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Uneasiness near heart
Hello Doc,
I'm on sugar & cholesterol medication since last 4-5 years ( Voage 10 & Lipvas 20)
Yesterday i was doing yoga & got dizzy. My pulse rate dropped to 40-50 for 30 secs then slowly came back to normal.
Went to show doc he saw pulse was fluctuating on higher side (90-110). Asked to return in evening for follow up.
In evening the pulse was on higher side but no major fluctuations.
Got my blood test today as uneasiness near heart still persists. No pain in chest or left hand, no breathlessness. Attaching the reports. Platelets are less with few big size seen. Rdw, pdw, mpv are less.
Could there be any clot or anything else? Please suggest. Any treatment.
Answers (21)
The initial episode you had while doing yoga sounds like a ‘Vaso-Vagal’ episode and that is not a concern unless recurrent.
The later episode of uneasiness in your chest, With your medical conditions, do the following,
1. ECG
2. Blood tests- Troponin and TSH
3. Aspirin 75mg once a day
4. Echocardiogram
5. Exercise tolerance test (Treadmill test)
All the best.
J G S R clinic
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You didn't share your ECG. You didn't mention about your BP.
Your reports are suggestive of Pre-diabetes.
Please share your ECG and consult with your Doctor regarding the need for Holter monitoring. You should go slow on your exercise schedule.
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Sudden drop in heart rate, with dizziness could be related postural or vasovagal, fluctuating BP.Get a 12 leads ECG to check the rhythm,if needed go for holter study.Your blood tests report is normal.Being a diabetic on treatment, hba1c 6.4 and fasting glucose level 119 is absolutely fine
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Take an ecg echo stresstest holter test and electrophysiological studies..rule out heart failure...or any others... cbc ..ironnprofile...peripheral smear..infection ...bld culture if any fever..urine..stress anxiety issues..sleep issues...shud be noted your glucose bp shud also be checked...chest xrray too needed..rft and lft too..lipid profile..
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Blood reports are normal, get cardiac echo, thyroid profile and Holter monitoring done.
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Your reports of sugar and others are normal , you need some testing further.kindlly me for further management and evaluation.
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I totally understand your concern. Before suggesting treatment, I would like to ask a few questions to ensure the correct management can be provided.
Contact me on Practo or WhatsApp chat.
92469306sevenfour
Dr. Harichandana,
MBBS, MD (General medicine)
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You need further evaluation including cardiac evaluation like ECG in case you are having fluctuating heart rate. These blood tests only show that your average sugar has not been under control so you might want to monitor your sugar levels and consult your regular physician about possible change in medication.
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Based on your symptoms and reports, this episode is unlikely to be due to a clot or heart attack. The brief drop in pulse to 40–50 bpm during yoga, followed by recovery, is most consistent with a vagal episode / autonomic imbalance, which can occur with breath-holding, strain, dehydration, or sudden posture changes during yoga.
The later higher pulse (90–110) is likely a stress or anxiety response after the event.
Your labs:
• HbA1c 6.4, FBG 119 → controlled / borderline diabetes
• Low platelets with some large platelets (↑ size) usually suggest increased platelet turnover, not clots
• Low RDW/PDW/MPV are not dangerous by themselves and do not indicate clot formation
Clots are associated with high platelet activation, chest pain, breathlessness, ECG changes, none of which you currently have.
Next Steps
• Get an ECG (if not already done) for rhythm assessment
• Consider 24-hour Holter monitoring if dizziness or pulse fluctuations recur
• Check:
• Electrolytes (Na, K, Mg)
• TSH (thyroid imbalance can cause pulse changes)
• Review yoga technique (avoid breath-holding, extreme postures)
• Continue Voage 10 and Lipvas 20 unless your doctor advises otherwise
Seek urgent care only if you develop chest pain, fainting, severe breathlessness, or persistent very low/high pulse.
Health Tips
• Stay well hydrated, especially before exercise
• Avoid sudden posture changes and prolonged breath-holding
• Monitor pulse calmly; repeated checking increases anxiety
• Gentle walking is safer than strenuous yoga for a few days
• Adequate sleep and stress control help stabilize heart rhythm
I understand how unsettling heart-related symptoms can feel, especially when they come suddenly. The good news is that nothing in your history or reports currently points toward a clot or serious heart event. With a little monitoring and guidance, this can be clarified and managed safely. You’re doing the right thing by getting it checked—support is available, and you’re not alone in this.
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I’ve gone through your history and reports. What you experienced sounds more like a transient heart rhythm fluctuation (vasovagal / exertion-related / anxiety-related) rather than a clot or heart attack.
A brief drop in pulse during yoga can happen due to posture, breath-holding, or sudden vagal stimulation. The later higher pulse fits with anxiety and body’s compensation.
Your reports don’t suggest an active clot or acute cardiac event. Platelet variation with some large platelets is usually not dangerous by itself.
Next Steps
Get an ECG and possibly a 24-hour Holter monitoring to capture rhythm changes if this repeats. Continue your sugar and cholesterol medicines as prescribed. Avoid strenuous yoga or breath-holding for now. A cardiology consult will help settle this clearly.
Health Tips
No chest pain, no left arm pain, and no breathlessness are reassuring signs. Don’t panic — anxiety itself can cause this uneasy “near heart” feeling.
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