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Doctors Lounge - Cardiology Answers
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| shashi_kolhe
- Thu Feb 28, 2008 9:01 am |
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Hi,
Let me start with introducing myself. I am an Indian male 30yrs old 5feet 6inches tall and a bit overweight i.e. 198 lbs. About 7-8 months back while coming home from office I suddenly started feeling breathless and had started sweating..and my Blood Pressure had gone upto 170/100..hence I feared I was having a heart attack and rushed to the ER. There they ran all kinds of tests on me, the results of all of them were normal. I have mentioned the details of these reports below. Then they sent me back saying that it was probably just the acidity or anxiety..(Let me also tell you that till this day I was a heavy smoker..almost a pack a day and was drinking alcohol occasionally..now its been more than 7-8 months since I quit smoking completely and don’t drink more that a drink or two once or twice in a month)
But after this episode I have always been getting these weird chest pains..sometimes in the left below my nipple or below the last rib or sometimes in the right near nipple or near/below the ribs..and sometimes its in the center..and sometimes just below the ribs…these pains keep coming back everyday..4-5 times a day or sometimes just once in 2-3 days..though these pains don’t last for more than a minute most of the times.. I have been to all kinds of doctors and everyone sent me back saying that I was just fine.. But these occurrences still scare me, as if I am getting a heart attack..PLEASE HELP..also I exercise everyday..i.e.walk for about 2-3 miles and then do yoga and meditation for about 45 minutes.
Stress Test Results (Date- 23 JUN 2007) No significant ST changes Normal Sinus Rhythm Normal Haemodynamic response Good Effort tolerance Stress Test negative for inducible ischemia
Blood test Results (Date- 23 JUN 2007) Haemoglobin - 14.6 gm/dl RBC - 5.0 mill/cumm Platelet count - 3,14,000/cumm WBC - 12,400/cumm
Biochemistry Report Results (Date- 23 JUN 2007) Sr. Creatinine - 0.9 mg% (Normal)
Lipid Profile Results (Date 01 JUL 2007) Sr. Cholesterol - 178 mg/dl Sr. Triglycerides - 167 mg/dl Sr. HDL - 33 mg/dl Sr. LDL - 111.6 mg/dl Sr. VLDL - 33.4 mg/dl HDL ratio - 5.394 LDL:HDL ratio - 3.382 Remark - CHD risk is average
Blood Pressure Results (Date 01 Feb 2008) 24hr monitored Avg - Systolic -115 Avg - Diastolic-73 Heart rate - Avg - 67
EKG Results (Date 28 Jan 2008) Normal echo study Normal LV systolic and diastolic function LVEF 65% No segmental wall motion abnormality
Also my ECG reports also were normal.
Thanks and Regards, Shashi.
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| Dr. A. Madia
- Fri Feb 29, 2008 9:57 pm |
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Hi Shashi,
I am in total agreement with the diagnosis given to you that your chest pains are non significant and need not worry you. After that first episode you seem to have become over conscious about the heart. We call this cardiac neurosis.
But this should be a good trigger for you to exercise regularly, bring your weight back to normal and eat a halthy diet rich in fruits and vegetables. Your low HDL can only come up with exercise.
So stop worrying and start working out!
Apurva
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| shashi_kolhe
- Mon Mar 03, 2008 12:13 am |
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Thanks a lot for your response Sir..this gives me a huge relief...
Regards, Shashi
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