- female
- 35 Years
- 29/01/2025
I'm really worried because after recovering from COVID in May, I've been having chest pain that comes and goes. At first, it eased up but then returned. I had a couple of ECGs; one was normal, but three months later, it showed an irregular heartbeat, although all other tests came back normal. My doctor thinks it might be costochondritis since the pain is really sharp and in the upper rib area. Last night things got intenseI woke up suddenly with really strong palpitations. A doctor I know recommended some medications including Thiospas 4 mg, Tramadol, and Dexa 4 mg for 3 days, to be tapered slowly. I've already taken steroids during my COVID treatment for about 9 days, and I'm really anxious about taking them again. Should I go ahead with this treatment? I need advice quickly.
Answered by 1 Apollo Doctors
Its understandable to be cautious after taking steroids during COVID. Given that your chest pain and irregular heartbeat are likely due to costochondritis, the suggested medications may help, but steroids like Dexa should only be taken under close medical supervision. It's important to discuss your concerns with your doctor, especially about tapering off steroids safely.
Dr. Anshul Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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I'm really struggling to understand my heart issues. For someone who's been dealing with heart problems for 34 years, it's tough to know what's happening. I have diastolic relaxation abnormality, and my TMT was mildly positive, but that was dismissed with a normal CT angiography. I often feel my heart skip a beat with a thud during exercise and even at rest. My exercise tolerance seems to be getting worse, and my heart rate jumps past 130 after just a few minutes of daily activity, though it calms to 60s bpm in the morning. I often feel dizzy, weak, and fatigued. The ECGs say I have LVH, but the echo says normal LVM. Can diastolic relaxation abnormality indicate heart failure? Is the ECG more reliable than the echo for identifying LVH? And should I be comfortable trusting the CT angio results? Any insights would really help clarify things for me.
1. Diastolic relaxation abnormality does not necessarily mean you have heart failure, but it does indicate that your heart's ability to relax and fill with blood is impaired. It is a condition that can progress and should be monitored and managed carefully by your healthcare provider. 2. The echocardiogram (echo) is generally considered more accurate for assessing left ventricular mass (LVM) and structure, so you can trust the echo results over the ECG for diagnosing LVH. 3. A normal CT angiography report is generally reliable and indicates that your coronary arteries do not have significant blockages. Given your symptoms of skipped heartbeats, exercise intolerance, dizziness, and fatigue, it's important to follow up with your cardiologist. They may need to reassess your condition and consider other diagnostic tests or treatment changes. Continuous monitoring and a thorough evaluation by your healthcare provider are essential to address your concerns and ensure proper management of your heart health.
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Ive been having trouble with my breathing, and my pulse rate is pretty high. My doctor mentioned something about sinus tachycardia and gave me propranolol to take. After using it for a couple of days, I've started to notice swelling in my fingers. What kind of tests or investigations do you think I should consider? And should I be worried about this swelling? Any advice would be really helpful.
Sinus tachycardia is a condition where the heart beats faster than normal. Since you are experiencing swelling on your fingers after taking propranolol, it is important to consult your doctor for a possible alternative medication. In terms of investigations, you may consider getting an ECG (Electrocardiogram) to monitor your heart's electrical activity and rule out any other underlying heart conditions. Additionally, a blood test to check electrolyte levels and thyroid function may be recommended. It is important to discuss these options with your healthcare provider for proper evaluation and management.
Answered by 1 Apollo Doctors
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