Question 1

I'm feeling pretty anxious because I recently had some chest pain and my doctor recommended a CT angiography. The report mentions something about a small segment of myocardial bridging in the mid LAD. I'm really worried about what this means. Is it a big deal? Should I rush to consult a specialist, or is this something that I can keep an eye on for now? Would really appreciate your thoughts on this.

Accepted Answer

Myocardial bridging is a condition where a segment of a coronary artery tunnels through the myocardium rather than resting on top of it. In most cases, myocardial bridging is considered a benign condition and does not require any specific treatment. However, in some cases, it can lead to symptoms such as chest pain, especially during physical exertion. In your case, since you are experiencing chest pain and have already been advised angiography, it would be best to follow up with a cardiologist. They can further evaluate your condition and determine if any additional treatment or monitoring is necessary. In the meantime, you can manage your symptoms with medications like beta-blockers or calcium channel blockers to help relieve chest pain.

Question 2

I'm feeling a tightness in my chest and it's like there's a squeezing sensation around my heart. My heart rate seems to be going really fast. I'm obese, about 5'4" and weigh 85 kg. My job is pretty sedentary because I'm at a desk all day, and I've had diabetes for about six months. Should I be worried about these symptoms?

Accepted Answer

"Chest tightness and squeezing sensation in the heart, along with a fast heartbeat, can be concerning symptoms, especially with a history of diabetes and obesity. These symptoms could indicate a heart problem and should be evaluated promptly. In this case, the individual may be experiencing a heart attack or angina. It is important to seek immediate medical attention. The individual may be prescribed medications such as aspirin, nitroglycerin, and beta-blockers like Metoprolol to help manage the symptoms and prevent further complications. The dosage and frequency of these medications will depend on the severity of the condition and should be determined by a healthcare professional."

Question 3

I've been experiencing a sharp pain on the left side of my chest for a few seconds when I'm exercising, like jumping or running. It's been happening since last week. I've had an ECG, 2D echo, and TMT done last month and everything came back normal. I also get gas pain in my chest. But this pain specifically seems to come in the morning while I'm working out. Should I be worried that this is something serious?

Accepted Answer

Based on your description, it is possible that the chest pain you are experiencing during exercise could be due to musculoskeletal causes or related to gas pain. Since your ECG, 2D echo, and TMT tests were normal, it is less likely to be related to your heart. To help alleviate the gas pain, you can try over-the-counter antacids like **Tums** (dosage: as directed on the package) to relieve gas and bloating. Additionally, for musculoskeletal chest pain, you can try taking **Ibuprofen** (dosage: 400mg-800mg every 6 hours as needed) for pain relief. However, if the chest pain persists or worsens, it is advisable to consult with your healthcare provider for further evaluation and management.

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