Question 1

I've been having chest pains and I'm super worried it might be related to my heart even though all my tests like ECG, echo, TMT, and chest X-ray came back normal. The fear started after the pandemic and now I'm constantly thinking about "what if" something's wrong. I've had heart palpitations about 10-15 times and even small muscle pains make me anxious about having a heart attack. What can I do about this constant fear? Do you think there's a chance I might really have heart issues? My last echo and TMT were 10 months ago and the most recent ECG was 20 days ago, all normal. Would love any advice or insight.

Accepted Answer

It sounds like you are experiencing a lot of anxiety and fear related to your heart health, especially since the COVID-19 pandemic. Despite multiple tests showing normal results, you are still worried about having a heart attack. It is important to address your anxiety and stress levels in order to overcome these persistent fears. One approach to consider is seeking therapy or counseling to help manage your anxiety and fears related to your heart health. Additionally, practicing relaxation techniques such as deep breathing, meditation, or yoga may also be beneficial in reducing stress and anxiety. In terms of medication, you can consider taking an anxiolytic medication such as lorazepam (Ativan) as needed for acute episodes of anxiety or panic attacks. The usual dosage is 0.5-2 mg taken orally 2-3 times a day as needed. It is also important to maintain a healthy lifestyle by eating a balanced diet, engaging in regular physical activity, and getting an adequate amount of sleep. These lifestyle changes can contribute to overall well-being and may help alleviate some of your anxiety symptoms. Remember, it is essential to address your mental health concerns in addition to your physical health. If you continue to experience persistent anxiety and fear despite normal test results, consider consulting with a mental health professional for further evaluation and support.

Question 2

I'm a 33-year-old guy, and I just got all my heart check-ups done. The results for my ECG, ECHO, and TMT seemed fine, but my echo report mentioned something about trivial tricuspid regurgitation and trivial mitral regurgitation. My doctor said it's n...

Accepted Answer

yes mild exercises are advised.

Question 3

I'm dealing with Sinus Arrhythmia and have been on Cordarone 100 daily. I recently had a 24-hour Holter monitor test, which showed many periods of Sinus Bradycardia and frequent PVCs. My Echo cardiogram says LVEF is 72 with Trivial MRTR. Everything e...

Accepted Answer

Visit your Physician for appropriate management

Question 4

I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD fam...

Accepted Answer

Given your history of chest painpressure, especially with brisk walking, and the findings on your recent TMT showing mildly positive results with horizontal ST depression, it is important to consider the possibility of coronary artery disease (CAD) even in the absence of traditional risk factors. The fact that the ST depression normalizes within 15 seconds of recovery is somewhat reassuring, but further evaluation is warranted. Considering your symptoms and history of anxiety, it is also possible that the chest pain you are experiencing could be related to anxiety. However, it is crucial not to dismiss the possibility of CAD, especially with the new onset of localized chest pain and your TMT results. Given your overall profile and symptoms, I would recommend further evaluation by a cardiologist. They may consider additional tests such as a coronary angiogram to assess the extent of any possible blockages. In the meantime, it is important to continue monitoring your symptoms and seek medical attention if they worsen or become more frequent. In terms of medication, based on your lipid profile, a statin medication such as Atorvastatin (10-20mg) may be considered to help lower your LDL cholesterol levels and reduce the risk of CAD progression. Additionally, medications to manage anxiety such as Escitalopram (10mg) may be prescribed to help alleviate your symptoms. It is important to address both the cardiac and psychological aspects of your symptoms to ensure a comprehensive treatment approach.

Question 5

My dad's been taking Angised tablets, and I'm curious about what they do and any side effects we should look out for. Can you give me a rundown on how safe they are? I'm a bit worried about him taking new medication, and I just want to make sure we'r...

Accepted Answer

it helps in preventing angina.

Question 6

I'm feeling extremely worried and tense since April, and it's affecting my breathing. I checked with my GP, did all the tests like thyroid, sugar, hemoglobin, and CBCthey're all normal. My ECG showed sinus arrhythmia. I'm on a tapering dose of Metxl ...

Accepted Answer

It sounds like you are experiencing symptoms of anxiety along with physical manifestations such as increased heart rate, body heat, sweating, tremors, nervousness, headache, and left arm shoulder pain. Since your recent ECG showed sinus arrhythmia and other tests were normal, it is likely that these symptoms are primarily due to anxiety. To help manage your symptoms, you can consider taking an anti-anxiety medication such as **Xanax (alprazolam)** at a low dose of 0.25mg as needed for acute episodes of anxiety. Additionally, you can try **Propranolol (Inderal)** at a dose of 10mg as needed to help with physical symptoms like rapid heart rate and tremors. It is important to continue with your tapering dose of **Metoprolol (Metxl)** 12.5 once a week as prescribed by your GP. If your symptoms persist or worsen despite these measures, it would be advisable to follow up with your GP for further evaluation and to discuss the possibility of a referral to a cardiologist for a more detailed heart check-up.

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Related Questions

I'm a 33-year-old guy, and I just got all my heart check-ups done. The results for my ECG, ECHO, and TMT seemed fine, but my echo report mentioned something about trivial tricuspid regurgitation and trivial mitral regurgitation. My doctor said it's n...

I'm dealing with Sinus Arrhythmia and have been on Cordarone 100 daily. I recently had a 24-hour Holter monitor test, which showed many periods of Sinus Bradycardia and frequent PVCs. My Echo cardiogram says LVEF is 72 with Trivial MRTR. Everything e...

I've recently come across my TMT results, which show a mildly positive reaction with horizontal ST depression up to 2mm in some leads, but it normalizes quickly in recovery. My echo came out normal, and I don't smoke, drink, or have any early CAD fam...

My dad's been taking Angised tablets, and I'm curious about what they do and any side effects we should look out for. Can you give me a rundown on how safe they are? I'm a bit worried about him taking new medication, and I just want to make sure we'r...

I'm feeling extremely worried and tense since April, and it's affecting my breathing. I checked with my GP, did all the tests like thyroid, sugar, hemoglobin, and CBCthey're all normal. My ECG showed sinus arrhythmia. I'm on a tapering dose of Metxl ...

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