Question 1

I've been really worried about having a heart attack. I keep feeling symptoms like pain in my left hand, chest pain, dizziness, fatigue, shaking, fever, and even a cough. It's getting hard to focus on my daily activities because I'm always noticing these symptoms. I've done multiple testslike ECGs, an echo, a stress ECG test, a troponin test, and also an X-ray. My cholesterol has been checked twice too. All the results came back normal, but I still can't shake off the fear of having a heart attack. Why do I still feel this way despite all the normal test results?

Accepted Answer

It sounds like you are experiencing a lot of anxiety and fear related to the possibility of having a heart attack, despite multiple tests showing normal results. It's important to address your anxiety and stress levels in addition to your physical health. In your case, I would recommend a low dose of an anti-anxiety medication such as lorazepam (Ativan) 0.5mg to be taken as needed when you feel overwhelmed by these symptoms. Additionally, practicing relaxation techniques such as deep breathing exercises, meditation, and regular physical activity can also help manage your anxiety. Remember to consult with your healthcare provider before starting any new medication.

Question 2

I've been having chest pain when I walk or go up stairs, so I got a CT angiography done. The report shows I have myocardial bridging of the proximal LAD, about 1.8 cm long. The doctor said not to worry and that no treatment is needed, but the pain on my left side isn't going away. Can you help me understand what this all means and what I should do next?

Accepted Answer

Since you are experiencing persistent chest pain despite the reassurance from your doctor, it may be helpful to consider medication to help manage your symptoms. You can try taking a calcium channel blocker such as Diltiazem (Cardizem) at a low dose initially, under the guidance of your doctor. The usual starting dose for Diltiazem is 120 mg to 180 mg per day, taken in divided doses. This medication can help relax the smooth muscle in the walls of your coronary arteries and improve blood flow to the heart muscle, potentially reducing chest pain associated with your condition. However, please consult with your doctor before starting any new medication.

Question 3

I'm really concerned about my mom's ECG results. It mentions a slight ST V2 depression. How serious could this be and what should we do next?

Accepted Answer

Probable differential diagnosis include hypoglycaemia, heat stroke and yocardial ifarction.. Ecg and cardiac markers advised and cardiac opinion..

ECHO report is normal

More Cardiology Health Queries

I'm really concerned about my mom's ECG results. It mentions a slight ST V2 depression. How serious could this be and what should we do next?

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