Question 1

My mom, who's 50, has been taking Thyronorm 50 for her thyroid. Her doctor mentioned noticing some changes in her ECG twice during her follow-ups and suggested she should get a TMT and an Echo done. Her 2D Echo looks normal with an LVEF of 65%, but her TMT came back positive for inducible ischemia at a moderate workload level. She's mentioned having shortness of breath sometimes when she's climbing stairs, but other than that, she's fine and doesn't have any chest pain or a history of high blood pressure or diabetes. What would you suggest as the next steps for her?

Accepted Answer

A 2D Echo is advised as a diagnostic procedure for heart blocks and other pathology..

Question 2

I've been feeling a heaviness in my chest when I'm trying to sleep, and it's making it hard for me to breathe. It's strange because I'm not coughing or anything. What could be causing this? Should I be worried?

Accepted Answer

steam inhalation

Question 3

I'm worried about my heart. I've done a bunch of tests like ECG, echo, TMT, and stress echo, and everything's come back normal. But every time I have something like gastric pain or even just diarrhea, I can't shake this fear that I'm having a heart attack. Could this be cardiac anxiety, or is there something else I should worry about? Also, my blood tests were normal except my vitamin D was 13.56 Ngml and B12 was 173.8 ofml. Should I be concerned about those levels?

Accepted Answer

It sounds like you are experiencing significant anxiety about your heart health, despite having normal cardiac test results. This type of anxiety, often referred to as cardiac anxiety or health anxiety, can cause you to worry excessively about having heart problems even when tests repeatedly show that everything is normal. Your low levels of 25-hydroxyvitamin D (13.56 ngmL) and vitamin B12 (173.8 pmolL) should be addressed, as deficiencies in these vitamins can contribute to overall feelings of fatigue and possibly anxiety.

To manage your cardiac anxiety, consider the following steps:
1. Consult a mental health professional: Cognitive-behavioral therapy (CBT) can be very effective in managing health anxiety.
2. Lifestyle changes: Regular exercise, a balanced diet, and mindfulness or relaxation techniques can help reduce anxiety.
3. Vitamin supplementation: Your healthcare provider can recommend appropriate vitamin D and B12 supplements to address your deficiencies.

Please discuss your anxiety and vitamin deficiencies with your healthcare provider to develop a comprehensive plan for managing your health and anxiety.

I've been feeling some pressure and tightness in my chest after eating, and my stomach gets really bloated. Sometimes it even feels like I'm having an anxiety attack. I'm not sure what's going on. Could there be a link between these symptoms, and what might be causing this?

GERD is the probable diagnosis , advised pan d ,orally before food for 14 days and syrup sucralfate 10 ml thrice daily ,Avoid spicy foods..

More Cardiology Health Queries

I've been feeling a heaviness in my chest when I'm trying to sleep, and it's making it hard for me to breathe. It's strange because I'm not coughing or anything. What could be causing this? Should I be worried?

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