Question 1

I've been having chest pains and I'm super worried it might be related to my heart even though all my tests like ECG, echo, TMT, and chest X-ray came back normal. The fear started after the pandemic and now I'm constantly thinking about "what if" something's wrong. I've had heart palpitations about 10-15 times and even small muscle pains make me anxious about having a heart attack. What can I do about this constant fear? Do you think there's a chance I might really have heart issues? My last echo and TMT were 10 months ago and the most recent ECG was 20 days ago, all normal. Would love any advice or insight.

Accepted Answer

It sounds like you are experiencing a lot of anxiety and fear related to your heart health, especially since the COVID-19 pandemic. Despite multiple tests showing normal results, you are still worried about having a heart attack. It is important to address your anxiety and stress levels in order to overcome these persistent fears. One approach to consider is seeking therapy or counseling to help manage your anxiety and fears related to your heart health. Additionally, practicing relaxation techniques such as deep breathing, meditation, or yoga may also be beneficial in reducing stress and anxiety. In terms of medication, you can consider taking an anxiolytic medication such as lorazepam (Ativan) as needed for acute episodes of anxiety or panic attacks. The usual dosage is 0.5-2 mg taken orally 2-3 times a day as needed. It is also important to maintain a healthy lifestyle by eating a balanced diet, engaging in regular physical activity, and getting an adequate amount of sleep. These lifestyle changes can contribute to overall well-being and may help alleviate some of your anxiety symptoms. Remember, it is essential to address your mental health concerns in addition to your physical health. If you continue to experience persistent anxiety and fear despite normal test results, consider consulting with a mental health professional for further evaluation and support.

Question 2

Im 35 and have been experiencing chest pain for the past few months. My cardiologist did a full workup and said everything looks normal, but I noticed the echo report mentions grade 1 LV dysfunction. Should I consider seeing another doctor about this?

Accepted Answer

No need to worry it is reversible have a healthy lifestyle and follow your doctors advice

Question 3

I'm a bit worried because my recent ECG shows a shortened PR interval of 107 ms, and my 2D echo indicates it's 200 GM. I've been diagnosed with mild LVH and currently take Revelol XL 50 and Newtel 20. I'm curious about the risks of having a PR interval less than 120 ms. Do you think I should get more tests?

Accepted Answer

The PR interval on your ECG report being lower than 120 ms indicates a shortened PR range. This can be a sign of an underlying heart condition. Considering you have mild LVH (Left Ventricular Hypertrophy) and are currently taking Revelol XL 50 (Metoprolol) and Newtel 20 (Telmisartan), it is important to monitor your heart health closely. To address the risk of a shortened PR interval, it is advisable to consult with a cardiologist for further evaluation. Additional tests such as a Holter monitor, stress test, or cardiac MRI may be recommended to assess your heart function more comprehensively. It is essential to follow up with your healthcare provider to determine the best course of action based on your individual health status.

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More Cardiology Health Queries

Im 35 and have been experiencing chest pain for the past few months. My cardiologist did a full workup and said everything looks normal, but I noticed the echo report mentions grade 1 LV dysfunction. Should I consider seeing another doctor about this?

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