- Male
- 31 Years
- 07/02/2025
I've been having this back pain that shoots down to my hands and chest. I had a TMT done on 20th February 2022, and it came out negative. But I'm worried because I'm feeling the pain again today, and my doctor advised an ECG. If my TMT was normal, do I really need to get an ECG every single time this pain hits?
Answered by 1 Apollo Doctors
If you have already undergone a TMT which was normal, and you are experiencing chest pain again, it is still important to have an ECG done to check for any acute changes in your heart's electrical activity. It is not necessary to have an ECG done every time you have pain, but if the pain is severe or persistent, it is advisable to seek medical attention and follow your doctor's recommendations.
Dr. Kareemulla Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
More Cardiology Health Queries
View allI was just told I have bradycardia, but my symptoms seem to be getting worse over time. I've been feeling really nauseous and light-headed, and I notice weakness, shortness of breath, painful headaches, and even high blood pressure. I'm curious about how serious my bradycardia is. My pulse usually sits around 45-58, but whenever my blood pressure spikes up to around 14599, my pulse jumps to 85 before it settles back down. Could there be something specific causing all of this? It's been three months, and instead of getting better, it seems to be getting worse. Should I be doing something right away about it?
It sounds like you are experiencing symptoms of bradycardia along with other concerning symptoms such as nausea, lightheadedness, weakness, shortness of breath, headaches, and high blood pressure. The fluctuation in your pulse rate from 45-58 to 85 is also concerning. Bradycardia can be serious, especially when accompanied by these symptoms. One possible cause of your symptoms could be a heart condition affecting the electrical signals that control your heart rate. It is important to seek medical attention immediately given the severity and duration of your symptoms. You should go to the emergency room or seek urgent medical care to have a thorough evaluation, including an ECG to assess your heart rhythm, blood tests, and possibly other cardiac tests. Based on your symptoms and the seriousness of the situation, the healthcare provider may prescribe medications such as Atropine or Epinephrine to increase your heart rate and stabilize your condition. In some cases, a pacemaker may be necessary to regulate your heart rate. It is crucial to address these symptoms promptly to prevent any potential complications. Please seek medical help without delay.
Answered by 1 Apollo Doctors
Which blood pressure medication is best for my high BP and angina pain? I'm kind of stuck because one doctor recommended Metoprolol and another suggested Amlodipine. I really want something that works well but doesn't have a lot of side effects. Can you help me figure out which one might be better?
For high blood pressure and angina pain, it is important to follow the advice of your healthcare providers. Both Metoprolol and Amlodipine are commonly used medications for these conditions. Metoprolol is a beta-blocker that helps lower blood pressure and reduce the workload on the heart, while Amlodipine is a calcium channel blocker that helps relax blood vessels. For proper relief and minimal side effects, a combination of both medications may be beneficial. You can consider taking Metoprolol (brand name: Lopressor) along with Amlodipine (brand name: Norvasc). The typical dosage for Metoprolol is 25-100 mg once or twice daily, and for Amlodipine, it is 5-10 mg once daily. Please consult with your healthcare provider to discuss the best treatment plan for your specific condition.
Answered by 1 Apollo Doctors
I'm really worried about my heart rate. I was prescribed Propranolol 20 MG for anxiety and palpitations by my cardiologist, but when I started feeling uncomfortable with light chest pain, I went to another cardiologist who told me to stop taking it. So I did, and I felt normal for a day, but then my heart rate jumped from 85 sitting to 145 standing the next day. I'm scared to go to the hospital because my heart rate might increase even more. If it's already at 140 just standing, I can't imagine how high it would go while working. Is this something very serious? Also, my blood pressure at night was 130 after eating and 127 before eating while I was on the medication, but it hardly ever went over 120 before all this. If just two days of using Propranolol caused these withdrawal effects, how am I supposed to handle this medication for the long term? I'm living in constant fear of dying. Can you help?
It sounds like you are experiencing significant anxiety and palpitations along with withdrawal effects from Propranolol. The sudden increase in heart rate upon standing is concerning and may indicate a condition called orthostatic intolerance. This needs to be evaluated further by a healthcare professional. To address your symptoms, you can try the following: - Discontinue Propranolol under medical supervision to avoid withdrawal effects - Practice relaxation techniques such as deep breathing or meditation to help with anxiety - Stay well-hydrated and maintain a healthy diet - Avoid sudden changes in posture to prevent orthostatic intolerance In the meantime, it is important to consult with a cardiologist or a healthcare provider for a proper evaluation and management plan. They may consider alternative medications or therapies to help with your symptoms. Remember, sudden changes in heart rate and chest discomfort should not be ignored. Take care.
Answered by 1 Apollo Doctors
Health Articles for you
View all
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.