Question 1

I've been feeling pretty anxious about my heart health lately. A while back, I did an ECG, echo, chest X-ray twice, and a TMT, and it was like 8 months ago. My BP is usually around 150, and my LDL is 138. I got a blood test, and it was normal. I'm on the heavier side but don't smoke or drink and there's no family history of heart issues. Still, I get these short, sharp pains in my left chest, like they disappear in seconds, and sometimes there's this bubbling or vibrating sensation there too. Plus, there are moments when my left chest and bicep feel like they're pounding, just for a few seconds. Recently, when I'm walking, it feels like I'm wobbling or floating, and my legs and hands feel lighter. The doctor said not to worry and just keep my BP and LDL in check, but I'm still worried. What should I do?

Accepted Answer

"Based on your symptoms and medical history, it is important to focus on controlling your blood pressure and LDL levels to reduce the risk of heart issues. In addition to lifestyle changes such as maintaining a healthy weight, regular exercise, and a balanced diet, you may benefit from medication to manage your blood pressure and cholesterol levels. I recommend starting a medication like Atorvastatin (10mg) to lower your LDL levels and Amlodipine (5mg) to help control your blood pressure. It is important to take these medications as prescribed by your doctor and follow up regularly for monitoring and adjustments if needed."

Question 2

I'm worried because I've noticed that my heartbeat seems irregular over the past couple of days. It's almost like my heart has these hiccups that occur about 57 times a day. While I'm not experiencing any pain, nausea, or discomfort, it just feels really strange to have this abnormal beat in between my normal heartbeats. What could be going on?

Accepted Answer

It sounds like you may be experiencing palpitations. Palpitations are sensations that feel like your heart is pounding or racing. In your case, it seems like you are experiencing occasional irregular heartbeats. One common cause of palpitations is stress or anxiety. However, it is important to rule out any underlying heart conditions. I recommend you to take **Metoprolol (brand name: Lopressor)** 25mg once daily. Metoprolol is a beta-blocker that can help regulate your heart rate and rhythm. It is important to follow up with a cardiologist for further evaluation and monitoring. If you experience any worsening symptoms or new symptoms such as chest pain, shortness of breath, or fainting, seek immediate medical attention.

Question 3

I'm 27 and dealing with a sugar problem, for which I'm taking Glimepiride and Metformin 11000sr tablets, two daily. Lately, I've noticed my blood pressure is 14090, and my pulse is around 92. I've also been experiencing some pain on the left side of my chest, so I decided to check my ECG. The results showed a sinus rhythm with a normal P axis and a ventricular rate between 50 and 99. There was also some ST elevation, which I've read could be a normal early repolarization pattern, but I'm still worried. The diagnostics mentioned "age 55" even though I'm only 27. Could this be a mistake, or is it something I need to be concerned about? I would appreciate any insight or advice you could give me.

Accepted Answer

I am sorry to hear about your health concerns. It seems like you are experiencing some cardiac symptoms along with your existing medical conditions. Based on the information you provided, you are currently taking Glimipride and Metformin for your sugar problem. Since you have mentioned that you are experiencing chest pain and have abnormal ECG findings, it is important to address your elevated blood pressure as well. I would recommend that you consult with your healthcare provider for a thorough evaluation and management. In the meantime, to help manage your blood pressure, you can consider taking Amlodipine 5mg once daily. This medication can help lower your blood pressure and reduce the strain on your heart. Additionally, it is important to monitor your blood pressure regularly and make lifestyle modifications such as reducing salt intake, maintaining a healthy weight, and engaging in regular physical activity. Please continue to monitor your symptoms closely and follow up with your healthcare provider for further guidance and management.

ECHO report is normal

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