Question 1

I'm a 24-year-old male and I've been feeling this strong heartbeat when I'm sitting or lying down. It's like I can feel it in my stomach and chest for the past three days. I'm worried if this is something serious or just normal? A couple of months ago, I had some heart tests done like an ECG, echo, and TMT, and everything came back normal, including my lipid profile. But now my stomach seems to be moving with my heartbeat. Is this something I should be worried about?

Accepted Answer

based on your description and previous evaluations, it is possible that you are experiencing palpitations. Palpitations can be caused by various factors such as stress, anxiety, caffeine intake, or even certain medications. Since your heart evaluation tests were normal, it is less likely to be related to a serious heart condition. To help alleviate your symptoms, you can try reducing your caffeine intake, practicing stress-reducing techniques, and ensuring you are well-hydrated. In case the symptoms persist or worsen, you can consider taking a beta-blocker medication like Metoprolol 25mg once daily to help regulate your heart rate and reduce palpitations. However, if the symptoms persist or become more concerning, it is advisable to consult with your healthcare provider for further evaluation and management.

Question 2

I've been on high BP meds for about seven years. Initially, my BP was around 140100, and my doctor put me on olmetrack 20, but it didn't do much. After 2-3 years, they added nebicard 2.5 to the olmetrack, which helped, but my BP was still around 14095 or 13590 without any diet changes or exercise. Now, for the past month, I've started dieting and taking walks, and my BP has dropped to about 12075 to 11067. I'm wondering if this improvement is because of my lifestyle change. Do I still need both meds, or should I try stopping one to see how it affects my BP?

Accepted Answer

continue both the medications..

Question 3

I'm having these ongoing pressure-like pains in my chest, neck, and shoulder. It's really making me anxious, even though I had an echo and TMT just two months ago, and they were normal. My cardiologist said its not my heart, but I cant shake off the fear of possibly having a heart attack. What might be causing this pain, and how can I deal with this anxiety?

Accepted Answer

Since your cardiologist has already ruled out any heart-related issues with a normal echo and TMT two months ago, the pain may be due to musculoskeletal issues or other non-cardiac causes. To help alleviate your symptoms, you can try taking over-the-counter pain relievers like acetaminophen or ibuprofen for pain relief. Additionally, you can use muscle relaxants like Flexeril (cyclobenzaprine) to help with any muscle tension contributing to your discomfort. It's important to follow the recommended dosage instructions on the medication packaging. If the pain persists or worsens, consider consulting with a physician for further evaluation and management.

Can Atherosclerosis be reversed?

Various drugs, low fat diet and exercise can slow the effect of atherosclerosis but once a plaque is formed it is mostly not reversible. A person ahs to undergo procedures for removal of atherosclerotic plaque.

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