Question 1

Can cervical or anxiety be causing my chest pain? It's been 5 months and although my ECG and X-ray were fine, the chest pain just won't go away. Could it still be related to my heart?

Accepted Answer

Cervical issues and anxiety can indeed cause chest pain, especially if all cardiac tests like ECG and X-ray have come back normal. The persistent chest pain may be related to musculoskeletal issues or anxiety. To help alleviate the chest pain, you can try taking over-the-counter pain relievers like ibuprofen (e.g., Advil) as needed for pain and muscle relaxation. Additionally, practicing stress-reducing techniques such as deep breathing exercises or mindfulness meditation may also be beneficial. If the chest pain persists or worsens, it is important to follow up with your healthcare provider for further evaluation and management.

Question 2

I've been told by my doctor that I need a CT angiography, but because of my sinus tachycardia, he mentioned it might be hard to do. I'm already taking beta-blockers and sedatives, but my heart rate is still not under control at the doctor's office. I'm worried about how I can manage my heart rate so I can get the CT angio done. What should I do?

Accepted Answer

To manage your heart rate for CT angiography despite sinus tachycardia, you can consider using a calcium channel blocker such as Diltiazem. The recommended dosage for Diltiazem in this case would be 120-360 mg per day. This medication can help in controlling your heart rate and making it feasible to undergo the CT angiography procedure. Additionally, you may also benefit from the use of a medication like Atenolol, a beta blocker, at a dosage of 25-100 mg per day to further help in controlling your heart rate during the procedure. It is important to follow your doctor's guidance and dosage instructions carefully.

Question 3

I'm feeling really uneasy because for the past 4 months I've been having these weird jerks and palpitations in my chest that last just a couple of seconds. They come and go without any warning. It's like my heart just stops for a moment, and it's really awkward when it happens, although there's no chest pain. I exercise regularly and all my tests like ECG, 2D ECHO, HOLTER ECG, BP, FBS, and Thyroid profile came back normal. But these feelings haven't stopped and I'm scared. Could these jerks be signs of something serious like a cardiac arrest or any other heart issues? What's causing them and the palpitations? I've even felt some pain around the right side of my chest and I'm worried  does this relate to cardiac problems, or is it only the left side that's dangerous?

Accepted Answer

Since all the reports are normal ,advised a psychiatric opinion for diagnosis of anxiety and other conditions..

continue same medications, lipid panel is advised and physician opinion..

More Cardiology Health Queries

Can cervical or anxiety be causing my chest pain? It's been 5 months and although my ECG and X-ray were fine, the chest pain just won't go away. Could it still be related to my heart?

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