Question 1

I'm 26 and a few months back, I had a fever that went away in a week. Then, out of nowhere, my heart rate shot up to 144 bpm, and I felt like there was an air bubble in my chest. I got an ECG done, which showed minor ST and T wave abnormalities, and I'm attaching it here. Now and then, I still get these episodes. While my 2D echo and blood pressure are normal, I've been dealing with random chest pains that last just a secondsometimes on the right and then on the left. My stomach feels upset too, and I get really gassy during these times. I'm confused about what might be causing these ECG changes. Curiously, I never feel chest pain when jogging or exercising, only when I'm at rest. Different doctors have told me different things; some say it's normal, and others think it might be gas. What's really going on here? Should I be worried about these ECG changes?

Accepted Answer

The symptoms you are experiencing, along with the ECG changes showing minor ST and T wave abnormality, could be indicative of a condition called Premature Ventricular Contractions (PVCs). PVCs are extra heartbeats that begin in one of your heart's two lower pumping chambers (ventricles). They may feel like a fluttering or a flip-flop in your chest. The sensation can be triggered by certain activities, emotions, or medications. To help manage your symptoms and reduce the occurrence of PVCs, you can try taking over-the-counter medication such as **Propranolol (Inderal)** at a dosage of 10-30 mg three to four times a day. This medication can help regulate your heart rate and reduce the frequency of PVCs. Additionally, you can try to reduce stress and anxiety through relaxation techniques such as deep breathing exercises or yoga. It is important to follow up with a cardiologist for further evaluation and management. They may recommend additional tests such as a Holter monitor or an event monitor to capture your heart's activity over an extended period. This will help determine the underlying cause of your symptoms and guide appropriate treatment. In the meantime, try to avoid triggers such as caffeine, alcohol, and tobacco, which can exacerbate PVCs. Stay hydrated, maintain a healthy diet, and get regular exercise to support your heart health. If you experience severe chest pain, dizziness, or fainting spells, seek immediate medical attention.

Question 2

Why is my pulse so high?

Accepted Answer

There are multiple causes of high pulse, it can be due to Heart disease or Thyroid and needs evaluation.

Question 3

I'm 20 and was diagnosed with hypertension a couple of years back. With the chaos of COVID, my schedule was kind of all over the place, so I ended up taking my blood pressure meds around 2 in the afternoon. Whenever I check, my BP seems to hover around 13080 or 85. Is this considered controlled? Also, is it okay for me to start taking my BP meds after breakfast instead? I've always been under the impression that the effects of these pills only last about 12 hours, and then my BP might rise after that. I'm also undergoing psychiatric treatment and currently on metoprolol and amlodipine since my doctor stopped the telmisartan when COVID hit. Could you help me out here?

Accepted Answer

Your blood pressure reading of 13080-85 is within the normal range, but it is on the higher side of normal. To further control your blood pressure, you can consider taking your medications in the morning after breakfast. Metoprolol and amlodipine are commonly used to treat hypertension. You can take Metoprolol 50mg once daily in the morning after breakfast and Amlodipine 5mg once daily in the morning after breakfast as well. These medications work effectively to help lower your blood pressure throughout the day. It's important to continue monitoring your blood pressure regularly and follow up with your doctor for any adjustments in your treatment plan. Additionally, make sure to adhere to a healthy lifestyle, including a balanced diet, regular exercise, and stress management, to further support your blood pressure control.

I'm experiencing some chest pain and chest congestion, especially on the left side of my chest. It's been really uncomfortable and I'm not sure what's going on. Can you help me understand what's causing this and what I should do next?

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