I'm experiencing some chest and arm pain, and I've been having heart palpitations lately. It's kind of weird because I can feel my heart pounding even when I'm just resting. I'm not super active, and my BMI is around 27.5. My HDL is only 34 but my blood pressure seems normal. I got an ECG done, and it showed a heart rate of 109 bpm with sinus tachycardia, but there weren't any ST T changes. The PR interval came out at 197 ms with a high QR of 86 and QTQTc between 298 and 402. Do you think I should get more tests done? What could all this mean?

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Dr Dhankecha Dineshbhai

General Practitioner

MBBS
6+ Yrs

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Chest pain, arm pain, heart palpitations, and a high heart rate at rest with sinus tachycardia on ECG can be concerning symptoms. With a low HDL level and a BMI of 27.5, there may be underlying cardiovascular issues that need to be addressed. The PR interval of 197ms is slightly prolonged, which could indicate an atrioventricular conduction delay. Further evaluation is warranted to assess the overall cardiac function and rule out any underlying heart conditions. I recommend consulting a cardiologist for a thorough evaluation, which may include an echocardiogram, stress test, and possibly a Holter monitor to assess heart rhythm over a longer period. Additionally, lifestyle modifications such as regular exercise, a heart-healthy diet, and possibly medication like Atorvastatin to improve HDL levels may be beneficial in managing your cardiovascular health.

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Answered 25/07/2025

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