apollo
  • Male
  • 26 Years
  • 22/01/2025

I'm 26 and a few months back, I had a fever that went away in a week. Then, out of nowhere, my heart rate shot up to 144 bpm, and I felt like there was an air bubble in my chest. I got an ECG done, which showed minor ST and T wave abnormalities, and I'm attaching it here. Now and then, I still get these episodes. While my 2D echo and blood pressure are normal, I've been dealing with random chest pains that last just a secondsometimes on the right and then on the left. My stomach feels upset too, and I get really gassy during these times. I'm confused about what might be causing these ECG changes. Curiously, I never feel chest pain when jogging or exercising, only when I'm at rest. Different doctors have told me different things; some say it's normal, and others think it might be gas. What's really going on here? Should I be worried about these ECG changes?

Doctor 1

Answered by 1 Apollo Doctors

The symptoms you are experiencing, along with the ECG changes showing minor ST and T wave abnormality, could be indicative of a condition called Premature Ventricular Contractions (PVCs). PVCs are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). They may feel like a fluttering or a flip-flop in your chest. The sensation can be triggered by certain activities, emotions, or medications. To help manage your symptoms and reduce the occurrence of PVCs, you can try taking over-the-counter medication such as Propranolol (Inderal) at a dosage of 10-30 mg three to four times a day. This medication can help regulate your heart rate and reduce the frequency of PVCs. Additionally, you can try to reduce stress and anxiety through relaxation techniques such as deep breathing exercises or yoga. It is important to follow up with a cardiologist for further evaluation and management. They may recommend additional tests such as a Holter monitor or an event monitor to capture your heart's activity over an extended period. This will help determine the underlying cause of your symptoms and guide appropriate treatment. In the meantime, try to avoid triggers such as caffeine, alcohol, and tobacco, which can exacerbate PVCs. Stay hydrated, maintain a healthy diet, and get regular exercise to support your heart health. If you experience severe chest pain, dizziness, or fainting spells, seek immediate medical attention.

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm feeling really anxious because my heartbeat keeps increasing suddenly, and I get this chest pain. I had an echo test, and it came back normal. I also did Holter monitoring, which showed my maximum heart rate was 141, the minimum was 59, and the average was 80. What could be going on with me, and what should I do next?

Your symptoms of increased heartbeat, ghabrahat (anxiety), and chest pain could be due to anxiety or a heart condition. Since your echo and halter monitoring results are normal, it is less likely to be a serious heart issue. To manage your symptoms, you can try taking a beta-blocker medication like Metoprolol (brand name: Lopressor) at a low dose of 25mg once daily. This can help control your heart rate and reduce the feelings of palpitations and chest pain. Additionally, practicing relaxation techniques such as deep breathing exercises, yoga, or meditation can also help alleviate anxiety symptoms. It is important to stay hydrated, get regular exercise, and maintain a healthy diet to support your overall heart health. If your symptoms persist or worsen, it is advisable to follow up with your healthcare provider for further evaluation and management.

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I'm really worried because I've been having this chest pain for the last 40 days. It used to be constant, but now it just comes and goes. I feel this heaviness in my left chest, and then it moves to the right. Sometimes there's this sharp pinch that lasts like two seconds, and I'm also burping a lot when I sit down. I've already done an ECG, which I've attached. Can you give me any advice or suggest any medication?

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