- male
- 39 Years
- 20/02/2025
I'm a 39-year-old guy and I used to do a lot of sports about 20 years ago. Last May, I had an angiogram that showed a myocardial bridge in my mid LAD, causing 30% systolic narrowing. The doctor said it's nothing serious and pretty normal, but sometimes I still get chest pain and it even goes down my left arm. This pain usually kicks in during the evening and can last through the night. It's weird because it happens in phases, like I'll have it for about 10 days, then it'll disappear for a month or so, only to come back again. I went to see a gastroenterologist too and they think I might have GERD. I had an upper GI endoscopy and they found an H. Pylori infection, so they put me on pantoprazole. That helped a bit, but I still get the chest pain sometimes. I'm anxious a lot, and the doctors mentioned that might be making both the pain and the GERD worse. The heart doctors say the angiogram was normal and that's the gold standard, so they're not worried. I've started exercising, doing yoga, changed my diet, and managed to lose about 5kg. I even cut down on smoking to just one cigarette a day. What do you think might be going on here with this recurring pain?
Answered by 1 Apollo Doctors
You are doing great and no need to worry continue the same and have a regular follow up with your doctor
Dr. Anshul Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0

More Cardiology Health Queries
View allI'm 25 and have been having trouble breathing for about 6 months now. I got a 2D echo done, and it says I have mitral valve prolapse with mild mitral regurgitation and type 1 diastolic dysfunction. How serious is this, and is there a chance it could get worse over the next few years?
no u continue medicine
Answered by 1 Apollo Doctors
I've been feeling palpitations at night, and I'm a bit worried about it. My triglycerides level was 209, but my 2D Echo and ECG came back normal. My thyroid levels are also within limits. I don't feel any pain, just these palpitations. What could be causing them, and should I be concerned?
It's good that you have already done some tests to rule out any serious issues. Palpitations can sometimes be caused by anxiety or stress. However, since you are still experiencing them, it's important to consider other factors. One common cause of palpitations is caffeine intake. Try to reduce your caffeine consumption, especially in the afternoon and evening. Additionally, make sure you are staying hydrated and getting enough sleep. If the palpitations persist, you can try taking a beta-blocker like Metoprolol 25mg once daily to help control your heart rate. If the symptoms continue, it's best to follow up with your doctor for further evaluation.
Answered by 1 Apollo Doctors
I'm really worried because my heart rate seems to shoot up when I'm stressed. Sometimes it even hits between 160 to 180 bpm. What can I do to get it back to normal? Any tips on how to reduce my heartbeat when this happens?
Increased heart rate due to tension can be concerning. To help reduce your heart rate, you can try deep breathing exercises and relaxation techniques. Additionally, you can take a beta-blocker medication like Metoprolol at a starting dose of 25mg once daily. It can help lower your heart rate and reduce the effects of adrenaline on your heart. However, it is important to consult with a healthcare professional before starting any new medication.
Answered by 1 Apollo Doctors
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.




