I've been taking propranolol 10mg for my anxiety whenever needed, and it's been a big help. But lately, I've had to take it every day for about a week, and now I'm experiencing this sharp, stabbing pain in the center of my chest that goes to my back. I'm not sure if it's just anxiety or something more serious. I'm a healthy 26-year-old guy, and my resting heart rate is between 52 and 56 bpm, but sometimes it drops into the 40s. I do have a history of gastroparesis. Do you think this chest pain could be an issue related to the medication or something else going on?

Q: Hey, I'm 43 and generally healthy, but I recently had an ECG done. It says my heart rate is 66 beats per minute with a sinus rhythm, but there are nonspecific ST-T changes in III and aVF. I'm not sure what that means. Should I be concerned? Can you help explain this to me?

The ECG report showing a heart rate of 66 beatsminute with sinus rhythm and nonspecific ST-T changes in III and aVF may indicate possible heart conditions such as myocardial ischemia or electrolyte imbalances. To address this, you can take Aspirin 75mg once daily to prevent blood clot formation and improve blood flow to the heart. Additionally, you can take Atorvastatin 20mg once daily to lower cholesterol levels and reduce the risk of heart disease. It is important to follow up with your healthcare provider for further evaluation and management.

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Dr Kareemulla Shaik

General Practitioner

MBBS
0+ Yrs

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The symptoms you are experiencing could be related to the propranolol medication. Chest pain is a known side effect of propranolol, especially in individuals with a history of heart conditions. Given your symptoms and medical history, it is important to consult your healthcare provider as soon as possible to evaluate the chest pain and determine the appropriate course of action. In the meantime, it is advisable to avoid sudden discontinuation of propranolol as it can lead to withdrawal symptoms. If the chest pain is severe or persistent, seek immediate medical attention.

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Answered 04/07/2025

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Hey, I'm 43 and generally healthy, but I recently had an ECG done. It says my heart rate is 66 beats per minute with a sinus rhythm, but there are nonspecific ST-T changes in III and aVF. I'm not sure what that means. Should I be concerned? Can you help explain this to me?

The ECG report showing a heart rate of 66 beatsminute with sinus rhythm and nonspecific ST-T changes in III and aVF may indicate possible heart conditions such as myocardial ischemia or electrolyte imbalances. To address this, you can take Aspirin 75mg once daily to prevent blood clot formation and improve blood flow to the heart. Additionally, you can take Atorvastatin 20mg once daily to lower cholesterol levels and reduce the risk of heart disease. It is important to follow up with your healthcare provider for further evaluation and management.

Answered by 1 Apollo Doctors