Question 1

I'm sometimes feeling my heart beating in my neck and it makes me panic a bit. I've done some tests like a blood test, ECG, and 2D Echo. My cholesterol is borderline, but both the ECG and Echo came out normal. So, why do I feel my heartbeat in my neck sometimes? Should I get more tests to check if there's something abnormal going on?

Accepted Answer

Feeling your heart beat in your neck can be due to various reasons such as anxiety, stress, or even dehydration. Since your ECG and 2D Echo results are normal, it is less likely to be related to any structural heart abnormalities. However, if you continue to experience this sensation, you may consider doing a Holter monitor test to monitor your heart rhythm continuously for 24-48 hours. This can help in detecting any irregular heartbeats that may not be captured during a standard ECG. Additionally, a stress test can also be considered to evaluate your heart's response to physical activity.

Question 2

I'm currently taking 50 mg of metoprolol succinate because I had high blood pressure around a month ago, with readings peaking at 150100. Lately, my 24-hour average blood pressure is about 11070, but every 5 to 6 days it suddenly spikes to 14090. Is this something normal, or should I think about adjusting my dose?

Accepted Answer

It's good to hear that your average blood pressure has improved with the current medication. Occasional spikes in blood pressure can happen despite treatment. In your case, since the spikes occur every 5 to 6 days, it may be worth discussing with your healthcare provider about potentially increasing the dose of metoprolol succinate to better control these spikes. An adjustment in dosage or adding another medication may be considered to maintain more stable blood pressure levels.

Question 3

I've been feeling really anxious about my heart lately because I keep having these palpitations and negative thoughts that something might be wrong. I'm 23 and my GP said my echo, ECG, and blood tests came back normal, so they think it's just anxiety and overthinking. But I'm still really worried. Is it possible there could still be an underlying heart issue, or should I trust the tests?

Accepted Answer

Yes, for a 23-year-old male, a normal echo, ECG, and blood test are usually sufficient to rule out major heart problems. Since your GP has already reassured you that your palpitations are likely due to anxiety and overthinking, you can trust their assessment. To help with your anxiety symptoms, you can take **Xanax (Alprazolam)** 0.25mg as needed. It is important to practice stress-reducing activities such as exercise, meditation, and deep breathing techniques.

Angioplasty is advised and cardiac opinion

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