Patient History: The patient is a post-operative coronary artery bypass graft (CABG) patient, approximately 1 year post-surgery.
Recent Hospitalization: One week ago, she presented with acute nausea. She was admitted to the hospital where her original bypass surgery was performed. Over a 3-day admission, diagnostic workups including comprehensive blood tests were conducted, all of which reportedly returned within normal limits. She was subsequently discharged 2 days ago.
Current Acute Symptoms: Within the last 24 hours (starting last night), the patient has developed new-onset neurological symptoms. These include a persistent tingling sensation ("pins and needles") and numbness localized to specific areas, including the periorbital region (around the eyes), the lips, and the head, which she describes as affecting her full body.
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
My mother has thyroid Problem and BP and 3 years ho chuka menopause this is her medical Problem but my mother has heart beat fast and when he talk he felt chest discomfort and fatigue frequently i guess is this heart problem or heart attack i m so sacred tell me plzz
My dad had CABG * 3 some 20-25 days back and now he has severe dry cough that gets aggravated when he lies down ...is it common and what should be done ? I have attached the list of medicines he is taking..earlier he was put on grillinctus BM but now the cough has become dry
Thank you, Doctor, for your guidance. Regarding my diagnosis of CIHD, it was mentioned in my medical claim form, but I have not yet undergone an ECHO or a Treadmill test. I will proceed with arranging these tests immediately as you have advised, despite some challenges with insurance coverage. I appreciate your expert recommendation.