Question 1

Sir, I'm 27 and have no bad habits like drinking or smoking, but my weight is 80 kg. For the past year, I've experienced daily pain in my left chest. Throughout this time, I've had 20 ECGs, 2 echocardiograms, and a TMT that was negative. My troponin levels are normal, along with a normal chest X-ray, random blood sugar, renal function tests, and thyroid function tests. My blood pressure is high at 16298, so I'm on Telma 20 tablets. Six months ago, my lipid profile was normal too. Why do I keep getting this pain in my left chest? It's causing me a lot of anxiety, and I worry about dying. I even got an ECG yesterday and attached the pic. Is there any other test I should consider for this pain?

Accepted Answer

The tests you have done so far indicate that your heart and other vital organs are functioning normally. Since your chest pain has been persisting for a year and you have already undergone multiple tests, it is important to consider other possible causes for your symptoms. One potential reason for your chest pain could be related to musculoskeletal issues or anxiety. I recommend trying over-the-counter pain relief medication like acetaminophen for your chest pain. Additionally, practicing relaxation techniques such as deep breathing exercises or yoga may help alleviate any anxiety-related chest discomfort. If your symptoms persist or worsen, you may consider consulting with a specialist such as a cardiologist or a gastroenterologist for further evaluation. They may suggest additional tests or imaging studies based on their clinical assessment. Remember to maintain a healthy lifestyle, including regular exercise and a balanced diet, to support your overall well-being. If you have any concerns or new symptoms, do not hesitate to seek medical advice promptly.

Question 2

Is 150 90 A good blood pressure?

Accepted Answer

No. BP above 130/80 persistently is considered high.

Question 3

So, I found out about three weeks ago that I have sinus bradycardia, and my heart rate is 54. I've been doing annual health checkups, and noticed that last year my heart rate was also under 60. Can you help me understand what this all means? Should I be making any changes or taking any steps to address this? I'm pretty curious and a bit worried about what's next for me.

Accepted Answer

Sinus bradycardia is a condition where the heart rate is lower than normal, specifically less than 60 beats per minute. In your case, with a heart rate of 54, it falls into the category of bradycardia. It can be a normal finding in some individuals, especially athletes, but it can also be a sign of an underlying medical issue. To determine the cause and appropriate management of your bradycardia, further evaluation is necessary. I recommend consulting with a cardiologist for a thorough evaluation, which may include an ECG, Holter monitor, or other cardiac tests. Based on the underlying cause identified, treatment options may include medication or lifestyle modifications. In the meantime, it is important to monitor your symptoms, such as dizziness, fainting, chest pain, or shortness of breath, and seek medical attention if you experience any concerning symptoms. Avoiding stimulants like caffeine and nicotine, staying hydrated, and maintaining a healthy lifestyle with regular exercise can also be beneficial.

Ecg and cardiac markers are advised to the patient.

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