Question 1

Sir, I'm 27 and have no bad habits like drinking or smoking, but my weight is 80 kg. For the past year, I've experienced daily pain in my left chest. Throughout this time, I've had 20 ECGs, 2 echocardiograms, and a TMT that was negative. My troponin levels are normal, along with a normal chest X-ray, random blood sugar, renal function tests, and thyroid function tests. My blood pressure is high at 16298, so I'm on Telma 20 tablets. Six months ago, my lipid profile was normal too. Why do I keep getting this pain in my left chest? It's causing me a lot of anxiety, and I worry about dying. I even got an ECG yesterday and attached the pic. Is there any other test I should consider for this pain?

Accepted Answer

The tests you have done so far indicate that your heart and other vital organs are functioning normally. Since your chest pain has been persisting for a year and you have already undergone multiple tests, it is important to consider other possible causes for your symptoms. One potential reason for your chest pain could be related to musculoskeletal issues or anxiety. I recommend trying over-the-counter pain relief medication like acetaminophen for your chest pain. Additionally, practicing relaxation techniques such as deep breathing exercises or yoga may help alleviate any anxiety-related chest discomfort. If your symptoms persist or worsen, you may consider consulting with a specialist such as a cardiologist or a gastroenterologist for further evaluation. They may suggest additional tests or imaging studies based on their clinical assessment. Remember to maintain a healthy lifestyle, including regular exercise and a balanced diet, to support your overall well-being. If you have any concerns or new symptoms, do not hesitate to seek medical advice promptly.

Question 2

I'm experiencing some chest and arm pain, and I've been having heart palpitations lately. It's kind of weird because I can feel my heart pounding even when I'm just resting. I'm not super active, and my BMI is around 27.5. My HDL is only 34 but my blood pressure seems normal. I got an ECG done, and it showed a heart rate of 109 bpm with sinus tachycardia, but there weren't any ST T changes. The PR interval came out at 197 ms with a high QR of 86 and QTQTc between 298 and 402. Do you think I should get more tests done? What could all this mean?

Accepted Answer

Chest pain, arm pain, heart palpitations, and a high heart rate at rest with sinus tachycardia on ECG can be concerning symptoms. With a low HDL level and a BMI of 27.5, there may be underlying cardiovascular issues that need to be addressed. The PR interval of 197ms is slightly prolonged, which could indicate an atrioventricular conduction delay. Further evaluation is warranted to assess the overall cardiac function and rule out any underlying heart conditions. I recommend consulting a cardiologist for a thorough evaluation, which may include an echocardiogram, stress test, and possibly a Holter monitor to assess heart rhythm over a longer period. Additionally, lifestyle modifications such as regular exercise, a heart-healthy diet, and possibly medication like Atorvastatin to improve HDL levels may be beneficial in managing your cardiovascular health.

Question 3

I'm really worried because my husband keeps having this slight pain and tightness in the center of his chest. It's especially bothersome when he coughs or takes a deep breath during these episodes. It's not happening all the time, but I'm not sure if we should investigate heart problems or something else. There aren't any other symptoms to go off of. What should we do?

Accepted Answer

Ecg and chest x-ray pa view is advised to the patient.

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