Question 1

I'm a 27-year-old female and my heart rate seems unusually high, usually over 100, sometimes even reaching 130 beats per minute, even when I'm resting. All my tests, like Spo2, ESR, vitamin levels, thyroid, lipid, and many more have come back normal, including the NT-proBNP. But I just can't shake off this feeling of worry about my heart. The doctors didn't seem to focus much on the heartbeats, though, and asked me to get an MRI spine for my pain.

I often experience upper back pain, a heavy feeling in my head, shortness of breath, and sometimes pain in my left breast and shoulder blade. It's less when I'm in bed but gets severe when I'm sitting or working. With my heart rate always on the high side at my age, is this something to be concerned about? Also, why did my doctor order an MRI and not more heart-related tests?

Accepted Answer

While your symptoms are concerning, its reassuring that you've had normal cardiac markers and blood work, which likely rules out serious heart conditions. However, continued monitoring and further tests will help you get to the root cause.

Question 2

I'm a bit concerned because when I place my hand on my chest, I can't feel my heartbeat. However, I can easily feel my pulse in the veins of my hand when I'm sitting quietly. Is this something normal, or should I be worried?

Accepted Answer

Viral fever concerns:
 
 _Common symptoms:_
 
 1. Fever
 2. Chills
 3. Headache
 4. Fatigue
 5. Body aches
 6. Sore throat
 
 _Not all viral infections have:_
 
 1. Running nose
 2. Cough
 
 _Your experience:_
 
 1. Fever
 2. Chills
 3. Sweating (paracetamol-related)
 4. Normal blood tests
 
 _Doctor's concerns:_
 
 1. Platelet count monitoring (potential viral-related thrombocytopenia)
 2. Ruling out other conditions (e.g., dengue, malaria)
 
 _Follow-up:_
 
 1. Return to the hospital in 2 days for platelet count check
 2. Monitor symptoms:
 - Fever persistence
 - Severe headache
 - Difficulty breathing
 - Abdominal pain
 
 _General advice:_
 
 1. Stay hydrated
 2. Rest
 3. Paracetamol or doctor-recommended medication for fever management

Question 3

I'm having some issues with chest pain on my left side, and it's been going on for the last couple of months. The pain comes and goes and often extends from my upper chest to my left arm. I've also experienced some pulling in my left leg and occasional abdominal pain. I've had 5 ECG tests which were normal, and my echo showed an LVEF of 55. Today, we did a TMT. Could you help explain what all this means? Do you think I need any other tests?

Accepted Answer

It sounds like you may be experiencing symptoms of angina, which is chest pain or discomfort caused by reduced blood flow to your heart muscle. The pain in your upper chest that extends from your shoulder to your left arm, along with left hand pain and abdominal pain, could be related to this. The normal ECG results and an LVEF of 55% from the echo are positive findings. Since you have already undergone a TMT (Treadmill Test), it is good for assessing how your heart responds to exertion. If the TMT results are inconclusive or if your symptoms persist, you may consider getting a coronary angiography to visualize any blockages in the coronary arteries. This test can help determine if there is any significant blockage that may be causing your symptoms. In the meantime, it is important to manage your symptoms. You can take medications like Aspirin to help reduce the risk of blood clots, and medications like Atorvastatin to lower cholesterol levels. Additionally, Nitroglycerin can help relieve chest pain during episodes of angina. It is important to follow up with your healthcare provider for further evaluation and management.

I've just gotten over COVID, and I've noticed some changes in my heart rate. When I'm at rest, it's okay around 70-95, but when I climb stairs, it spikes to between 160-165. Even when I'm just walking at a pace of 5 kmh, it's around 130-140. Is this normal post-COVID, or should I be concerned?

ecg and trop t are advised to the patient..

More Cardiology Health Queries

I'm a bit concerned because when I place my hand on my chest, I can't feel my heartbeat. However, I can easily feel my pulse in the veins of my hand when I'm sitting quietly. Is this something normal, or should I be worried?

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