apollo
  • male
  • 40 Years
  • 29/01/2025

I've been feeling a pinching pain in my heart every now and then, just for a few seconds. It's got me worried. Is this something serious or is it considered normal?

Doctor 1

Answered by 1 Apollo Doctors

confirm by taking ECG wheather is due to gastritis or heart related issue

Dr. Chandra Suggests...

Consult a Cardiologist

Answered 25/07/2025

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I'm wondering if it's really necessary to get my heart rate up by walking on a treadmill for a stress echocardiogram. When I was lying down for the test, my heart rate was already high at around 130-140 because of anxiety and stuff. The doctor mentioned that since my heart rate is already up, they wouldnt make me do the treadmill, and the stress echo would still be completed. I was told that it doesnt matter if the heart is beating faster due to stress or exercise; all they need are the images. I paid 3.5k for the stress test but ended up with just an echo report, which usually costs 1.5k. I've been having typical chest pain and in the report, they noted sinus tachycardia during the study. What should I do?

In your case, since your heart rate was already elevated due to anxiety and other factors during the stress echocardiogram, it was not necessary to further increase your heart rate through walking on a treadmill. The main goal of the test is to assess the heart's function and structure under stress, whether it is due to mental stress or physical exertion. The doctor's focus is on obtaining clear images rather than solely on increasing the heart rate. Regarding your chest pain and the presence of sinus tachycardia noted in the echo report, it is important to follow up with your doctor for a comprehensive evaluation. Based on your symptoms and the findings in the report, your doctor may prescribe medications such as beta-blockers like Metoprolol to help control your heart rate and chest pain. Additionally, further investigations or treatments may be recommended based on the overall assessment of your cardiac health.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm a bit worried because my blood pressure is at 14289. I'm not really keen on starting medication right away if I can help it. Do you think changing my lifestyle could bring it down, or should I seriously consider taking medication? Any advice would be great.

For a blood pressure reading of 14289, it is slightly elevated and falls within the prehypertension range. Lifestyle changes can definitely help in lowering your blood pressure. You can start by maintaining a healthy weight, exercising regularly, reducing sodium intake, eating a healthy diet rich in fruits and vegetables, limiting alcohol consumption, and managing stress. However, if lifestyle changes alone are not enough to lower your blood pressure, medication may be necessary. It is recommended to consult with a healthcare provider to discuss the best treatment plan for your specific situation.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I've been dealing with these palpitations for the past three years. I've gone through all the heart-related tests like ECG and 2Decho, and everything seems to be normal. I recovered from jaundice about five years ago, and I don't smoke or drink or have insomnia. But every time I eat or lie down comfortably, I start feeling this sensation in my throat and the back of my head. My blood pressure is typically around 12585, and my pulse is usually 100. But after meals, my BP creeps up to 13590, and my pulse hits 120. Doctors have suggested I take propranolol 10mg, but it doesnt seem to help. What could be going on?

Considering your symptoms and the ineffectiveness of propranolol, you may benefit from a calcium channel blocker such as Verapamil. I recommend taking Verapamil 120mg twice daily to help control your palpitations and regulate your heart rate. Additionally, practicing stress-reducing techniques and maintaining a healthy lifestyle can also help manage your symptoms.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.