Question 1

I'm really worried about my heart. I've been having heart palpitations for the past six months, and it's happened six times already. Just a few days ago, I woke up with my heart racing at 159 BPM. I went for an ECG, and the report said Sinus tachycardia with a heart rate of 139. My cardiologist said my ECHO 2d test was normal and prescribed me Cardarone 100mg and Petril Beta 10 for a month. But just two days ago, it happened again - I woke up with a rapid heartbeat of 125 BPM. I went for another ECG, and that one was normal, too. I even did a thyroid profile test, and it came back normal. When I'm trying to sleep, I can hear my heart pounding so loudly, and if I lie on my chest, it feels even worse. It's really uncomfortable. What should I do now? Should I stay on the medicine, or should I go in for more tests?

Accepted Answer

In your case, since you have already consulted a cardiologist and undergone tests like ECG and 2D ECHO which came out normal, the medications prescribed to you are appropriate for managing your symptoms. You should continue taking TAB Cardarone 100mg and Petril Bata 10 as prescribed by your doctor. TAB Cardarone helps in controlling irregular heartbeats, while Petril Bata helps in reducing anxiety which can sometimes exacerbate palpitations. If you are still experiencing discomfort and palpitations, you may consider discussing with your cardiologist about adjusting the dosage of the medications or exploring other treatment options. Additionally, you may benefit from lifestyle modifications such as reducing stress, avoiding stimulants like caffeine, and maintaining a healthy sleep routine to help manage your symptoms. It is important to follow up with your cardiologist regularly to monitor your condition and make any necessary adjustments to your treatment plan.

Question 2

Is it normal to feel like my heart is pounding really hard when I'm exercising? It feels like my heart's just doing a crazy workout on its own, almost like I can hold it in my hand. When I checked, my heart rate was between 130-140 during a heavy workout. I'm 20 and I do have high cholesterol. I had an ECG and echo done back in May, and everything seemed okay. But when I'm resting, my heart rate drops to about 50 bpm and it doesn't feel heavy at all. It's only happening when I'm working out. Should I be worried and stop doing these intense exercises?

Accepted Answer

It is not uncommon to feel a heavy heartbeat during intense exercise, especially when your heart rate is elevated. Given your age and previous normal cardiac evaluations, it is less likely to be concerning. However, if you continue to experience discomfort or if the symptoms worsen, it may be advisable to modify your exercise routine. To help manage your symptoms, you can consider taking a beta-blocker medication like Metoprolol at a low dose before exercise to help control your heart rate and reduce the sensation of a heavy heartbeat. It is important to consult with your healthcare provider before starting any new medication. Additionally, focusing on aerobic exercises within your target heart rate zone and gradually increasing intensity may also help in reducing the sensation of a heavy heartbeat during exercise.

Question 3

I'm dealing with high blood pressure and taking amlodipine. My doctor also gave me sertraline because I mentioned I was having anxiety attacks, but I'm not sure if that's what they really are or if they're related to my hypertension. When these episodes happen, it feels like I have a noise in my head, like static or the sound of the sea, and I get a weird sensation like I'm bouncing on springs, even when I'm just sitting. It also occurs when I'm walking. Is this connected to my medications, or should I be concerned about something else?

Accepted Answer

consult psychiatrist

I've been experiencing some mild chest pain and discomfort when I breathe. It's a bit concerning, and I'm wondering what could be causing this. Should I be worried about this, or is it something that could resolve on its own? Could it be related to stress, or should I get it checked out immediately?

Ecg and x-ray chest pa view is advised to the patient.

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