Question 1

I've been experiencing this off-and-on chest tightness and shortness of breath for several years now. It's like I can't catch my breath sometimes, and I have to take deep breaths to feel okay. I don't have any medical history, and Im not on any meds. I saw a couple of doctors, and they said it might be panic attacks. My ECG came back normal, but it seems to get worse when I lie down. Occasionally, I feel like I need to yawn to fully catch my breath. Could you help me understand what's going on?

Accepted Answer

take anxiety tablets

Question 2

I recently recovered from COVID and it's been about 20 days since my first symptoms with all my reports coming back negative. I'm only dealing with some post-COVID weakness now. I've noticed that when I'm resting, my heartbeat is typically between 60 and 80 bpm, and sitting it's around 75 to 90 bpm. But when I climb stairs, it jumps to about 145 to 150, and while walking, it's around 125 to 130. Is this normal after recovering from COVID because of the weakness I have? I had an ECG and a TMT last month as part of a regular check-up before COVID, and the TMT was normal even when my heartbeat reached 196. Everything was fine back then. Should I be concerned now?

Accepted Answer

Your increased heart rate while climbing stairs (145-150) and walking (125-130) after recovering from COVID-19 can be attributed to post-COVID-19 fatigue, dehydration, and reduced cardiovascular endurance, but given your recent normal ECG and TMT results, it's likely a temporary condition; however, to alleviate concerns, consider consulting your doctor or a cardiologist for a follow-up evaluation, and in the meantime, stay hydrated, gradually increase physical activity, and monitor your heart rate and overall health.

Question 3

I've been really worried about my heart ever since last year when I started having these chest and left arm pains. I got a TMT and echo done back then, and they showed everything was normal, but I'm still having these pains out of nowhere. It's like I'm always scared I'm gonna have a heart attack. Do you think I should get checked again, or could this be something else altogether?

Accepted Answer

Since your TMT and echo tests were normal last year, it is less likely to be related to a heart condition. It is possible that your symptoms are more related to anxiety and panic attacks. I recommend discussing with your doctor about the possibility of starting an anti-anxiety medication such as Sertraline (Zoloft) at a low dose initially, along with counseling or therapy to address your fears and anxiety. Additionally, you can consider taking a low dose of Propranolol (Inderal) as needed for chest pain and palpitations. However, it is important to follow up with your doctor for further evaluation and management of your symptoms.

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