- male
- 45 Years
- 29/01/2025
I'm having these ongoing pressure-like pains in my chest, neck, and shoulder. It's really making me anxious, even though I had an echo and TMT just two months ago, and they were normal. My cardiologist said its not my heart, but I cant shake off the fear of possibly having a heart attack. What might be causing this pain, and how can I deal with this anxiety?
Answered by 1 Apollo Doctors
Since your cardiologist has already ruled out any heart-related issues with a normal echo and TMT two months ago, the pain may be due to musculoskeletal issues or other non-cardiac causes. To help alleviate your symptoms, you can try taking over-the-counter pain relievers like acetaminophen or ibuprofen for pain relief. Additionally, you can use muscle relaxants like Flexeril (cyclobenzaprine) to help with any muscle tension contributing to your discomfort. It's important to follow the recommended dosage instructions on the medication packaging. If the pain persists or worsens, consider consulting with a physician for further evaluation and management.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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I recently got an ECG done that showed IRBBB, and after that, I had an echocardiogram and TMT, which both turned out normal. Should I be doing these tests every year? And do you know why the IRBBB showed up in my ECG? Is there any treatment I should consider for this?
Intermittent Right Bundle Branch Block (IRBBB) is a common finding in electrocardiograms and is usually considered a benign condition, especially if other cardiac tests such as echocardiogram (echo) and exercise stress test (TMT) are normal. It is not typically associated with any symptoms or specific treatment. In your case, since your echo and TMT results were normal, there may not be a need to repeat these tests every year unless your doctor specifically recommends it based on your overall health condition. IRBBB can sometimes be a normal variant or can be associated with underlying heart conditions, so it is important to follow up with your healthcare provider for further evaluation and guidance. If you do not have any symptoms and your other cardiac tests are normal, no specific treatment may be necessary for IRBBB. However, it is important to maintain a healthy lifestyle, including regular exercise, balanced diet, and avoidance of smoking and excessive alcohol consumption to promote overall heart health.
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I'm really worried because I got my ECG done and it came back abnormal. The report mentions sinus tachycardia and right atrial enlargement. What does that mean exactly? Should I be concerned about this? My heart rate was really high at the time of the test, but my other tests, like thyroid and lipid profile, were normal. Can you help me understand what might be going on?
Hello sir, based on your description of the ECG findings showing sinus tachycardia and right atrial enlargement, along with the symptoms of high heart rate, it indicates that your heart is beating faster than normal and the right upper chamber of your heart is enlarged. Sinus tachycardia can be caused by various factors such as stress, anxiety, caffeine, or certain medications. Right atrial enlargement can be a sign of heart conditions such as heart failure or lung disease. To address the sinus tachycardia, you can take a beta-blocker medication like Metoprolol at a starting dose of 25mg once daily, which can help slow down your heart rate. For the right atrial enlargement, managing the underlying cause such as treating heart failure or lung disease is important. It is also essential to follow up with a cardiologist for further evaluation and management.
Answered by 1 Apollo Doctors
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