- 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?
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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View allI'm really worried about my health lately. I've been dealing with diabetes and high blood pressure for a year now. Last October, I went through some tests like an echo, and everything seemed normal except for some grade 1 diastolic dysfunction. The TMT was negative, and my ECG looked okay. But I'm still having chest pain and pain in my left hand every week, and my heart sometimes races to 150160 bpm, with blood pressure at 180110. I even feel like passing out once a month. I've got pain in my chest, left hand, and jaw too. The doctor said last year that it wasn't a cardiac issue, but I can't shake off these symptoms. Without my blood pressure meds, my blood pressure spikes to 170110 and my heartbeat to 130. I'm currently on metoprolol, talmisartan, and vildapride. Its been seven months since those tests; should I go for another echo or TMT? Ive attached my last years reports and recent ECG too. What do you think?
Based on your history and symptoms, it would be advisable to undergo a repeat echocardiogram and stress test (TMT) to assess your heart function and rule out any cardiac issues. Considering your persistent symptoms and the changes in your blood pressure and heart rate, it is crucial to ensure that your current medications are effectively controlling your conditions. In addition to your current medications (metoprolol 50mg twice a day, telmisartan 40mg twice a day, and vildagliptin-metformin 50500mg twice a day), your healthcare provider may need to adjust the dosages or consider adding other medications to better manage your blood pressure and heart rate. Please follow up with your healthcare provider for a thorough evaluation, including a repeat echocardiogram and stress test, to determine the underlying cause of your symptoms and to optimize your treatment plan. Regular monitoring and follow-up are essential in managing your diabetes, hypertension, and cardiac symptoms.
Answered by 1 Apollo Doctors
I'm a 27-year-old female and my heart rate seems unusually high, usually over 100, sometimes even reaching 130 beats per minute, even when I'm resting. All my tests, like Spo2, ESR, vitamin levels, thyroid, lipid, and many more have come back normal, including the NT-proBNP. But I just can't shake off this feeling of worry about my heart. The doctors didn't seem to focus much on the heartbeats, though, and asked me to get an MRI spine for my pain. I often experience upper back pain, a heavy feeling in my head, shortness of breath, and sometimes pain in my left breast and shoulder blade. It's less when I'm in bed but gets severe when I'm sitting or working. With my heart rate always on the high side at my age, is this something to be concerned about? Also, why did my doctor order an MRI and not more heart-related tests?
While your symptoms are concerning, its reassuring that you've had normal cardiac markers and blood work, which likely rules out serious heart conditions. However, continued monitoring and further tests will help you get to the root cause.
Answered by 1 Apollo Doctors
I'm really worried because I've been having chest pain for a few weeks now. Sometimes it spreads to my left arm and upper back, which is really scary. I've noticed that my heart's been beating really fast a couple of times this month, and when that happens, I start sweating and feel hot all over. I actually thought I might be having a heart attack. I went ahead and had an ECG done, and it says sinus tachycardia and nonspecific t abnormalities in the inferior leads. Should I be concerned about this? Also, I've taken medication for depression beforecould that be connected somehow?
sinus tachycardia in ecg , u need to take treatment for that which includes betablockers ,calcium channel blockers,cardiac opinion is advised
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.