Question 1

I'm a 39-year-old guy and I used to do a lot of sports about 20 years ago. Last May, I had an angiogram that showed a myocardial bridge in my mid LAD, causing 30% systolic narrowing. The doctor said it's nothing serious and pretty normal, but sometimes I still get chest pain and it even goes down my left arm. This pain usually kicks in during the evening and can last through the night. It's weird because it happens in phases, like I'll have it for about 10 days, then it'll disappear for a month or so, only to come back again. I went to see a gastroenterologist too and they think I might have GERD. I had an upper GI endoscopy and they found an H. Pylori infection, so they put me on pantoprazole. That helped a bit, but I still get the chest pain sometimes. I'm anxious a lot, and the doctors mentioned that might be making both the pain and the GERD worse. The heart doctors say the angiogram was normal and that's the gold standard, so they're not worried. I've started exercising, doing yoga, changed my diet, and managed to lose about 5kg. I even cut down on smoking to just one cigarette a day. What do you think might be going on here with this recurring pain?

Accepted Answer

You are doing great and no need to worry continue the same and have a regular follow up with your doctor

Question 2

I'm looking for some advice. My husband, who's 29 and weighs around 92 kg, has been feeling a pinching sensation in his chest and some pain in his left arm for about 45 days now. He's a non-smoker, drinks occasionally, and his parents both had heart attacks before. Our cardio doctor suggested a CT coronary angio test, which is non-invasive. About six months ago, he had episodes of increased heartbeats, anxiety, and sweating, and we did a bunch of tests like the 2D Echo Doppler, TMT, and trop T, which all came back normal in September 2018. I'm wondering if this is a good step to take to get more clarity on what's happening with him. Are there any side effects from this test we should be aware of, and is there anything specific we should do to prepare before he takes the test?

Accepted Answer

Thats unusual,visit General Physician for appropriate approach.and maintain balanced diet and healthy lifestyle

Question 3

I'm a bit confused and worried about my latest ECG results. It showed a borderline and incomplete right bundle branch block. This wasn't even brought up when I went to the ER; I only noticed it when I looked at my test results later. Should I be concerned about it? What does it really mean for my health?

Accepted Answer

yes it is a concern immediate cardiologist opinion is required.

My dad's been having this ongoing chest and left-hand pain for about a month now. He saw a doctor who said it was some kind of gastro issue, and the meds worked while he was on them. But ever since he finished the course, the pain's come back. What could be going on and what should we do next?

do ECG to rule out

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