Question 1

I've been experiencing these weird palpitations for the past four months whenever I lie down, and I'm really starting to worry. I had my blood pressure, thyroid levels, ECG, and an echocardiogram checked, and everything came back normal except for the ECG showing sinus tachycardia. Also, I had Covid about ten months ago. I'm not sure what I should do next. Any advice?

Accepted Answer

Given that your BP, thyroid, ECG, and echo were normal, but you are still experiencing palpitations, particularly when lying down, it is important to further investigate potential causes. Sinus tachycardia can be due to various factors, including stress, anxiety, dehydration, or even residual effects from a previous COVID-19 infection. Since you've had COVID-19, it could also be related to post-viral syndrome, which sometimes affects the heart. You should consider consulting a cardiologist for a more detailed evaluation, which may include a 24-hour Holter monitor to track your heart rate variability over a day, especially during sleep. Additionally, ensuring adequate hydration, managing stress, and avoiding stimulants like caffeine might help reduce palpitations.

Question 2

I've noticed that my resting heart rate usually falls between 53 and 60, and my blood pressure seems fine. I don't experience shortness of breath, weakness, or any faintness. I don't get tired during physical activities, either. Over the past couple of years, I've had ECG, TMT, and Echo tests done; they didn't show anything concerning. The only thing that came up was a grade I diastolic dysfunction on the Echo test, but my doctor said that was normal. I play cricket almost every weekend without any issues. Is having a heart rate between 53-60 something I should worry about? Do you think I should get it checked out or need any treatment?

Accepted Answer

Your resting heart rate of 53 to 60 beats per minute is considered to be on the lower side but can be normal for some individuals, especially those who are physically active like yourself. Since you do not experience any symptoms like shortness of breath, weakness, fainting, or exhaustion during physical activity, and your ECG, TMT, and Echo tests have not shown any significant abnormalities, there may not be a cause for concern. However, if you are still worried about your low heart rate, you can consult with your doctor to rule out any underlying issues. In the meantime, continue to stay active and monitor your heart rate during physical activities. If further evaluation is needed, your doctor may recommend additional tests or monitoring.

Question 3

Can a TMT test really detect heart blockages? Like, if my TMT test comes back negative, should I be concerned about blockages not being detected? Also, what if I have a blockage that's, say, around 10%would the TMT still show positive in that case? I'm just trying to understand how reliable the TMT is for these things.

Accepted Answer

If your TMT is negative, but you're still concerned about potential blockages or symptoms, its essential to follow up with your doctor for further evaluation and possibly more specific tests (like angiography) based on your risk factors and clinical symptoms.

yes angiolasty is recommended to your father as there triple vessel disease and three arteries are blocked .

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