- 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
0
0
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View allI'm 27 and have had no bad habits. For the last eight months, I've been experiencing these quick chest pains on the left side; they just last about 5 to 15 seconds, and they come and go. I've been to the cardiologist and had around 20 ECGs, an echo, and a lipid profile done, and everything came back normal. The thing is, I don't feel any pain during heavy work, just at random times. I'm worried and wondering if this is a heart issue or maybe something physiological? Also, at home, my heart rate is slow, but as soon as I enter the hospital and the tension hits, my heart rate spikes. What could be going on?
It sounds like you may be experiencing episodes of non-cardiac chest pain, especially since your cardiology checkups including ECG, echo, and lipid profile have come back normal. Non-cardiac chest pain can be caused by issues such as muscle strain, anxiety, or gastrointestinal problems. Since your symptoms have been ongoing for eight months and are not related to heavy work, it is less likely to be a heart-related issue. To help with the chest pain, you can try taking over-the-counter pain relievers like acetaminophen. Additionally, practicing relaxation techniques or deep breathing exercises may help with episodes of high heart rate related to tension. If the chest pain persists or worsens, it would be advisable to consult with a doctor for further evaluation and management.
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My mom, who's 50, has been taking Thyronorm 50 for her thyroid. Her doctor mentioned noticing some changes in her ECG twice during her follow-ups and suggested she should get a TMT and an Echo done. Her 2D Echo looks normal with an LVEF of 65%, but her TMT came back positive for inducible ischemia at a moderate workload level. She's mentioned having shortness of breath sometimes when she's climbing stairs, but other than that, she's fine and doesn't have any chest pain or a history of high blood pressure or diabetes. What would you suggest as the next steps for her?
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