Question 1

I'm experiencing this odd sensation in my chest where it feels like my heart is having a spasm or beating irregularly for a few seconds. It's not exactly painful, just really weird, and it's been happening every few months. Sometimes it even feels like its happening in my right chest or arm, which made me think it might be nerve-related. I've had heart tests done in the past, and everything came back normal, but this sensation worries me.

Also, whenever I stand up or walk upstairs, my heart rate jumps up to 150 bpm and then drops back to 100 bpm shortly after, which makes me wonder if I could have POTS. I often forget to check my pulse when this happens because it scares me so much. Could these spasms be related to muscles or nerves instead of my heart? Is it normal to experience this kind of chest pain and heart sensations for just a few seconds?

Accepted Answer

It sounds like you may be experiencing palpitations and chest pain, possibly related to your heart or nervous system. Given your history of normal heart tests and symptoms like random spasms and irregular heartbeats, it may be worth considering a condition called supraventricular tachycardia (SVT). SVT can cause sudden, rapid heartbeats and chest discomfort. In your case, since you also mention the possibility of POTS (Postural Orthostatic Tachycardia Syndrome) and nerve-related symptoms, it would be important to discuss these new symptoms with your healthcare provider. For symptomatic relief, you can consider taking a beta-blocker medication like Metoprolol (e.g., Lopressor) at a starting dose of 25mg once daily, as it can help regulate your heart rate and reduce palpitations. However, it is crucial to consult with your doctor before starting any new medication to ensure it is safe and appropriate for you.

Question 2

I'm 41, unmarried, and I'm carrying quite a bit of extra weight108 kg with a height of 5 feet 7 inches. I've got asthma and I used to take Formoflo inhaler 250mg and Asthalin rotohaler 200mg regularly, even Montek AB for a bit. But since I haven't had symptoms for a while, I stopped. Then recently, after climbing stairs, I had some breathing trouble and found myself needing to take deep breaths and yawning a lot throughout the evening. I did an ECG a week ago that showed everything was okayjust that my heart skipped a beat. My last master health check-up was 45 days ago and that was fine too. I saw a cardiologist because I had chest pain, and they suggested doing a TMT. I've also got GERD. So, my mind's been racing a bitshould I be worried about heart disease or fluid in my lungs? I'd really appreciate some guidance.

Accepted Answer

it's not , take pantop 40mg

Question 3

I've had an Acute MI back in January 2019, and they did angioplasty within two days of the attack. Right now, I'm taking Vymada 59, Ecosprin 75, Brilinta 90, Eptus T 2510, Atocor 40, and Seloken XL 50. Everything's been mostly fine, but I do sometimes get breathless, have palpitations, feel dizzy, and even experience less alertness. I'm really curious about a few things:

- What's the likelihood that my ejection fraction will increase?
- How long can I expect to live with my condition and current treatment?
- Are there any known long-term side effects of these medications on other parts of the body, and how can I minimize any negative effects?
- My doctor mentioned considering an AICD. Would that help improve my ejection fraction?
- What are some potential downsides to getting an AICD?

Accepted Answer

pain,bleeding,infectionshocks,avoid lifting your arm above shoulderand avoid sports.

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