Talk to Cardiologist on Chest Pain For 3 Months
Asking For Self, Male 27, Islamabad
I have a chest pain that moves around that I feel in center, left, right below collarbone, below rib bone and in upper abdomen for 3 months now, that also gives me a feeling of palpitations sometimes.
Dr advised me for an ecg, pls let me know if it's normal
Dr. Abdul Hafeez - Cardiologist
MBBS, Diploma in (Cardiology) | Karachi
ecg is within normal limits. however a normal resting ecg does not rule out underlying cardiac disease.
Dr. Naveed Mahmood - Cardiologist
MBBS, FCPS (Cardiology), FCPS (Medicine), MRCP (UK), FRCP, Arab Board Of Health Specialization - Cardiovascular Diseases | Lahore
6 Positive Reviews
ecg seems fine. you need to have ETT cardiac stress test to be sure.
Patient
Post Owner
ETT was fine as well, did ETT test 1 month back will try to find and share. Thing is that the pain becomes managable when I walk or do some physical activity and feel more when I am resting
2 months ago
Saadia Atif - Clinical Psychologist
BS Applied Psychology, MS Clinical Psychology | Lahore
24 Positive Reviews
Any stress? do you believe you engage in negative overthinking and unable to manage your thoughts? is it that you feel this suddenly and it subsides after 5 to 20 mins? in short, it's important to rule out any psychological reasons leading to vitals fluctuations and sweating
Patient
Post Owner
I think I have a lot of negative overthinking, I am unable to manage my thoughts like If I had a low pain I will start searching and will try to find what this symptom is for and then whatever I do my mind will still be thinking about what's happening with me why is it happening. It happened a few years back with the same symptoms at that time as well. Every test was normal later after a few months when I somehow managed to completely stop thinking about symptoms everything got back to normal
2 months ago
BS Applied Psychology, MS Clinical Psychology | Lahore | Book Appointment
24 Positive Reviews
These are signs of health anxiety/illness anxiety. I'll be needing detailed history for final diagnosis.
if you wish to go for psychological approach to Ur concerns, you can book an appointment through Marham.
this is manageable don't worry.
2 months ago
Patient
Post Owner
the pain does not increase constantly but remains for a long time and every episode of pain is in different areas. For sweating I am not sure if I am excessively sweating as where I live the temp is 48+
2 months ago
BS Applied Psychology, MS Clinical Psychology | Lahore | Book Appointment
24 Positive Reviews
for management, you can book a session through Marham app.
don't worry, it's anxiety concern and it's manageable with timely treatment and active involvement of the person suffering
2 months ago
Dr. Kifayat H Qazalbash - Cardiologist
MBBS, FCPS (Internal Medicine), FCPS (Cardiology), Fellow Cardiac Electrophysiology (Ireland) | Karachi
ECG looks fine except for some changes related to right side of the heart. It is important to know about any previous medical condition that you suffer from i.e Diabetes, Hight BP or Cholesterol issues? as well as if you are a smoker or any asthma history. As such ECG does not show any signs of ischemic heart disease, in layman words no acute signs of Heart Problem.
Patient
Post Owner
I have had asthma when I was a kid but I did not have any asthma episodes since long. Also I am not diabetic or I dont have high bp just its recorded high when I am anxious also note that I have high triglyceride which came as 330 for which I am using medicine now for past 2 weeks
2 months ago
Dr. Kifayat H Qazalbash - Cardiologist
MBBS, FCPS (Internal Medicine), FCPS (Cardiology), Fellow Cardiac Electrophysiology (Ireland) | Karachi
Also if you have on and off palpitations then it should be investigated. My expertise being in Arrhythmias, can say that palpitations are the most neglected symptom in Pakistan what needs to be throughly investigated. Anyways you are welcome to reach out if you need any further consultation. Be blessed.
Patient
Post Owner
Thanks a lot for detailed info, I need to know what can be further analyzed for palpitations as I reside in KSA and as per my session with doctor, he said as I used to drink coffee empty stomach and I was using nicotine pouches they might be the reason that started palpitations and with time I got anxious I got used to it. I have my ECG done 4 times, only there was an elevated heart rate twice that also as per the doctor was because I was anxious. Other tests appear normal as well. Same as when bp was checked it was 150/90 initially and he told me to relax and breath deeply and checked it was 127/78 after that he took like 4 5 readings within few hours all in normal range.
2 months ago
Dr. Kifayat H Qazalbash - Cardiologist
MBBS, FCPS (Internal Medicine), FCPS (Cardiology), Fellow Cardiac Electrophysiology (Ireland) | Karachi
As such withdrawal of caffeinated drinks and nicotine is more related to palpitations. Your palpitations need further investigation with a 24 hours Holter Monitor. Your BP seems more like White Coat but best is to do a 24 hours ambulatory monitoring. Clinic based BP check is not reliable at all. These are very basic investigations we do here in Ireland as part of risk factors assessment. Check with your nearest hospital if they have the facility of above ones.
Patient
Post Owner
I have been advised to limit caffeine / nicotine and use metoprolol and if palpitations persist then will go for holter monitor.
2 months ago
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