I've been experiencing some concerning symptoms and I could really use some advice. My heart rate is around 50-60 when I'm lying down and my SPO2 is 98 with an RR of 16. Lately, I've been having chest pains that feel like needles. They last for just a few seconds or sometimes up to a couple of minutes. I had these issues about two months ago and got an ECG and a stress test done back then, both of which were normal. But now the pains on my left side have started coming back. Should I be doing any additional tests, or does it sound like everythings okay?

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Dr Ibrahim Salah

General Practitioner

MBBS
2+ Yrs

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It sounds like you may be experiencing episodes of angina, which are chest pains caused by reduced blood flow to the heart. Since your ECG and Stress Test results were normal 2 months ago, it is possible that the symptoms you are currently experiencing could be related to a different issue. However, it is important to rule out any cardiac concerns. I recommend that you undergo a Holter monitor test to continuously record your heart's activity over a period of 24-48 hours. This will help to capture any abnormal heart rhythms that may not be detected during a standard ECG. Additionally, an echocardiogram may be beneficial to assess the structure and function of your heart. In the meantime, to manage your symptoms, you can take Nitroglycerin sublingual tablets as needed for chest pain. The usual dosage is 0.3 to 0.6 mg every 5 minutes as necessary, up to 3 doses. If the chest pain persists or worsens, seek immediate medical attention. It is important to follow up with your healthcare provider for further evaluation and management.

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Answered 25/07/2025

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