Question 1

I'm really worried because every time I feel stressed, I get chest pain and end up panicking. I rush to get an ECG and 2D echo done, but it's always normal, which is honestly exhausting. I'm scared it's something serious like a heart attack, but then the tests say otherwise. What should I do? Any advice would be appreciated.

Accepted Answer

To help manage your symptoms, you can try taking a medication called **Propranolol**. This is a beta-blocker that can help reduce the physical symptoms of anxiety, such as chest pain and palpitations. The usual dosage for Propranolol in such cases is 20-40mg taken 2-3 times a day. Additionally, you may benefit from an anxiolytic medication such as **Lorazepam** to help with acute episodes of anxiety and panic. The typical dosage for Lorazepam is 0.5-2mg taken as needed for anxiety symptoms. It's important to also consider non-pharmacological approaches to managing stress, such as relaxation techniques, deep breathing exercises, regular physical activity, and seeking support from a therapist or counselor. Remember to consult with your healthcare provider before starting any new medication.

Question 2

I'm noticing my heart rate hits around 100 to 120 during the day but drops to 80 to 90 while I'm asleep. I had an ECG done, and it showed sinus tachycardia, but the echo and thyroid results came back normal. What should I do next?

Accepted Answer

Given your heart rate of 100-120 during the day and 80-90 at night, along with an ECG showing sinus tachycardia and normal echo and thyroid reports, its important to explore other potential causes. The next steps could include:

1. Holter Monitor: Wearing a Holter monitor for 24-48 hours can provide detailed information on your heart rate and rhythm throughout the day and night.
2. Electrolyte Levels: Blood tests to check for electrolyte imbalances that may affect heart rate.
3. Lifestyle Factors: Evaluate and address lifestyle factors such as caffeine intake, stress, anxiety, and physical activity levels, which can all influence heart rate.
4. Autonomic Function Tests: Assess autonomic nervous system function to rule out conditions like POTS (postural orthostatic tachycardia syndrome).

Consult with your healthcare provider to discuss these options and determine the appropriate next steps for further evaluation and management.

Question 3

My mom's blood pressure is at 19590 and I gave her Stamlo 5. It has lowered to 17588, but won't seem to go down any more. Should I give her another dose of Stamlo 5? I'm really worried about her.

Accepted Answer

no , don't giveanother dose consult physician

When should we check BP?

The first measurement should be in the morning before eating or taking any medications, and the second in the evening.

More Cardiology Health Queries

I'm noticing my heart rate hits around 100 to 120 during the day but drops to 80 to 90 while I'm asleep. I had an ECG done, and it showed sinus tachycardia, but the echo and thyroid results came back normal. What should I do next?

My mom's blood pressure is at 19590 and I gave her Stamlo 5. It has lowered to 17588, but won't seem to go down any more. Should I give her another dose of Stamlo 5? I'm really worried about her.

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