I've been experiencing some discomfort and I'm really concerned. I'm a 23-year-old male and since January, I've had some pain in my right and left chest, as well as below my ribs. I tried taking medication for acidity at first. I noticed my heart rate is around 65 bpm while sitting but jumps to 90-100 bpm when I stand. This got me worried so I went to the hospital where my BP was 11090. The ECG came back normal, but the doctor suggested a 2D echo test. I've attached the results. I was on esomacD 40mg and etizola beta 0.25mg until the end of February, which seemed to help reduce the chest pain and occasional racing heartbeats. Today though, while resting, I felt a brief pain for about 3 seconds in the middle of my ribs on the left bottom side. My pulse was normal then. Could this be a sign of a heart attack or is there any risk involved?

Based on the information provided, it is unlikely that the symptoms you are experiencing are indicative of a heart attack. The normal ECG results and the improvement in chest pains and heart rate with the medications you were prescribed suggest that your symptoms may be related to other factors such as acid reflux or anxiety. Since you have already undergone medical evaluation including an ECG and 2D echo test, it is important to continue following up with your healthcare provider for further assessment and management. To address the occasional racing heart rate, you can consider taking Metoprolol 25mg once daily as prescribed by your doctor. Additionally, for acid reflux symptoms, you can continue using Esomac-D 40mg once daily before breakfast. If you experience any new or worsening symptoms, especially chest pain that radiates to your arm, jaw, or back, along with shortness of breath, dizziness, or nausea, seek immediate medical attention. Regular follow-up with your healthcare provider is essential to monitor your condition and adjust your treatment plan as needed.