. These medications can help alleviate his symptoms and improve his quality of life. It is also important for him to follow a low-sodium diet and avoid strenuous activities. Regular follow-ups with the cardiologist are essential to monitor his condition and adjust treatment as needed."
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm a bit concerned about my latest ECG report and I was hoping you could help me understand it better. The QRS is 74 ms, the QTQTc Baz is 326420 ms, PR is 110 ms, P is 84, and the RRPP is 602600 ms. It also mentions PQrsT at 567627 degrees. Is there anything in there that I should be worried about? I've attached my cholesterol report too, if that helps give a clearer picture.
ECG report shows normal values for QRS duration, QTQtcBaz interval, PR interval, and P wave duration. The PQrsT angles are also within normal range. Based on the ECG report provided, there is no immediate cause for concern. For the cholesterol report, please provide the specific values for total cholesterol, LDL, HDL, and triglycerides for a more detailed assessment.
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I'm a bit concerned because I've been having chest pain for the past week. I got an echo done and it came out normal, but my TMT results showed mild positive for inducible ischemia. My cholesterol numbers are also worrying me - HDL is 34, triglycerides are at 195, and total cholesterol is 209. I don't smoke and I'm trying to follow the diet and lifestyle changes my cardiologist suggested but I'm still feeling worried. I'm 31 years old and my blood pressure is at 14080. Do you think I might need an angiogram?
Based on your symptoms and test results, it's important to continue following the advice of your cardiologist regarding diet changes and lifestyle activities. In addition, considering your age and the mild positive TMT result, an angiogram may be recommended to further evaluate any potential blockages in your coronary arteries. To help manage your cholesterol levels, you can consider taking Atorvastatin 20mg once daily to lower your total cholesterol and triglycerides. It's important to continue monitoring your blood pressure and cholesterol levels regularly.
Answered by 1 Apollo Doctors
I'm a bit worried about this chest pain I've been having for the past 9.5 months. I've seen a bunch of cardiologists and done a ton of tests like ECG, 2D Echo, TMT, lipid profile, and thyroid, but everything's coming back normal. My daily routine includes brisk walking for about 50 minutes and running for 15 minutes, and I don't feel any pain during these activities. The pain occasionally hits on either the left or right side and is pretty mild. Can you help me figure out what might be causing this chest pain?
Chronic chest pain lasting several months with normal cardiac tests such as ECG, 2D Echo, and TMT, along with normal lipid profile and thyroid tests, suggests that the pain might not be heart-related. Since you can perform activities like brisk walking and running without pain, its less likely to be ischemic heart disease. Possible causes of your chest pain could include musculoskeletal issues (like costochondritis or muscle strain), gastrointestinal problems (such as GERD or gastritis), or anxiety-related symptoms. Given the persistence of your symptoms, it might be beneficial to consult with a gastroenterologist or consider a musculoskeletal evaluation. Additionally, managing stress and anxiety with practices like mindfulness or therapy can also help. Please follow up with your healthcare provider to explore these potential causes further.
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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.