Question 1

I'm really worried because a couple of months ago, I had some chest pain and when they did an ECG, it showed slight ST elevation in V3 and V4. The cardiologist I saw said it wasnt heart-related, but just to be sure, he had me do a TMT, and that turned out negative. Now, I had chest pain again and went to the hospital. They did another ECG that showed sinus rhythm with sinus arrhythmia and ST elevation, possibly early repolarization with normally inflected T wave, and called it a borderline ECG. Should I be concerned about something serious going on here?

Accepted Answer

"Based on your description, it seems like you are experiencing chest pain with some concerning ECG findings. The ST elevation in V3 and V4 from the previous ECG, along with the ST elevation and early repolarization in the recent ECG, can be worrisome. However, since your cardiologist has already ruled out any significant heart issues with a negative TMT, it is less likely to be related to your heart. The presence of sinus rhythm with sinus arrhythmia indicates normal heart rhythm variation, which is usually not concerning. Early repolarization with borderline ECG findings can sometimes be a normal variant in young, healthy individuals. To address your chest pain and ECG findings, your doctor may consider monitoring your symptoms, lifestyle modifications, and possibly medication. In case of persistent or worsening symptoms, further evaluation or consultation with a cardiologist may be necessary. For symptomatic relief of chest pain, you can consider taking over-the-counter pain relievers like acetaminophen. However, it is important to follow up with your healthcare provider for a proper evaluation and management plan."

Question 2

I've been having this discomfort in my left arm and shoulder that doesn't get worse when I exercise, and resting doesn't seem to help either. Plus, I've been experiencing sudden breathing difficulties along with sweating every couple of evenings, and it's really exhausting, but strangely, no chest pain like a heart attack. These symptoms were there about a year ago but felt less frequent. Now, it's been more than a month and it's happening more often. A year back, my ECG, ECHO, TMT, and Holter tests came back normal, along with normal TSH, lipid profile, vitamin D levels, etc. The doctor thinks it might be panic attacks, but why do I still have this persistent arm pain? If it was a heart issue, shouldn't there have been complications by now? What do you think I should do?

Accepted Answer

Persistent discomfort in your left arm and shoulder, along with symptoms like sudden breathing difficulties, sweating, and exhaustion, can be concerning. While it's reassuring that your ECG, ECHO, TMT, and Holter tests were normal, and your doctor suggested panic attacks, persistent and worsening symptoms warrant further evaluation. It's important to follow up with your healthcare provider to reassess your condition and rule out other potential causes, such as musculoskeletal issues, nerve compression, or even conditions like GERD or anxiety disorders. Discuss your ongoing concerns with your doctor to ensure a comprehensive evaluation and appropriate management plan.

Question 3

Ive been feeling my heartbeat quite strongly when I lie down, especially after eating, like 23 hours later. It happens at night too when Im lying down. I had an ECG and echo, and they were normal, though the ECG did show sinus tachycardia. Also, my thyroid test came back normal. What should I do next?

Accepted Answer

That could be due to anxiety visit Psychaitrist for appropriate management

Does your body warn you before a heart attack?

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