Heart Attack Treatment

Health Q&A
Pls check my ECG

Hello sir, I dont have any problem. But i have health anxiety. Pls check my ECG and do needful. I keep on worrying and negative thinking abt health.

Cardiac fear

I am 28 years old and have been experiencing chest tightness, heaviness, and chest pain for a long time. These symptoms do not occur only during exercise. Sometimes they happen even when I am sitting or resting. The pain can be in the middle of the chest or on the left side, lasts a few seconds, and then goes away. Sometimes it is associated with left arm pain, sometimes not. I have had multiple TMTs and Echocardiograms over the years, all normal. CT Coronary Angiography done 3 years ago was normal. My latest TMT (2 months ago) was normal, and my latest Echo (3 months ago) was normal with EF 72%. Today I walked on a treadmill for 15 minutes (4.2 km/h, incline 3.5 for 6 min and incline 5 for 6 min). My heart rate reached 148 bpm, but I had no chest pain during exercise. Does this symptom pattern sound more cardiac or non-cardiac in nature considering the normal investigations? Can I feel it's non cardiac without repeating any tests now please suggest I am scared to the core

Chest Heaviness and Brief Chest Pain for

I have been experiencing occasional chest discomfort for the past 9–10 years. At times, my chest feels heavy, and occasionally I experience brief pain that lasts around 10–15 seconds before resolving on its own. The pain can vary in nature—sometimes it feels like a sharp, pin-prick sensation. These episodes usually occur once or twice a day. I am currently 25 years old and would like to understand the possible cause of these symptoms.

Increased heart palpitations

Since more than a week I was having this weird feeling in my chest or a small dull pain in between. Friday when I was coming back home I went to the ER because my heart rate increased, I was scared and my chest pain increased (left side of the chest). The doctors said the ecg does have a few changes but could be old or psychological too. Trop I test was 0.90 so they mentioned this could most probably be an anxiety attack so I was suggested to visit a cardio to get a review. I was suggested Pan 40 twice a day before food and Concor 2.5 after food twice a day. I stopped as per the 3 day course however I couldn't get the appointment for my cardiologist so I haven't been to the cardiologist yet. Today i smoked but when I was smoking while leaving I was told that smoking leads to increased palpitations and I guess my body panicked but my palpitations increased. I came home and had concor 2.5, my bp was 143/93 with heart rate of 102. Now my bp is 117/84 with 82 heart rate. Possible reason?

Regarding high triglycerides

I am a 38-year-old male recently diagnosed with Chronic Ischaemic Heart Disease. My recent laboratory results show very high triglyceride levels at 563 mg/dL and total cholesterol at 249 mg/dL. Although I do not currently have chest pain, I have been experiencing palpitations and shortness of breath while running or talking 10 miniutes, sometimes accompanied by syncope. I am currently prescribed LIPANTHYL (Fenofibrate) 145 mg and ASTATIN (Atorvastatin) 10 mg. Since my insurance has not approved further investigations, could you please advise if an echocardiogram is strictly required for my condition or if there are alternative steps I should take?

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Doctors
Dr. James Karas - Cardiologist
Dr. James Karas Cardiologist (Medical School, Fellowship in Cardiovascular Diseases, Residency in Internal Medicine, Doctor of Medicine, Residency - ID, Fellowship 2, Medical degree, DO, Fellowship in Cardiovascular Medicine) 36 years experience Cleveland Clinic
Columbus 43212, COLUMBUS
Dr. John P Kovalchin - Pediatrician
Dr. John P Kovalchin Pediatrician (Medical School, Fellowship in Pediatric Cardiology, Residency in Pediatrics, Residency - ID, Fellowship 2) 37 years experience The Richard M Ross Heart Hospital
Columbus 43210, COLUMBUS
Dr. John Jay Warner - Internal Medicine
Dr. John Jay Warner Internal Medicine (Medical School, Residency) 34 years experience The Ohio State University Wexner Medical Center General Surgery
Weinland Park, COLUMBUS
Dr. Fareed Raza Shaikh - Cardiologist
Dr. Fareed Raza Shaikh Cardiologist (Medical School, Class of 1999, Residency - ID, Fellowship 2) 29 years experience Mount Carmel Medical Group
Columbus 43213, COLUMBUS
Dr. Lee R Davis - Internal Medicine
Dr. Lee R Davis Internal Medicine (Fellowship, Medical School, Residency, Internship, Residency - ID, Fellowship 2, Class of 1973) 53 years experience Knightsbridge Int Med & Car
Columbus 43214, COLUMBUS