Question 1

I'm a bit worried because I've been experiencing palpitations and when I took an ECG, it showed sinus tachycardia. My 2D echo test came back normal, so my doctor prescribed Betacap TR 20mg. After a week of taking it, the follow-up ECG was normal. Can you explain what sinus tachycardia is? Should I be concerned about any heart-related issues? I've also been dealing with anxiety for the past six months. I've attached my ECGs. Can you take a look and let me know what's going on? I'm really worried about my health.

Accepted Answer

Sinus tachycardia is a condition where the heart beats at a faster rate than normal, typically over 100 beats per minute. It is usually a normal response to stress, exercise, or certain medications. In your case, since your 2d echo test was normal and your follow-up ECG was also normal after taking Betacap TR 20mg, there is likely nothing to worry about. Betacap TR 20mg is a brand name for Propranolol, which is a beta-blocker medication that helps to slow down the heart rate and reduce palpitations. For your anxiety, you can continue taking Betacap TR 20mg as prescribed by your doctor. Additionally, you may benefit from therapy or relaxation techniques to help manage your anxiety symptoms. Overall, it seems like your heart is healthy and the medication is helping with your symptoms. Keep following up with your doctor for further guidance and monitoring.

Question 2

I've been noticing this feeling of palpitations or a flickering sensation in my chest about two or three times a day, and it lasts between 5 to 10 seconds. I had some tests done, like an ECG, an echo, and a TMT, and they all came back normal. Should I be worried about this, or is this something that can happen even if those tests are alright? Is there anything else I should consider or do?

Accepted Answer

Experiencing palpitations or flickering in the chest for brief periods, despite normal ECG, echo, and TMT results, is often benign and can be related to factors such as stress, caffeine intake, anxiety, or hormonal fluctuations. While these sensations can be unsettling, they are usually not a cause for concern if cardiac tests are normal. To manage these symptoms, consider reducing caffeine and alcohol intake, practicing stress-relief techniques such as mindfulness or yoga, and ensuring adequate hydration and sleep. If the palpitations persist or worsen, consult your healthcare provider for further evaluation and to discuss additional monitoring, such as a Holter monitor, to capture intermittent episodes.

Question 3

I'm feeling a bit worried because I did ECG, echo, TMT, and a CT angiography back in November 2021, and everything turned out normal back then. But now I'm dealing with chest pain again from time to time, and I've got some acidity issues too. I'm wondering, is it necessary for me to repeat those tests? If so, how long should I wait before doing them again?

Accepted Answer

In your case, since you are experiencing chest pain again along with acidity issues, it would be advisable to consult with your doctor for further evaluation. The doctor may recommend medications to manage your acidity and chest pain symptoms. For acidity, you can take antacids like Omeprazole 20mg once a day before breakfast. For chest pain, you can take Paracetamol 500mg as needed for pain relief. If the symptoms persist or worsen, a follow-up with your doctor may be necessary for a reassessment.

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