Question 1

I'm experiencing some chest and arm pain, and I've been having heart palpitations lately. It's kind of weird because I can feel my heart pounding even when I'm just resting. I'm not super active, and my BMI is around 27.5. My HDL is only 34 but my blood pressure seems normal. I got an ECG done, and it showed a heart rate of 109 bpm with sinus tachycardia, but there weren't any ST T changes. The PR interval came out at 197 ms with a high QR of 86 and QTQTc between 298 and 402. Do you think I should get more tests done? What could all this mean?

Accepted Answer

Chest pain, arm pain, heart palpitations, and a high heart rate at rest with sinus tachycardia on ECG can be concerning symptoms. With a low HDL level and a BMI of 27.5, there may be underlying cardiovascular issues that need to be addressed. The PR interval of 197ms is slightly prolonged, which could indicate an atrioventricular conduction delay. Further evaluation is warranted to assess the overall cardiac function and rule out any underlying heart conditions. I recommend consulting a cardiologist for a thorough evaluation, which may include an echocardiogram, stress test, and possibly a Holter monitor to assess heart rhythm over a longer period. Additionally, lifestyle modifications such as regular exercise, a heart-healthy diet, and possibly medication like Atorvastatin to improve HDL levels may be beneficial in managing your cardiovascular health.

Question 2

I'm really worried because I've been dealing with chest pain for the last 2 years. I've had all kinds of tests done like ECG, 2D Echo, TMT, and even a CT Coronary Angiography, and they all came back normal. But my blood test results are a bit concerning. My high sensitivity C Reactive protein is at 9.7 mgL, lipoprotein A is 35.09 mgdL, Lipase is 63.6 UL, SGOT is 70.9 UI, SGPT is 88.4, and GGT is 80.9. These numbers have gone up compared to my earlier tests. The chest pain is really troubling me the most. Could you advise me on what steps I should take next?

Accepted Answer

Given your elevated blood test values, it is important to further investigate the cause of your chest pain. The increased sensitivity C Reactive Protein (CRP) level indicates inflammation in the body, which may be related to your symptoms. Considering your symptoms and blood test results, I recommend consulting with a healthcare provider to discuss the possibility of underlying inflammatory conditions such as costochondritis or musculoskeletal issues. In the meantime, you can try over-the-counter pain relievers like acetaminophen (Tylenol) for chest pain relief. However, it is crucial to address the root cause of your symptoms through further evaluation and management. I hope this information helps.

Question 3

I'm really stressed about my recent health issues. My blood pressure was 190100 two weeks ago, and I've been on medication since then. I've checked a couple of times after starting the meds, and my bp was 15090 and another time 17090. It's worrying me, and to top it off, I've been getting random pains in my left neck and shoulder, which makes sleeping hard. The cardiologist said my ECG and echo are normal. My cholesterol is fine, but I'm low on vitamin D and B12, so I'm taking supplements. Also just found out my blood sugar is high, so I'm on meds for that too. One doctor mentioned that the medicine might be causing the pain and that it might take weeks for my bp to stabilize. Is that true? Would love some insight into this.

Accepted Answer

It is common for blood pressure levels to take some time to stabilize after starting medication. In your case, since your initial blood pressure reading was high at 190100, it may take a few weeks for the medication to fully lower your blood pressure to a normal range. The random pains in your left neck and shoulder could be related to muscle tension or other factors, but it's good that you have already consulted a cardiologist who found your ECG and echo to be normal. Regarding your vitamin deficiencies and high blood sugar, it's important to continue taking your supplements and medication as prescribed. For high blood pressure, it's essential to follow your doctor's advice and medication regimen consistently. One commonly prescribed medication for high blood pressure is Losartan, typically starting at a dosage of 50mg once daily. It's crucial to monitor your blood pressure regularly and report any persistent symptoms or concerns to your healthcare provider for further evaluation and management.

As an emergency medicine you can take half tablet and visit Your doctor as soon as possible

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