- male
- 50 Years
- 22/01/2025
I'm really puzzled and a bit worried about what's been going on with me lately. Every time I try to catch some sleep, I get woken up by this chest pain and a rapid heartbeat. It's been happening for over a month now. Climbing stairs also brings on this uncomfortable chest feeling. I'm around 100 kg and on met XL and telmisartan for blood pressure. I had a Stress Echocardiogram and CT angiogram recently, and both came back normal. I also attached my last two ECGs for a reference. I've been reassured that this isn't cardiac pain, but it genuinely feels like angina to me. So I'm kind of confused and not sure whats going on. Could this still be related to my heart in some way, or maybe it's something else entirely?
Answered by 1 Apollo Doctors
It's good that your recent tests have come back normal, ruling out any cardiac issues. The symptoms you are experiencing could be due to acid reflux or GERD. I recommend trying over-the-counter medication like Omeprazole 20mg once daily before breakfast for 2 weeks. Additionally, you can try raising the head of your bed and avoiding heavy meals close to bedtime. If the symptoms persist, you may need to follow up with a gastroenterologist for further evaluation.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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I'm having some trouble with breathlessness and occasional chest pain. I got an ECG, and it came back normal, but a 2D echo showed mild concentric LVH with reduced diastolic compliance, grade 1. Everything else seemed fine. My hemoglobin is at 6.7, blood pressure at 16090, and pulse at 105. Cholesterol levels are total 149, triglycerides 94, HDL 55, and LDL 100. I also have some gastric issues, and the breathlessness feels better after I burp. Do you think this is something I should be worried about, or is it okay?
Given your symptoms of breathlessness and chest pain, the mild concentric LVH with reduced diastolic compliance noted in your 2D echo, high blood pressure of 16090, and significantly low hemoglobin level of 6.7, there are multiple areas needing attention. While your ECG and cholesterol levels are normal, the combination of LVH, hypertension, and anemia requires medical management. Addressing your anemia is crucial, as it can contribute to your breathlessness and fatigue. Managing your blood pressure through medication adjustments and lifestyle changes is also important. Since your breathlessness is relieved by burping, addressing any gastrointestinal issues such as acid reflux is necessary. Follow up with your cardiologist for ongoing monitoring and management of the LVH and reduced diastolic compliance.
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I'm a little worried because my heart rate's been around 120 to 130, which seems pretty high. On top of that, my cholesterol levels aren't great either. My triglycerides are 417, HDL is 21, LDL is 102, Non-HDL is 179, and VLDL is 83.4. What do you think could be going on? Should I be concerned?
A pulse rate of 120 to 130, combined with high cholesterol levels, requires attention to reduce cardiovascular risk. Consult your healthcare provider to evaluate underlying conditions like hyperthyroidism or anxiety, and to discuss potential medications such as statins for cholesterol and beta-blockers for heart rate control. Implement lifestyle changes like a heart-healthy diet, regular physical activity, and reducing intake of saturated fats and sugars. Regular monitoring of your cholesterol and heart rate is essential to track progress and adjust your treatment plan as needed. Please follow up with your healthcare provider for a comprehensive evaluation and personalized advice.
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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.