Question 1

I'm dealing with anxiety that's causing me to have chest pain, and sometimes my blood pressure goes way up. I've already done an ECG, 2D Echo, and some blood tests because of the pain. Could you take a look at my Echo report and give me some advice? I'm really worried about my health right now.

Accepted Answer

Based on your symptoms and tests, it seems like you are experiencing anxiety-induced chest pain and fluctuations in blood pressure. It's important to manage your anxiety to alleviate these symptoms. I recommend starting with an anti-anxiety medication such as Xanax (alprazolam) 0.5mg twice daily. Additionally, to help with chest pain, you can take Ibuprofen 400mg as needed for pain relief. It's also important to practice relaxation techniques such as deep breathing exercises and mindfulness meditation to help reduce anxiety levels. Regular exercise and a healthy diet can also contribute to overall well-being.

Question 2

I'm experiencing shortness of breath when I run, and my ECG and Echo reports both came back normal. I'm trying to figure out what's going on. Should I consider getting a CT angiography? Oh, and I've noticed my Echo report lists an ejection fraction of 60, but the stroke volume and EDV fields are blankhow was the EF calculated? I've attached the report too.

Accepted Answer

Shortness of breath during exercise despite normal ECG and Echo reports could be due to other factors such as asthma, anemia, or even deconditioning. Since your Echo report shows a normal ejection fraction of 60%, the calculation is typically done using the formula EF = (SVEDV) x 100. However, since the SV and EDV values are missing in your report, it may be challenging to accurately calculate the EF. Considering your symptoms and the inconclusive nature of the Echo report, it may be advisable to consult with a cardiologist to determine the need for further testing such as a CT angiography to rule out any coronary artery disease.

Question 3

I'm really concerned about my blood pressure shooting up to 14090 all of a sudden. I've had high BP since I was 33, and now I'm 38. My weight is around 110 kg and I'm 5 feet 7 inches tall, so I know I'm quite obese. I stress out easily and can get pretty angry. There's been times I've broken stuff at home when my family doesnt listen to me. I had my heart checked by a cardiologist 1.5 years ago with an Echo and a TMT, and everything seemed fine, but my BP still spikes. I was initially prescribed Telma 40 mg, and now Im on Stamlo 5 mg daily. My heart rate jumps to 130 if I walk fast for just a kilometer. Is this normal? I'm also an asthma patient, and I find myself taking deep breaths a lot. Why do these sudden BP spikes and high heart rates happen to me?

Accepted Answer

Based on your description, it seems like you are experiencing episodes of sudden high blood pressure due to various factors such as obesity, stress, and possibly uncontrolled anger. The combination of these factors can contribute to spikes in blood pressure. It's good that you have been evaluated by a Cardiologist and have undergone tests to rule out any underlying heart issues. To help manage your blood pressure, you are currently taking Stamlo 5mg, which is a brand name for Amlodipine. This medication helps to relax the blood vessels, allowing blood to flow more easily and lowering blood pressure. In addition to this, it is important to make lifestyle changes such as maintaining a healthy weight, reducing stress through relaxation techniques or counseling, and addressing anger management. Regarding your heart rate reaching 130 beats per minute during physical activity, it can be considered normal for some individuals, especially if you are not used to regular exercise. However, since you are also an Asthma patient, it is important to monitor your heart rate during physical activity and consult with your healthcare provider if you experience any concerning symptoms. Overall, it is essential to continue taking your medication as prescribed, make necessary lifestyle modifications, and keep track of your blood pressure regularly. If you have any further concerns or if your symptoms persist, please consult with your healthcare provider for a personalized treatment plan.

I've been dealing with constant chest pain for the last two months, and I'm 32. Could this be a sign of a heart problem, or is it just gas? The pain isn't spreading to other areas, and I'm not sure what's going on. Any insights?

More Cardiology Health Queries

I'm dealing with anxiety that's causing me to have chest pain, and sometimes my blood pressure goes way up. I've already done an ECG, 2D Echo, and some blood tests because of the pain. Could you take a look at my Echo report and give me some advice? I'm really worried about my health right now.

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