- 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
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View allI'm really worried about my heart. I've been having heart palpitations for the past six months, and it's happened six times already. Just a few days ago, I woke up with my heart racing at 159 BPM. I went for an ECG, and the report said Sinus tachycardia with a heart rate of 139. My cardiologist said my ECHO 2d test was normal and prescribed me Cardarone 100mg and Petril Beta 10 for a month. But just two days ago, it happened again - I woke up with a rapid heartbeat of 125 BPM. I went for another ECG, and that one was normal, too. I even did a thyroid profile test, and it came back normal. When I'm trying to sleep, I can hear my heart pounding so loudly, and if I lie on my chest, it feels even worse. It's really uncomfortable. What should I do now? Should I stay on the medicine, or should I go in for more tests?
In your case, since you have already consulted a cardiologist and undergone tests like ECG and 2D ECHO which came out normal, the medications prescribed to you are appropriate for managing your symptoms. You should continue taking TAB Cardarone 100mg and Petril Bata 10 as prescribed by your doctor. TAB Cardarone helps in controlling irregular heartbeats, while Petril Bata helps in reducing anxiety which can sometimes exacerbate palpitations. If you are still experiencing discomfort and palpitations, you may consider discussing with your cardiologist about adjusting the dosage of the medications or exploring other treatment options. Additionally, you may benefit from lifestyle modifications such as reducing stress, avoiding stimulants like caffeine, and maintaining a healthy sleep routine to help manage your symptoms. It is important to follow up with your cardiologist regularly to monitor your condition and make any necessary adjustments to your treatment plan.
Answered by 1 Apollo Doctors
I'm really puzzled and a bit worried about what's been going on with me lately. Every time I try to catch some sleep, I get woken up by this chest pain and a rapid heartbeat. It's been happening for over a month now. Climbing stairs also brings on this uncomfortable chest feeling. I'm around 100 kg and on met XL and telmisartan for blood pressure. I had a Stress Echocardiogram and CT angiogram recently, and both came back normal. I also attached my last two ECGs for a reference. I've been reassured that this isn't cardiac pain, but it genuinely feels like angina to me. So I'm kind of confused and not sure whats going on. Could this still be related to my heart in some way, or maybe it's something else entirely?
It's good that your recent tests have come back normal, ruling out any cardiac issues. The symptoms you are experiencing could be due to acid reflux or GERD. I recommend trying over-the-counter medication like Omeprazole 20mg once daily before breakfast for 2 weeks. Additionally, you can try raising the head of your bed and avoiding heavy meals close to bedtime. If the symptoms persist, you may need to follow up with a gastroenterologist for further evaluation.
Answered by 1 Apollo Doctors
Which blood pressure medication is best for my high BP and angina pain? I'm kind of stuck because one doctor recommended Metoprolol and another suggested Amlodipine. I really want something that works well but doesn't have a lot of side effects. Can you help me figure out which one might be better?
For high blood pressure and angina pain, it is important to follow the advice of your healthcare providers. Both Metoprolol and Amlodipine are commonly used medications for these conditions. Metoprolol is a beta-blocker that helps lower blood pressure and reduce the workload on the heart, while Amlodipine is a calcium channel blocker that helps relax blood vessels. For proper relief and minimal side effects, a combination of both medications may be beneficial. You can consider taking Metoprolol (brand name: Lopressor) along with Amlodipine (brand name: Norvasc). The typical dosage for Metoprolol is 25-100 mg once or twice daily, and for Amlodipine, it is 5-10 mg once daily. Please consult with your healthcare provider to discuss the best treatment plan for your specific condition.
Answered by 1 Apollo Doctors
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