apollo
  • Male
  • 38 Years
  • 22/01/2025

I've been having pain on the left side of my neck and shoulder for the past couple of weeks, and sometimes I feel some chest pain too. I went to the doctor and got an ECG, but it came back normal. I'm not sure what to do next. Should I see a cardiologist or maybe an orthopedic doctor? It's really starting to worry me, and I'd appreciate some advice on the next steps.

Doctor 1

Answered by 1 Apollo Doctors

orthopaedic opinion is required

Dr. Ibrahim Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm a bit concerned after my recent doctor visit. I had some left shoulder pain and my hands felt a bit numb after traveling, so I went to get checked out. The doctor had me do an ECG and mentioned that the QRS interval was 119ms, along with some other abnormalities, then suggested an echo just to be sure. The echo results seemed alright, showing no PAH or RWAH, and my LV systolic and diastolic function looks fine with an EF of 68. They didn't find any clots or vegetation, and the doctor said my echo is fine, but I'm still worried about the QRS interval on my ECG. Should I be looking deeper into this, or is it nothing too concerning?

The ECG report showing a QRS interval of 119ms may indicate a slight delay in the electrical conduction through the heart's lower chambers. This could be due to various reasons such as conduction abnormalities or certain heart conditions. However, since your screening echo came back normal with no significant findings, it is less likely to be a cause for concern. To alleviate your left shoulder pain and numbness in hands, you can take over-the-counter painkillers such as ibuprofen (e.g., Advil) at a dose of 400mg every 4-6 hours as needed for pain relief. Additionally, you can also consider using topical pain relief creams such as diclofenac gel for localized relief. It is always advisable to follow up with your doctor for further evaluation and management based on your individual health condition.

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My dad had a heart attack on July 28th, and they found two blockages. The doctor put in one stent, but there's still another blockage left. Should we be worried about the untreated blockage, and what's usually the next step? What should we watch out for?

The other might be minimal for which conservative management would work take adequate rest and follow your doctors advice

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My heart sometimes beats really fast, like between 80 and 95 beats per minute. Does that sound normal? I'm feeling kind of scared about it, so can you help me understand what's going on?

A heart rate of 80 to 95 beats per minute can be considered normal for many individuals, especially during periods of physical activity or stress. However, if you are experiencing a consistently elevated heart rate at rest and are feeling anxious about it, it is important to monitor your symptoms and consult with a healthcare professional for further evaluation. In the meantime, you can try taking a beta-blocker medication such as Metoprolol at a dosage of 25mg to help lower your heart rate and reduce anxiety.

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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.