- Male
- 39 Years
- 22/01/2025
Why do I get this pain in my chest on the left side when I climb stairs or even shout? I've done all the tests like ECG, Echo, TMT, and CT angio, and they all came back normal. The CT showed no blockage but mentioned deep myocardial bridges. My cardiologist says it's not angina or heart disease but put me on Beta lock 0.25 twice a day. Anytime I get startled awake or shout when I'm angry, the pain starts again, spreading to my left back, arms, and neck. It's so confusing because the doc says it's nothing serious, but the pain keeps coming back and it's worrisome. Do you have any idea what might be going on?
Answered by 1 Apollo Doctors
It sounds like you may be experiencing symptoms of anxiety or panic attacks, which can manifest as chest pain and other physical symptoms. The Beta Block medication prescribed by your cardiologist can help manage these symptoms by reducing the effects of adrenaline on your body. In addition to the medication, it may be helpful to practice stress-reducing techniques such as deep breathing exercises, mindfulness, and regular physical activity. If these symptoms persist or worsen, it would be advisable to follow up with your cardiologist for further evaluation and possibly a referral to a mental health professional for additional support. Remember to take your Beta Block medication as prescribed and try to incorporate stress management techniques into your daily routine to help alleviate your symptoms.
Dr. Ibrahim Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
More Cardiology Health Queries
View allI'm having some trouble with mild heart palpitations and anxiety, so my cardiologist put me on Telma 40 and propranolol 40 mg. The good news is my palpitations and angina are gone since starting propranolol, but now I'm experiencing some erection issues. I'm wondering, could I switch from propranolol to Nevivolol? Or would it be okay to take tadalafil along with the propranolol? Could you give me some advice on these two options?
1. Instead of Propranolol 40 mg, you can use Nebivolol. The recommended dosage for Nebivolol is 5 mg to 10 mg once daily. It is also effective in managing heart palpitations and anxiety, with a lower risk of causing erectile dysfunction compared to Propranolol. 2. You can take Tadalafil with Propranolol, but it is important to consult with your cardiologist or healthcare provider before combining these medications. Tadalafil is used to treat erectile dysfunction, and the combination with Propranolol may help alleviate the erection problem you are experiencing. The usual starting dose of Tadalafil is 10 mg taken prior to anticipated sexual activity, with a maximum frequency of once per day.
Answered by 1 Apollo Doctors
I'm really worried because even though I had an ECG, Echo, and a chest X-ray done about three months ago and they all showed normal results, including my SPO2 and pulse rate, I'm still experiencing pain in my left chest and left hand regularly for the past 6 to 7 months. The ECG did mention sinus tachycardia with sinus arrhythmia and a low T wave in V6. I also had Bell's palsy about a year ago but have completely recovered since then. Could all of this be connected somehow? What should I do next?
Given that your recent ECG, Echocardiogram, and chest X-ray were normal but you are still experiencing persistent left chest and hand pain, it is crucial to further investigate the cause of your symptoms. Sinus tachycardia and sinus arrhythmia noted on your ECG can sometimes be benign, but persistent pain warrants further evaluation. You should follow up with a cardiologist for a thorough review, and they may recommend additional tests like a stress test or Holter monitoring. Additionally, it might be beneficial to consider non-cardiac causes of your pain such as musculoskeletal issues or gastrointestinal problems like acid reflux. Managing stress and anxiety can also help alleviate symptoms. Please ensure you consult your healthcare provider to explore these options and manage your symptoms effectively.
Answered by 1 Apollo Doctors
I've been having chest pains and I'm super worried it might be related to my heart even though all my tests like ECG, echo, TMT, and chest X-ray came back normal. The fear started after the pandemic and now I'm constantly thinking about "what if" something's wrong. I've had heart palpitations about 10-15 times and even small muscle pains make me anxious about having a heart attack. What can I do about this constant fear? Do you think there's a chance I might really have heart issues? My last echo and TMT were 10 months ago and the most recent ECG was 20 days ago, all normal. Would love any advice or insight.
It sounds like you are experiencing a lot of anxiety and fear related to your heart health, especially since the COVID-19 pandemic. Despite multiple tests showing normal results, you are still worried about having a heart attack. It is important to address your anxiety and stress levels in order to overcome these persistent fears. One approach to consider is seeking therapy or counseling to help manage your anxiety and fears related to your heart health. Additionally, practicing relaxation techniques such as deep breathing, meditation, or yoga may also be beneficial in reducing stress and anxiety. In terms of medication, you can consider taking an anxiolytic medication such as lorazepam (Ativan) as needed for acute episodes of anxiety or panic attacks. The usual dosage is 0.5-2 mg taken orally 2-3 times a day as needed. It is also important to maintain a healthy lifestyle by eating a balanced diet, engaging in regular physical activity, and getting an adequate amount of sleep. These lifestyle changes can contribute to overall well-being and may help alleviate some of your anxiety symptoms. Remember, it is essential to address your mental health concerns in addition to your physical health. If you continue to experience persistent anxiety and fear despite normal test results, consider consulting with a mental health professional for further evaluation and support.
Answered by 1 Apollo Doctors
Health Articles for you
View all
Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.