- male
- 27 Years
- 22/01/2025
I'm a 27-year-old male with a family background of heart issues, and I've been struggling with some concerns about my health. I smoke and drink daily and recently got my tests done where my lipid profile showed high LDL, TG, Hscrp, and Lpa levels. I saw a cardiologist four months ago, and after undergoing an ECG and Stress Echo, everything was normal. However, I often have bronchitis, and a few days ago, I caught a cold and have had allergies. Lately, I've been feeling this pressure in the middle of my chest and having trouble breathing, along with dizziness while walking, which has been going on for around 34 days. There's also this dragging sensation on my left front shoulder. I went for another ECG, and it was normal, but there's still pressure in my throat and chest, with palpitations and anxiety. Could this be heart-related, or is something else going on?
Answered by 1 Apollo Doctors
It sounds like you may be experiencing symptoms related to your heart health, especially considering your family history of heart problems and your high lipid profile. Given your symptoms of pressure in the middle of the chest, breathing difficulties, dizziness, and dragging sensation on the left front shoulder, it is important to take these symptoms seriously. Considering your risk factors and symptoms, it would be advisable to start taking a medication to manage your high LDL, TG, Hscrp, and Lp(a) levels. I recommend starting with a statin medication like Atorvastatin 20mg once daily to help lower your cholesterol levels and reduce the risk of heart-related issues. Additionally, to help with your symptoms of chest pressure, palpitations, and anxiety, you can take a medication like Metoprolol 25mg twice daily to help manage these symptoms and reduce the workload on your heart. It is important to follow up with your cardiologist for further evaluation and management, as they may consider additional tests or adjustments to your treatment plan based on your current symptoms and risk factors.
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm a bit concerned after my recent doctor visit. I had some left shoulder pain and my hands felt a bit numb after traveling, so I went to get checked out. The doctor had me do an ECG and mentioned that the QRS interval was 119ms, along with some other abnormalities, then suggested an echo just to be sure. The echo results seemed alright, showing no PAH or RWAH, and my LV systolic and diastolic function looks fine with an EF of 68. They didn't find any clots or vegetation, and the doctor said my echo is fine, but I'm still worried about the QRS interval on my ECG. Should I be looking deeper into this, or is it nothing too concerning?
The ECG report showing a QRS interval of 119ms may indicate a slight delay in the electrical conduction through the heart's lower chambers. This could be due to various reasons such as conduction abnormalities or certain heart conditions. However, since your screening echo came back normal with no significant findings, it is less likely to be a cause for concern. To alleviate your left shoulder pain and numbness in hands, you can take over-the-counter painkillers such as ibuprofen (e.g., Advil) at a dose of 400mg every 4-6 hours as needed for pain relief. Additionally, you can also consider using topical pain relief creams such as diclofenac gel for localized relief. It is always advisable to follow up with your doctor for further evaluation and management based on your individual health condition.
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I'm really concerned because I just found out I have a non-specific T wave abnormality and my blood pressure is pretty high. Is this something I should be worried about? Can I continue with my current treatment, or do I need to consider changing it?
Non specific T wave abnormality with high blood pressure can be concerning, as it may indicate underlying heart issues. It is important to monitor your blood pressure regularly and follow up with your healthcare provider for further evaluation. In terms of treatment, it would depend on your overall health condition and the specific medications you are currently taking. If you are already on medication for high blood pressure, your doctor may adjust the dosage or add additional medications to better control your blood pressure and reduce the risk of complications. It is important to follow your doctor's recommendations for treatment and lifestyle modifications to manage your condition effectively.
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I've been dealing with chest pain for about 8 months now, and even though I got checked out, they didnt find any issues with my heart. I tried taking Myospaz and Pan 40 for a week, but it didnt really help. The pain just keeps coming back regularly. What should I do next?
Ecg and cardiac markers are advised to the patient. Syrup sucralfate 10 ml orally ,thrice daily for 14 days and tab pan d ,before food for 14 days is also advised to the pt.
Answered by 1 Apollo Doctors
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