Question 1

I'm 27 and have had no bad habits. For the last eight months, I've been experiencing these quick chest pains on the left side; they just last about 5 to 15 seconds, and they come and go. I've been to the cardiologist and had around 20 ECGs, an echo, and a lipid profile done, and everything came back normal. The thing is, I don't feel any pain during heavy work, just at random times. I'm worried and wondering if this is a heart issue or maybe something physiological? Also, at home, my heart rate is slow, but as soon as I enter the hospital and the tension hits, my heart rate spikes. What could be going on?

Accepted Answer

It sounds like you may be experiencing episodes of non-cardiac chest pain, especially since your cardiology checkups including ECG, echo, and lipid profile have come back normal. Non-cardiac chest pain can be caused by issues such as muscle strain, anxiety, or gastrointestinal problems. Since your symptoms have been ongoing for eight months and are not related to heavy work, it is less likely to be a heart-related issue. To help with the chest pain, you can try taking over-the-counter pain relievers like acetaminophen. Additionally, practicing relaxation techniques or deep breathing exercises may help with episodes of high heart rate related to tension. If the chest pain persists or worsens, it would be advisable to consult with a doctor for further evaluation and management.

Question 2

I'm a bit worried about my 65-year-old relative who recently had an angiography, and it showed they have about three blockages in the 70-80% range. We're not totally sure about the accuracy of the angiography report we got, so I'm wondering if it's possible to have another angiography done. If so, how long should we wait between the two procedures? Also, could doing a repeat angiography pose any risks or problems for them?

Accepted Answer

Repeat angiography can be done if there are doubts about the initial report. The interval between two angiographies is usually around 6-12 months, depending on the patient's condition and the recommendation of the treating physician. Repeating angiography may pose some risks such as contrast-induced nephropathy or allergic reactions, but these risks are generally low and can be managed by the medical team.

Question 3

I'm feeling a vibration sensation in my left chest that's been going on for a few seconds at a time. I had an ECG and ECO test done, and both came back normal, and the doctor told me that I don't need any medicine. But I'm still experiencing it sometimes, and I'm just wondering how long it might take for this vibration to stop?

Accepted Answer

In this case, you may be experiencing palpitations or muscle spasms. To help alleviate these symptoms, you can try taking a beta-blocker medication such as Metoprolol 25mg once daily. Additionally, practicing stress-reducing techniques such as deep breathing exercises or yoga may also be beneficial. If the symptoms persist or worsen, it is important to follow up with your doctor for further evaluation.

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