- Female
- 34 Years
- 22/01/2025
I'm really worried about this ongoing chest pain I've been having for the last eight months. Sometimes it's sharp and hits right in the center or other areas of my chest, and even my breast. I've also got this pain on the left side of my chest that spreads to my upper back on the same side. I had an ECG and a 2D echo done about five months ago, and everything looked normal then. But this pain really scares me, and I'm not sure what my next steps should be or which specialist I should see. My Spo2 levels are between 94 and 97, and my resting pulse is around 53 to 60 in the early mornings. Could you help point me in the right direction?
Answered by 1 Apollo Doctors
Patient is advised cardiac markers, spirometry ad complete blood count.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Answered by 1 Apollo Doctors
Greetings, doctors. I'm really worried about my heart. I'm 36, weigh 45 kg, and stand 5'4". I've been through countless tests like ECG, echo, TMT, and USG, and they all show I'm normal. Despite this, I'm terrified that I'll die of a heart attack. I witnessed my cousin's grandmother die from a heart issue right in front of me a couple of years ago, and ever since, Ive been living in fear. Because of this fear, my heart's always palpitating, I have difficulty breathing, feel dizzy, and get chest pains sometimes. Even when I had palpitations, my ECG showed normal at 116 bpm. My blood pressure is also steady, usually at 12080 or 70. It's scary, and I've even quit my job over this stress. All my tests like thyroid, KFT, lipid, vitamins, and LFT are also normal. Should I consider coronary angiography or maybe something else? I'm just feeling lost and need guidance, please.
It sounds like you are experiencing a lot of anxiety and fear related to your heart health. Given your age, weight, and the normal test results you have mentioned, it is less likely that you have a serious heart condition. The symptoms you are describing, such as palpitations, difficulty breathing, dizziness, and chest pain, could be related to anxiety and panic attacks. To help alleviate your fears and symptoms, I recommend trying a medication called **Propranolol**. It is a beta-blocker that can help with palpitations, chest pain, and anxiety. You can start with a low dose of **10mg** once a day and gradually increase it as needed under medical supervision. In addition to medication, it would be beneficial for you to seek counseling or therapy to address the underlying anxiety and fear you are experiencing. **Sertraline** is an antidepressant that can also help with anxiety. You can start with a dose of **25mg** daily and adjust as needed. Remember to practice relaxation techniques, such as deep breathing exercises and mindfulness, to help manage your anxiety symptoms. It is important to take care of your mental health as well as your physical health. If your symptoms persist or worsen, do not hesitate to follow up with a healthcare provider for further evaluation and support.
Answered by 1 Apollo Doctors
I'm really worried about my cholesterol levels. My total cholesterol is now 273 and my LDL cholesterol is at 191, which has gone up from 180. My TcholHDL ratio has also increased to 6.5, and it used to be lower. The LDLHDL ratio is now 4.5, and it was around 2.5 before. My non-HDL cholesterol is 230.92. With all these numbers going up, am I at risk? What should I do to bring everything back to normal? Also, my triglycerides have improved a bit, now at 182 from 305, but I'm still concerned. Would appreciate some guidance.
Your cholesterol levels indicate that you are at an increased risk for cardiovascular diseases. To help lower your cholesterol levels and reduce your risk, you can make lifestyle changes such as following a healthy diet, exercising regularly, and maintaining a healthy weight. Additionally, medication may be prescribed by your doctor to help manage your cholesterol levels. For your high LDL cholesterol, you can consider taking Atorvastatin (brand name Lipitor) at a dosage recommended by your healthcare provider. This medication helps lower LDL cholesterol levels and reduce the risk of heart disease. To improve your cholesterol ratios and overall lipid profile, you can also discuss with your doctor about taking Fenofibrate (brand name Tricor) at a suitable dosage. Fenofibrate helps lower triglycerides and non-HDL cholesterol levels, which can further reduce your cardiovascular risk. Remember to consult with your healthcare provider for personalized advice and monitoring of your cholesterol levels.
Answered by 1 Apollo Doctors
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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.