Question 1

I'm dealing with this strange chest pain situation on my left side. It's kind of like a sharp electric shock that lasts for about 12 seconds, then it's just gone. The spot where it happens is almost always the same, and it's been randomly showing up and disappearing for the last 10 days. Could you help me figure out what this might be?

Accepted Answer

This type of chest pain could be indicative of a condition called costochondritis, which is inflammation of the cartilage that connects a rib to the breastbone. To help alleviate the pain, you can take over-the-counter pain relievers such as ibuprofen (Advil) 400mg to 800mg every 6 hours as needed for pain relief. It is important to rest and avoid activities that worsen the pain. If the pain persists or worsens, it is recommended to follow up with a healthcare provider for further evaluation and management.

Question 2

I'm having this sharp pain under my left breast and its been going on for a good five years now. Along with that, I often feel really tired and occasionally get these heart palpitations. Should I be worried about these symptoms?

Accepted Answer

visit dermatologist for evaluation and appropriate management

Question 3

I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD family history. My lipid profile reads LDL at 101, triglycerides at 139, HDL at 33, and a total of 157. I'm quite sedentary, and lately, I've noticed pinpoint pain and pressure in my chest, shoulders, and upper abdomen. It flares up intermittently during brisk walking and feels really localized. I've also been dealing with anxiety for the past four years, so I sometimes have breathing difficulties whether I'm resting or active. Is it possible to have CAD at this age without any obvious risk factors, or could this pain just be anxiety? I did have stress echo tests in the past, which were negative, just like a TMT back in 2016. Could you offer some insight?

Accepted Answer

Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.

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

More Cardiology Health Queries

I'm having this sharp pain under my left breast and its been going on for a good five years now. Along with that, I often feel really tired and occasionally get these heart palpitations. Should I be worried about these symptoms?

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