- Male
- 33 Years
- 29/01/2025
I've been noticing that when I exercise at the gym, my heart starts beating really fast, almost like it's racing. It seems to take a bit longer than I'd like for everything to calm down afterward. I had some blood work done, and everything came back normal, including my cholesterol levels. My cardiologist has mentioned that everything seems okay, but I'm still experiencing these palpitations. What should I do about this?
Answered by 1 Apollo Doctors
Palpitations during exercise can be concerning, even if your cardiologist has given you the all-clear. One possible cause could be anxiety or stress. I recommend trying a beta-blocker medication such as Metoprolol (25-50mg) before exercising to help control your heart rate and reduce palpitations. Additionally, make sure to stay hydrated and avoid caffeine before working out. If the palpitations persist, it would be best to follow up with your cardiologist for further evaluation.
Dr. Mubarak Suggests...
Consult a Cardiologist
Answered 04/07/2025
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I'm looking for some advice about my heart health. I had a CT coronary angiogram about three years ago because I was having chest pains and my exercise capacity was low. The results showed no significant stenosis in any artery, but Im wondering if minor blockages might have been overlooked. Also, it mentioned that my circulation is left dominant, and I'm curious if that could be related to my chest pain. Do you think it's necessary to repeat the CT angio even though I'm worried about the radiation exposure?
If your CT coronary angiogram from 3 years ago showed no significant stenosis in any artery, it means that there were no major blockages detected at that time. Minor blocks may not have been mentioned in the report because they were not significant enough to cause concern. The fact that your circulation is left dominant is just a variation in the blood supply to your heart and is not necessarily a cause for chest pain. Based on the information provided, if you are still experiencing chest pains or other concerning symptoms, it may be advisable to consult with a cardiologist to determine if a repeat CT angio or other cardiac tests are necessary. However, the decision to repeat the CT angio should be based on your current symptoms and risk factors, rather than just for routine surveillance. It is important to weigh the potential benefits of the test against the risks of radiation exposure.
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I'm 27 and have had no bad habits. For the last eight months, I've been experiencing these quick chest pains on the left side; they just last about 5 to 15 seconds, and they come and go. I've been to the cardiologist and had around 20 ECGs, an echo, and a lipid profile done, and everything came back normal. The thing is, I don't feel any pain during heavy work, just at random times. I'm worried and wondering if this is a heart issue or maybe something physiological? Also, at home, my heart rate is slow, but as soon as I enter the hospital and the tension hits, my heart rate spikes. What could be going on?
It sounds like you may be experiencing episodes of non-cardiac chest pain, especially since your cardiology checkups including ECG, echo, and lipid profile have come back normal. Non-cardiac chest pain can be caused by issues such as muscle strain, anxiety, or gastrointestinal problems. Since your symptoms have been ongoing for eight months and are not related to heavy work, it is less likely to be a heart-related issue. To help with the chest pain, you can try taking over-the-counter pain relievers like acetaminophen. Additionally, practicing relaxation techniques or deep breathing exercises may help with episodes of high heart rate related to tension. If the chest pain persists or worsens, it would be advisable to consult with a doctor for further evaluation and management.
Answered by 1 Apollo Doctors
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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.