- female
- 45 Years
- 29/01/2025
I'm really worried because it feels like my heart is sinking or pausing, and I feel dizzy and confused, almost like I can't fully understand whats happening around me. I can hear and see things, but they dont make sense. My back and chest hurt too. I've had an echo and an MRI on my brain, and they both came back normal, and my bloodwork is fine as well. What could this be?
Answered by 1 Apollo Doctors
Your symptoms, including a sinking feeling in your chest, dizziness, confusion, and chest and back pain, despite normal echo, MRI, and blood work results, may be related to anxiety, panic disorder, or stress-induced cardiomyopathy; consider consulting a psychiatrist to explore these possibilities and discuss potential treatments, such as cognitive behavioral therapy (CBT), relaxation techniques, or medication to manage anxiety and alleviate symptom
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm a bit concerned about my medication. I had an ASD closure with a device on October 3rd, 2020, and I've been taking aspirin 75 and clopidogrel 75 every afternoon since then. Is there any issue with continuing these meds? Can I stop them? I just recovered from COVID on May 18th and have my echo report with me. Should I be aware of anything specific?
Having an ASD (atrial septal defect) device closure and taking aspirin 75 mg and clopidogrel 75 mg are standard protocols to prevent blood clots. It is crucial to continue these medications unless advised otherwise by your cardiologist. Stopping them abruptly could increase the risk of clot formation around the device. Given that you have recently recovered from COVID-19, it's even more important to follow your prescribed medication regimen as COVID-19 can increase clotting risks. Please consult your cardiologist before making any changes to your medications. They can provide individualized advice based on your current health status and recent recovery.
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I was lying down and felt some mild chest pain, so I went to the doctor. They did an ECG and echo, and everything seemed normal, but it showed something about a mild TR Pah and Tr jet at 2.8 with RVSP at 30rap. The doctor said it was fine. A year later, I had another echo, and this time it showed no TR, just PJV at 1.23 msec. I'm not really sure what that means and just want to confirm that there's no PH. The echo report says chamber size and function are normal, so should I be worried about anything?
The results of your echocardiogram show that there is no tricuspid regurgitation (TR) this time, and the pulmonary jet velocity (PJV) is 1.23 msec. This indicates that there is no significant backflow of blood through the tricuspid valve and the blood flow through the pulmonary valve is normal. The right ventricular systolic pressure (RVSP) of 30 mmHg is also within normal limits, indicating normal pressure in the right side of the heart. Overall, the echo results show normal chamber size and function of your heart. No further treatment is needed at this time based on these results.
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Which arm to measure blood pressure right or left?
Both the arms can be used for BP measurement and sometimes, your doctor might take two readings from two arms to check for any variations too. Generally, it's best to take your blood pressure from your left arm if you are right-handed.
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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.