Question 1

I'm 29 and since 2018, I've been experiencing skipped or missed heartbeats, which make me feel really uneasy. In 2019, I had an ECG, an echo, and a TMT done, and they didn't find anything. Recently, I've had two more ECGs and still nothing showed up. The doctor prescribed ivabradine and some anxiety medicine. I also discovered I have hyperthyroidism. I got some relief, but the symptoms have started again, and I'm really scared and worried that something serious is going on. Can you help me figure out what's happening and where I should go to find out the exact cause?

Accepted Answer

It's understandable to feel anxious and concerned about your symptoms. Skipped or missed heartbeats, known as palpitations, can be distressing but are often benign, especially with normal ECG, echo, and TMT results. Hyperthyroidism can contribute to palpitations and should be managed effectively. Since you have already been prescribed ivabradine and an anxiety medication, it's important to continue following your doctor's advice and taking your medications as directed.

Given your ongoing symptoms and anxiety, it might be beneficial to seek a comprehensive evaluation at a specialized center, such as a tertiary care hospital with a cardiology and endocrinology department. They can conduct further tests, such as a Holter monitor to track your heart rhythms over 24-48 hours, and refine your treatment plan.

Additionally, managing anxiety through therapy, relaxation techniques, and lifestyle changes can also help alleviate your symptoms. Please consult with your healthcare provider to discuss your concerns and consider a referral to a specialist if needed.

Question 2

I'm 29 and feeling anxious about the possibility of having a heart attack. My blood pressure and blood sugar levels are normal, my TSH is normal too, I have no bad habits, and I weigh 55 kg. Is it still possible for me to have a heart attack?

Accepted Answer

It is uncommon for someone with your profile to have a heart attack at such a young age. However, there are other factors that can contribute to heart attacks, such as family history, cholesterol levels, and overall lifestyle. It is important to continue monitoring your health and consider regular check-ups with your doctor to assess your overall cardiovascular risk.

Question 3

I'm 21 and I've noticed my blood pressure readings are a bit all over the place. It was 149 over 78 at one point, and then it changed to 109 over 70. My pulse rate also jumps around from 110 to 72. I'm a bit worried and wondering if there's an issue ...

Accepted Answer

See a specialist for accurate diagnosis and targeted treatment.

Question 4

I'm really worried because my ECG report says "old lateral infarct sinus rhythm." I'm not sure what that means exactly. Could you help me understand it? Should I be concerned or take any specific actions?

Accepted Answer

The ECG report indicating an old lateral infarct means that there was a previous heart attack that affected the lateral (side) part of the heart. Sinus rhythm refers to the normal heart rhythm. It is important to follow up with your healthcare provider for further evaluation and management. In the meantime, you may be prescribed medications like Aspirin and Clopidogrel to prevent blood clots, as well as a beta-blocker like Metoprolol to reduce the workload on the heart. It is also important to make lifestyle changes such as following a heart-healthy diet, exercising regularly, and avoiding smoking.

Question 5

I've been dealing with low blood pressure, and whenever I'm lying down, it drops to around 90 over 55. It's pretty unsettling because I feel lightheaded when that happens. I've tried drinking saltwater and coffee, but it doesn't seem to help much. I'...

Accepted Answer

Low blood pressure can indeed lead to symptoms like lightheadedness, especially when changing positions. To help manage your low blood pressure, you can try increasing your salt intake and staying hydrated. Additionally, wearing compression stockings can help improve blood flow. In terms of medication, you can consider taking Midodrine to help raise your blood pressure. It is important to monitor your blood pressure regularly and consult with your healthcare provider for proper management.

Question 6

I'm really worried because my father recently had a heart attack on June 4th, and the doctor said he needs a CT angiography. The report came back saying his right arteries are blocked by 100%, 90%, and 70%. I'm not sure what we should do next. Could ...

Accepted Answer

Based on the CT angiography report showing significant blockages in the right arteries, the next step would be to consult with a cardiac surgeon for a coronary artery bypass graft (CABG) surgery. The surgery involves using a healthy blood vessel from another part of the body to bypass the blocked arteries and improve blood flow to the heart. As for the approximate cost of bypass surgery, it can vary depending on the hospital, location, and specific circumstances of the surgery. On average, the cost of CABG surgery can range from $20,000 to $50,000 or more. It is recommended to consult with the hospital or healthcare provider for a more accurate estimate based on your father's condition and the chosen medical facility.

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Related Questions

I'm 29 and feeling anxious about the possibility of having a heart attack. My blood pressure and blood sugar levels are normal, my TSH is normal too, I have no bad habits, and I weigh 55 kg. Is it still possible for me to have a heart attack?

I'm 21 and I've noticed my blood pressure readings are a bit all over the place. It was 149 over 78 at one point, and then it changed to 109 over 70. My pulse rate also jumps around from 110 to 72. I'm a bit worried and wondering if there's an issue ...

I'm really worried because my ECG report says "old lateral infarct sinus rhythm." I'm not sure what that means exactly. Could you help me understand it? Should I be concerned or take any specific actions?

I've been dealing with low blood pressure, and whenever I'm lying down, it drops to around 90 over 55. It's pretty unsettling because I feel lightheaded when that happens. I've tried drinking saltwater and coffee, but it doesn't seem to help much. I'...

I'm really worried because my father recently had a heart attack on June 4th, and the doctor said he needs a CT angiography. The report came back saying his right arteries are blocked by 100%, 90%, and 70%. I'm not sure what we should do next. Could ...

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