- female
- 30 Years
- 22/01/2025
I'm really worried because every time I feel stressed, I get chest pain and end up panicking. I rush to get an ECG and 2D echo done, but it's always normal, which is honestly exhausting. I'm scared it's something serious like a heart attack, but then the tests say otherwise. What should I do? Any advice would be appreciated.
Answered by 1 Apollo Doctors
To help manage your symptoms, you can try taking a medication called Propranolol. This is a beta-blocker that can help reduce the physical symptoms of anxiety, such as chest pain and palpitations. The usual dosage for Propranolol in such cases is 20-40mg taken 2-3 times a day. Additionally, you may benefit from an anxiolytic medication such as Lorazepam to help with acute episodes of anxiety and panic. The typical dosage for Lorazepam is 0.5-2mg taken as needed for anxiety symptoms. It's important to also consider non-pharmacological approaches to managing stress, such as relaxation techniques, deep breathing exercises, regular physical activity, and seeking support from a therapist or counselor. Remember to consult with your healthcare provider before starting any new medication.
Dr. Shubham Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
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An ecg and cardiac markers are advised.
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I've been dealing with some pain near my heart, left shoulder, and back for the past three years. Theres a mild problem at C5 C6. I've had a bunch of ECGs and they always come back normal. With these results, do you think I still need an ECO or TMT? I'm just trying to figure out what should be my next steps.
From last 3 years, you have been experiencing pain near the heart, left shoulder pain, and back pain. You mentioned there was a mild disc prolapse in C5-C6. Despite undergoing multiple ECGs, they have all been normal. You are now wondering if an ECO (Echocardiogram) or TMT (Treadmill Test) is necessary. Given your symptoms and history of normal ECG results, it would be advisable to undergo an ECO to further evaluate the structure and function of your heart. An ECO can provide more detailed information that may not be captured by an ECG alone, especially in cases of suspected cardiac issues. Additionally, considering your persistent symptoms and the need for a more comprehensive assessment, a TMT may also be beneficial to assess your heart's response to physical activity. For your situation, I would recommend an ECO to assess your heart's structure and function, and a TMT to evaluate your heart's response to exercise. These tests can provide valuable insights into the cause of your symptoms and help guide further management.
Answered by 1 Apollo Doctors
How do I know if my chest pain is serious?
Any chest pain needs physical examination by a doctor and tests to know the cause. On a general note, if chest pain is associated with heart burn, abdominal bloating, belching then it may be due to gastritis which may be managed at home. If chest pain is sudden, radiating to left arm/ shoulder and is associated with sweating, breathing issue then it may be due to a cardiac condition which needs immediate hospital visit. Sometimes, atypical presentation like a person who had mild chest pain with vomiting was tested and found to be having a heart attack on ECG. Hence, every chest pain need a doctor's consultation.
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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.