Question 1

Does your body warn you before a heart attack?

Accepted Answer

Yes the warning signs are Pressure, fullness, squeezing pain in the center of the chest, spreading to the neck, shoulder or jaw along with Light-headedness, fainting, sweating, nausea, or shortness of breath with or without chest discomfort, upper abdominal pressure or discomfort.

Question 2

I've been feeling really anxious about my heart lately because I keep having these palpitations and negative thoughts that something might be wrong. I'm 23 and my GP said my echo, ECG, and blood tests came back normal, so they think it's just anxiety and overthinking. But I'm still really worried. Is it possible there could still be an underlying heart issue, or should I trust the tests?

Accepted Answer

Yes, for a 23-year-old male, a normal echo, ECG, and blood test are usually sufficient to rule out major heart problems. Since your GP has already reassured you that your palpitations are likely due to anxiety and overthinking, you can trust their assessment. To help with your anxiety symptoms, you can take **Xanax (Alprazolam)** 0.25mg as needed. It is important to practice stress-reducing activities such as exercise, meditation, and deep breathing techniques.

Question 3

I've been dealing with chest pain for the past three months that comes and goes, and it often spreads to my left shoulder, arm, and even my jaw. Sometimes I get dizzy too. I had COVID before, and now I'm also experiencing some breathing issues since last week. I saw a cardiologist, and the ECG, trop test, and chest X-ray all showed nothing unusual. I had an echo and a TMT done today. Can you help me understand what's going on? What could be causing my symptoms if all these tests are normal?

Accepted Answer

Based on your symptoms and the tests you have undergone, it seems like you may be experiencing symptoms of angina or coronary artery disease. Since your ECG, troponin test, chest X-ray, echo, and TMT are normal, it is important to continue monitoring your symptoms and follow up with your cardiologist for further evaluation. In the meantime, you can take medications like Aspirin 75mg once daily to help reduce the risk of heart attack, and medications like Atorvastatin 20mg once daily to manage cholesterol levels. Additionally, Nitroglycerin sublingual tablets can be taken as needed for chest pain relief. It is also important to make lifestyle changes such as maintaining a healthy diet, regular exercise, quitting smoking (if applicable), and managing stress to improve your overall heart health. If your symptoms persist or worsen, please consult your cardiologist for further evaluation and management.

What is the normal BP range?

In adults it is below 130/80 mmhg

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