Question 1

I've been having chest pain on the left side for about a year now. I've done all sorts of tests like ECG, echo, and TMT, and they all came back normal. For more clarity, I even had a CT coronary angiogram done. I've attached the frame and report here. Could you please take a look and let me know what's going on?

Accepted Answer

It is possible that you may be experiencing musculoskeletal pain or other non-cardiac causes of chest pain. To help alleviate your symptoms, you can try taking over-the-counter pain relievers such as acetaminophen (Tylenol) as needed. Additionally, practicing relaxation techniques and maintaining good posture may also be beneficial. If your symptoms persist or worsen, please follow up with your healthcare provider for further evaluation and management.

Question 2

I've been having some weird issues with my heart rate. Like, even when I'm just resting, it's going over 100, and if I take a few steps, it jumps to about 150 and stays like that for 2-3 hours. My blood pressure's kind of off too, hovering around 13080, but sometimes the bottom number goes up to 85 or so. I get tired for no reason, and theres some pain in my left arm and leg if I walk a bit. I also get headaches and find myself out of breath after exercising, though not all the time. I got an ECG done, but I'm not sure what to make of it. Could you help me figure out whats going on or suggest what I should do next?

Accepted Answer

Based on your symptoms and ECG report, it appears that you may be experiencing tachycardia (fast heart rate) and possible signs of heart disease. The elevated heart rate, fluctuating blood pressure, fatigue, left arm pain, leg pain, headache, and shortness of breath after exercise are concerning symptoms that warrant further evaluation. I recommend that you consult with a cardiologist for a thorough evaluation and appropriate management. In the meantime, you can start taking a beta-blocker medication like Metoprolol (25-50mg) to help control your heart rate and blood pressure. Additionally, you should make lifestyle modifications such as regular exercise, maintaining a healthy diet, and managing stress to improve your overall cardiovascular health. It is important to follow up with a cardiologist for further testing and treatment recommendations based on your specific condition.

Question 3

I've been experiencing something concerning that Id like some input on. So, last week, I had this issue but after taking some medication, it seemed to go away. However, Ive been noticing that whenever I lift weights around 25kg, I get this tight feeling in my chest. Along with that, my heart seems to race really fast. When I used my mobile to check my heart rate, the numbers were all over the place  like 104, 96, 87, 45, and 79  which seemed off. At first, I thought maybe the phone sensor was acting up, but it reads other people's heart rates accurately. In the mornings, my heart rate seems stable, usually between 65 and 76, but it gets weird in the afternoon and evening. Ive had an ECG, 2D echo, and blood tests done, and my doctor says everything is normal with my heart. Is it possible for there to be issues even if those tests show normal results? I'd appreciate any insight.

Accepted Answer

Based on your symptoms, it sounds like you may be experiencing episodes of arrhythmia, which are abnormalities in the heart's rhythm. One common type of arrhythmia is atrial fibrillation, which can cause symptoms like fast or irregular heartbeats. I recommend discussing with your doctor about the possibility of wearing a Holter monitor for 24-48 hours to capture your heart's rhythm during your daily activities. This can help in identifying any intermittent arrhythmias that may not be captured during a standard ECG. In terms of management, if significant arrhythmias are detected, your doctor may prescribe medications such as beta-blockers or anti-arrhythmic drugs to help control your heart rate and rhythm. Lifestyle modifications such as reducing stress, avoiding stimulants like caffeine, and maintaining a healthy weight can also be beneficial. It's important to follow up with your doctor regularly and keep track of your symptoms. If you experience any chest pain, severe shortness of breath, fainting, or dizziness, seek immediate medical attention.

Angioplasty is advised and a cardiologist opinion.

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