Question 1

Sometimes I get this feeling of tiredness and shortness of breath that usually lasts for a few days. I've been experiencing it on and off for the past couple of years, but there are no other symptoms accompanying it. Im a 34-year-old male, and Ive had my ECG, echo, and lipid profile checked, and everything came back normal. Could there still be a chance of a heart issue, and is there any other test I should consider?

Accepted Answer

There may still be a possibility of underlying cardiac issues. To further investigate, you can consider undergoing a stress test (TMT - Treadmill Test) to assess your heart's response to physical activity and detect any abnormalities that may not be present at rest. Additionally, a Holter monitor can be used to monitor your heart's activity over a 24-48 hour period to capture any irregularities that may not show up during a standard ECG. These tests can provide more insights into your cardiac health beyond the initial screening tests you have already done.

Question 2

I'm feeling a strong pulse in my chest and throat when I'm sleeping. If I stay in the same position for about half an hour, I really start to notice it, but it seems to stop when I change positions. During the day, I'm super energetic and don't have any issues, but this pulse thing keeps happening at night when I'm trying to sleep. Should I be worried about this? What could be causing it?

Accepted Answer

This sensation of feeling your pulse in your chest and throat while sleeping is known as pulsatile tinnitus. It can be caused by various factors such as high blood pressure, anemia, thyroid disorders, or even stress and anxiety. To address this issue, you can try managing stress levels, maintaining a healthy lifestyle, and ensuring proper sleep hygiene. If the symptoms persist or worsen, it is recommended to consult a healthcare professional for further evaluation and management. In the meantime, you can try taking a low dose of propranolol (Inderal) under the guidance of a doctor to help alleviate the sensation of pulsatile tinnitus while sleeping.

Question 3

I've been tracking my pulse rate and it usually falls between 44 to 60 beats per minute. Sometimes I experience a bit of chest pain but my doctor mentioned it's just gas. My blood pressure ranges between 120 to 140 over 80 to 90. Should I be worried about these pulse rates or the chest pain?

Accepted Answer

Your pulse rate of 44 to 60 beats per minute is considered bradycardia, which is a heart rate that is slower than normal. Since you are also experiencing chest pain, it is important to rule out any underlying heart conditions. I recommend you to take Aspirin 81mg once a day to prevent any clot formation in the heart. Also, you can take Metoprolol 25mg once a day to help regulate your heart rate. Make sure to follow up with your doctor for further evaluation and management.

Is it possible to treat heart blockage just with medications and lifestyle changes without needing surgery or angioplasty I'm worried because I've heard mixed opinions and want to know if avoiding procedures is a safe option for managing it

More Cardiology Health Queries

I've been tracking my pulse rate and it usually falls between 44 to 60 beats per minute. Sometimes I experience a bit of chest pain but my doctor mentioned it's just gas. My blood pressure ranges between 120 to 140 over 80 to 90. Should I be worried about these pulse rates or the chest pain?

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