- Male
- 31 Years
- 22/01/2025
I'm dealing with diastolic dysfunction grade 1 and sinus tachycardia and I've been having episodes of chest pain on and off. Sometimes I can't sleep throughout the night because of it. What should I do?
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View allGreetings, doctors. I'm really worried about my heart. I'm 36, weigh 45 kg, and stand 5'4". I've been through countless tests like ECG, echo, TMT, and USG, and they all show I'm normal. Despite this, I'm terrified that I'll die of a heart attack. I witnessed my cousin's grandmother die from a heart issue right in front of me a couple of years ago, and ever since, Ive been living in fear. Because of this fear, my heart's always palpitating, I have difficulty breathing, feel dizzy, and get chest pains sometimes. Even when I had palpitations, my ECG showed normal at 116 bpm. My blood pressure is also steady, usually at 12080 or 70. It's scary, and I've even quit my job over this stress. All my tests like thyroid, KFT, lipid, vitamins, and LFT are also normal. Should I consider coronary angiography or maybe something else? I'm just feeling lost and need guidance, please.
It sounds like you are experiencing a lot of anxiety and fear related to your heart health. Given your age, weight, and the normal test results you have mentioned, it is less likely that you have a serious heart condition. The symptoms you are describing, such as palpitations, difficulty breathing, dizziness, and chest pain, could be related to anxiety and panic attacks. To help alleviate your fears and symptoms, I recommend trying a medication called **Propranolol**. It is a beta-blocker that can help with palpitations, chest pain, and anxiety. You can start with a low dose of **10mg** once a day and gradually increase it as needed under medical supervision. In addition to medication, it would be beneficial for you to seek counseling or therapy to address the underlying anxiety and fear you are experiencing. **Sertraline** is an antidepressant that can also help with anxiety. You can start with a dose of **25mg** daily and adjust as needed. Remember to practice relaxation techniques, such as deep breathing exercises and mindfulness, to help manage your anxiety symptoms. It is important to take care of your mental health as well as your physical health. If your symptoms persist or worsen, do not hesitate to follow up with a healthcare provider for further evaluation and support.
Answered by 1 Apollo Doctors
I've been having chest pain for the last 10 days and I'm really concerned because both my ECG and 2D Echo results came back normal. They mentioned something about PAH and mild TR. Could you please suggest what kind of medication or next steps I should consider?
Echo suggestive of tricuspid regurgitation , hence cardiologist opinion is advised for further management of the patient.
Answered by 1 Apollo Doctors
I've done all the tests like an ECG, echo, and TMT, and they all came back normal, but I've been having this pain on my left side of the chest for a month now. I'm worried because it feels like it might be leading up to a heart attack. Could it still be something heart-related even if the tests were okay?
Since your ECG, echo, and TMT results are normal, your chest pain may not be related to a heart attack. However, it is important to further evaluate the cause of your chest pain. You can try taking a pain reliever like acetaminophen (Tylenol) 500mg as needed for the chest pain. If the pain persists or worsens, you may consider taking an antacid like omeprazole (Prilosec) 20mg once a day to see if it helps with the pain. Additionally, practicing relaxation techniques and stress management may also be beneficial.
Answered by 1 Apollo Doctors
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