apollo
  • male
  • 50 Years
  • 29/01/2025

I'm really worried because I've been experiencing tightness in the middle of my chest and breathlessness for quite a long time, almost 8 to 9 months now. I got a chest X-ray and my lungs were clear, but I'm still having these issues. On top of that, my hands tend to get really cold. Could there be something else going on that I should be concerned about?

Doctor 1

Answered by 1 Apollo Doctors

start steam inhalation and if it still not resolved consult a pulmonologist

Dr. Ranjith Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been experiencing these weird palpitations for the past four months whenever I lie down, and I'm really starting to worry. I had my blood pressure, thyroid levels, ECG, and an echocardiogram checked, and everything came back normal except for the ECG showing sinus tachycardia. Also, I had Covid about ten months ago. I'm not sure what I should do next. Any advice?

Given that your BP, thyroid, ECG, and echo were normal, but you are still experiencing palpitations, particularly when lying down, it is important to further investigate potential causes. Sinus tachycardia can be due to various factors, including stress, anxiety, dehydration, or even residual effects from a previous COVID-19 infection. Since you've had COVID-19, it could also be related to post-viral syndrome, which sometimes affects the heart. You should consider consulting a cardiologist for a more detailed evaluation, which may include a 24-hour Holter monitor to track your heart rate variability over a day, especially during sleep. Additionally, ensuring adequate hydration, managing stress, and avoiding stimulants like caffeine might help reduce palpitations.

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I'm really worried because my wife is 9 months pregnant and her recent test results showed something about tricuspid TR being mild to moderate and that her RA and RV are dilated. Does this indicate a serious problem? We're really not sure what to make of this and would appreciate any advice you might have.

Tricuspid regurgitation (TR) and dilated right atrium (RA) and right ventricle (RV) can be concerning during pregnancy, but the severity and management depend on various factors. It is important to follow up with your obstetrician and a cardiologist for further evaluation and management. In some cases, medication may be prescribed to help with the heart condition. Your wife may be prescribed a medication like furosemide to reduce fluid retention and workload on the heart. The dosage will depend on her specific condition and should be determined by her healthcare provider. Regular monitoring and follow-up appointments are essential to ensure the well-being of both your wife and the baby.

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Is there a way to manage mild TR or keep it stable over my lifetime? I'm 30 now and I'm really wondering how I can handle this situation.

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