Question 1

I'm a bit worried about this chest pain I've been having for the past 9.5 months. I've seen a bunch of cardiologists and done a ton of tests like ECG, 2D Echo, TMT, lipid profile, and thyroid, but everything's coming back normal. My daily routine includes brisk walking for about 50 minutes and running for 15 minutes, and I don't feel any pain during these activities. The pain occasionally hits on either the left or right side and is pretty mild. Can you help me figure out what might be causing this chest pain?

Accepted Answer

Chronic chest pain lasting several months with normal cardiac tests such as ECG, 2D Echo, and TMT, along with normal lipid profile and thyroid tests, suggests that the pain might not be heart-related. Since you can perform activities like brisk walking and running without pain, its less likely to be ischemic heart disease. Possible causes of your chest pain could include musculoskeletal issues (like costochondritis or muscle strain), gastrointestinal problems (such as GERD or gastritis), or anxiety-related symptoms. Given the persistence of your symptoms, it might be beneficial to consult with a gastroenterologist or consider a musculoskeletal evaluation. Additionally, managing stress and anxiety with practices like mindfulness or therapy can also help. Please follow up with your healthcare provider to explore these potential causes further.

Question 2

I'm feeling really confused and worried. Last year, my echocardiogram showed diastolic dysfunction, but when I did it again this year, it showed everything was fine with no sign of it. I'm trying to understand if diastolic dysfunction can reverse itself? I read online that it usually happens to older people, but I'm not that old and my blood pressure, sugar, and thyroid levels are all normal. Why did this happen to me, and should I be worried about it?

Accepted Answer

Your present echocardiogram is normal, previous report may reflect your clinical condition on that time. At present your reports are within normal limits.

Question 3

I'm wondering about my QTc interval, which was 454ms on the EKG. Is this considered normal? I also have sinus arrhythmia and had a panic attack before but during that time, both the EKG and echocardiogram came out normal. Should I be worried about this, and is there anything specific I should do or ask my doctor?

Accepted Answer

Your QTc interval of 454ms is slightly prolonged, which may be related to your sinus arrhythmia. Since you have a history of panic attacks, it's important to monitor your QTc interval regularly. In this case, it would be advisable to avoid medications that can further prolong the QTc interval. I recommend discussing this with your healthcare provider to determine the best course of action.

A colour doppler flow venous test is advised to the patient and cardiac opinion ..

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