Question 1

I'm dealing with severe anxiety and depression symptoms for the past few years, and I've had a couple of panic attacks. Now I'm seeing some ECG changes, but my Troponin levels are within normal limits. Both my ECHO and Angiography came out normal. Does this mean my heart is okay? Is it safe for me to do intense exercise? Sometimes I feel a sharp pain in my chest area that only lasts for a few seconds and goes away quickly. Any idea why my ECG has changed? What can I do about feeling weak all the time? And it's weird, but my feet are always cold. Any thoughts on what's going on?

Accepted Answer

The ECG changes could be related to your anxiety and panic attacks, but it's important to monitor them closely. To address the sharp pain in your heart area, you can take a low dose of a beta-blocker like Metoprolol (25-50mg) as needed for chest pain relief. For your weakness, you can try taking a daily dose of a multivitamin like Centrum to ensure you're getting essential nutrients. Cold feet can be improved by wearing warm socks and keeping your feet elevated when possible. Regular exercise is beneficial for anxiety and depression, but start with low to moderate intensity workouts and gradually increase the intensity based on your tolerance.

Question 2

I'm really concerned about my wife's health. Last night, her resting heart rate on the wrist was showing 5257 while she was sleeping. This morning, I checked her blood pressure with our digital home monitor and it was 95 over 86, with a heart rate of...

Accepted Answer

A resting heart rate of 52-57 beats per minute is considered normal for some individuals, especially athletes or those who are physically fit. A blood pressure reading of 9586 mmHg is slightly lower than the normal range, but if your wife is not experiencing any symptoms such as dizziness, lightheadedness, or fainting, it may not be a cause for concern. The heart rate of 65 beats per minute is also within the normal range. Home blood pressure monitors can be reliable if used correctly. Make sure to follow the instructions provided with the device, such as positioning the cuff at heart level and ensuring it is the right size for your wife's arm. If your wife is otherwise healthy and not experiencing any symptoms, these readings may not be alarming. However, it is always a good idea to consult with a healthcare professional for a proper evaluation and personalized advice based on her medical history and overall health status.

Question 3

I've been dealing with some serious chest pain for the last five months, and along with that, I've been feeling really weak and fatigued. My stamina has dropped a lot, and I get tired super quickly. On top of that, my heart races really fast. My rest...

Accepted Answer

Based on your symptoms and heart rate response to physical activity, it is important to rule out any underlying heart condition. You may be experiencing symptoms of angina or heart failure. I recommend you start taking a beta-blocker medication like Metoprolol (50mg) to help lower your heart rate and reduce chest pain. Additionally, you should also take a blood thinner like Aspirin (75mg) to prevent blood clots. It is important to follow up with a cardiologist for further evaluation and management.

Question 4

I've been having this back pain that shoots down to my hands and chest. I had a TMT done on 20th February 2022, and it came out negative. But I'm worried because I'm feeling the pain again today, and my doctor advised an ECG. If my TMT was normal, do...

Accepted Answer

If you have already undergone a TMT which was normal, and you are experiencing chest pain again, it is still important to have an ECG done to check for any acute changes in your heart's electrical activity. It is not necessary to have an ECG done every time you have pain, but if the pain is severe or persistent, it is advisable to seek medical attention and follow your doctor's recommendations.

Question 5

I'm dealing with mild MVP and my MREF is at 60 percent. I've got a lot of anxiety and my stomach's frequently upset. Occasionally, I get palpitations, especially when I'm stressed out. What can I do to get rid of these symptoms?

Accepted Answer

based on your symptoms of mild mitral valve prolapse (MVP) with grade 1 mitral regurgitation (MR), anxiety, stomach upset, palpitations, and increased anxiety in stressful situations, I recommend the following treatment plan: 1. For anxiety, you can take a selective serotonin reuptake inhibitor (SSRI) like Sertraline 50mg once daily. 2. For palpitations, you can take a beta-blocker like Metoprolol 25mg once daily. 3. For stomach upset, you can take an antacid like Omeprazole 20mg once daily before breakfast. 4. Practice stress-reducing techniques such as deep breathing exercises, meditation, or yoga. 5. Avoid caffeine, alcohol, and tobacco as they can worsen anxiety and palpitations. 6. Follow up with your doctor regularly to monitor your symptoms and adjust treatment as needed. I hope this treatment plan helps alleviate your symptoms

Question 6

I'm almost three weeks post-angioplasty, and I'm wondering about drinking water. Is it okay to drink a lot, or are there any limits or precautions I should be aware of? Please let me know.

Accepted Answer

Visit your Physician for appropriate management

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Related Questions

I'm really concerned about my wife's health. Last night, her resting heart rate on the wrist was showing 5257 while she was sleeping. This morning, I checked her blood pressure with our digital home monitor and it was 95 over 86, with a heart rate of...

I've been dealing with some serious chest pain for the last five months, and along with that, I've been feeling really weak and fatigued. My stamina has dropped a lot, and I get tired super quickly. On top of that, my heart races really fast. My rest...

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