apollo
  • male
  • 45 Years
  • 22/01/2025

I'm having this issue with pain in my upper chest thats been going on for the last six days, and I'm also dealing with a blocked nose and a bit of a cough. I havent had any fever, but the first day, the pain was pretty intense and felt like a crushing sensation whenever I moved, with pressure in the upper chest area. My hand and shoulder muscles are hurting too, and there's some pain in my back just behind my chest along with prickly feelings every now and then. It's making it really hard for me to sleep. A couple of weeks ago, I had a cold with a fever and a cough but there was no chest pain then. I used to smoke for a few years but I quit smoking about a year ago. Could you help me figure out what's going on and suggest which specialist I should see?

Doctor 1

Answered by 1 Apollo Doctors

consult a pulmonologist

Dr. Shubham Suggests...

Consult a Cardiologist

Answered 04/07/2025

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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?

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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I've been noticing that every time I lie down, whether it's during the day or night, my chest feels really tight and it makes me super uncomfortable. I always end up having to sit up just to feel a bit better. What could be causing this and should I be worried?

Thats orthopnea,there might be underlying Cardiac disease ,visit Cardiologist for evaluation and appropriate management

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Why do cardiac arrests happen in the bathroom?

Water temperature,most often incidences of stroke or heart attack in the bathroom happen more in winter than in summer. Chilled water can cause the arteries to shrink and prevent blood flow to vital organs like the heart and brain.

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.