Question 1

I've been experiencing these weird palpitations for the past four months whenever I lie down, and I'm really starting to worry. I had my blood pressure, thyroid levels, ECG, and an echocardiogram checked, and everything came back normal except for the ECG showing sinus tachycardia. Also, I had Covid about ten months ago. I'm not sure what I should do next. Any advice?

Accepted Answer

Given that your BP, thyroid, ECG, and echo were normal, but you are still experiencing palpitations, particularly when lying down, it is important to further investigate potential causes. Sinus tachycardia can be due to various factors, including stress, anxiety, dehydration, or even residual effects from a previous COVID-19 infection. Since you've had COVID-19, it could also be related to post-viral syndrome, which sometimes affects the heart. You should consider consulting a cardiologist for a more detailed evaluation, which may include a 24-hour Holter monitor to track your heart rate variability over a day, especially during sleep. Additionally, ensuring adequate hydration, managing stress, and avoiding stimulants like caffeine might help reduce palpitations.

Question 2

I've been having a headache on the right side of the back of my head lately and when I checked my blood pressure it was between 140-160 for systolic and 90-110 for diastolic over the past week. My pulse is around 80-85 and oxygen is at 99. I dont have any other medical issues but I recently moved to a new country and this started after I got here. Could this change in food and location be affecting my blood pressure? Before moving, I was drinking and eating out about three times a week for a couple of months. Could that have caused my blood pressure to spike? Im planning on seeing a cardiologist next week but would appreciate any advice you might have.

Accepted Answer

Based on the information provided, the spike in your blood pressure could be related to various factors such as stress, dietary changes, and lifestyle habits. It is possible that the change in food and location, as well as the previous indulgence in drinking and dining out frequently, may have contributed to the increase in your blood pressure. To help manage your blood pressure, it is important to make some lifestyle modifications. You can start by reducing your salt intake, eating a balanced diet rich in fruits and vegetables, engaging in regular physical activity, and managing stress through relaxation techniques. Additionally, if your cardiologist deems it necessary, they may prescribe medication to help lower your blood pressure. It's good that you have an upcoming appointment with a cardiologist, as they will be able to provide you with a more personalized treatment plan after a thorough evaluation.

Question 3

I'm feeling a bit worried because I did ECG, echo, TMT, and a CT angiography back in November 2021, and everything turned out normal back then. But now I'm dealing with chest pain again from time to time, and I've got some acidity issues too. I'm wondering, is it necessary for me to repeat those tests? If so, how long should I wait before doing them again?

Accepted Answer

In your case, since you are experiencing chest pain again along with acidity issues, it would be advisable to consult with your doctor for further evaluation. The doctor may recommend medications to manage your acidity and chest pain symptoms. For acidity, you can take antacids like Omeprazole 20mg once a day before breakfast. For chest pain, you can take Paracetamol 500mg as needed for pain relief. If the symptoms persist or worsen, a follow-up with your doctor may be necessary for a reassessment.

Just with a complaint of shoulder pain we cant rule out heart related issues visit your physician for evaluation

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