Question 1

I'm really concerned because every few days, I feel my heart beating really strongly, especially when I'm lying down. It's so intense that my whole upper body shakes with each heartbeat. I've had an ECG and an echo, and both came back normal, but these episodes still happen occasionally. What could be causing this? Should I be worried?

Accepted Answer

It sounds like you may be experiencing palpitations. Since your ECG and echo results came back normal, it's good to rule out any underlying heart conditions. In this case, you can try using a beta-blocker medication such as Metoprolol (brand name: Lopressor) at a low dose of 25mg to help reduce the strength and frequency of your heartbeats. It is important to follow up with your doctor to discuss this option and any potential side effects.

Question 2

I'm feeling really anxious because I've had this mild chest pain between my right breast and the center of my chest for the last 15 days. It happens when I twist my shoulder to the right. I started taking Pantoprazole 40 and Myospaz Forte as recommended by a local doctor three days ago, but the pain is still there. What should I do now?

Accepted Answer

It sounds like you may be experiencing musculoskeletal pain in your chest area. In addition to the medications you are already taking, you can try taking a nonsteroidal anti-inflammatory drug (NSAID) such as Ibuprofen 400mg every 6-8 hours as needed for pain relief and inflammation. Additionally, applying a warm compress to the painful area and practicing gentle stretching exercises for the chest and shoulder muscles may also help alleviate the discomfort. Make sure to avoid any activities that worsen the pain and try to maintain good posture. If the pain persists or worsens, it is important to follow up with your local doctor for further evaluation and possibly imaging studies to rule out any other underlying causes of your chest pain.

Question 3

I'm really worried because I'm 26 and I've been having some heart pain, shortness of breath, and light dizziness. My lipid profile is normal, but my 2D Echo showed a Left ventricle size of 4.0 x 3.0 cm, IVSD 0.8 cm, LVPW 0.8 cm, EF 47, and FS 23. Everything else seemed normal. Is this something I should be really concerned about? Is it fixable, and can I get back to my normal life? I'm feeling scared and unsure about what steps to take.

Accepted Answer

Based on your symptoms and the findings from your 2D Echo, it is important to further evaluate your condition. The slight heart pain, shortness of breath, and dizziness could be indicative of a cardiac issue. With an EF of 47% and FS of 23%, there may be some impairment in your heart's pumping function. To address this, you may benefit from medication to improve your heart function and symptoms. I recommend starting with a beta-blocker such as Metoprolol (25-50 mg once daily) to help reduce your heart's workload and improve its efficiency. Additionally, an ACE inhibitor like Enalapril (5-10 mg once daily) can also be beneficial in improving heart function. It is important to follow up with a cardiologist for further evaluation and management. Lifestyle modifications such as a heart-healthy diet, regular exercise, and stress management are also crucial in improving your heart health. With proper treatment and lifestyle changes, many individuals can lead a normal life with cardiac conditions. Remember, early detection and management are key in addressing any potential heart issues. Take care and follow up with your healthcare provider for personalized care and guidance

I've been dealing with this chest pain on the right side for about 34 months now. It's not constant but pops up every 10 to 15 days and only lasts for about 5 to 10 seconds. It's starting to make me a bit nervous, and I was wondering if there are any tests you think I should get done?

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