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Pain in chest turned into pricking pain with low energy. Advised ECG, TMT, PFT, other blood tests. Normal. Heart attack? - Online Doctor Chats

Date : 11-Jun-2013
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2002
Answered : 106 Questions
Doctor:How can I help you ?
User:Hello Doctor
Doctor:How are you?
User:i have a few queries to be clarified wrt my heart
Doctor:go ahead
User:I have sent this query on this site, still going with the same here too
User:Hello Doctor, Few months back, I experienced a pain at my chest level which was sort of heavyness and gradually it started to prick every often. (more or less like a pin point prick). I thought it would have been for gastic or due to stress. However to be on safer side I consulted the cardiac surgeon who inturn suggested me to undergo few tests like ECG, TMT, PFT (lungs related test) and other blood tests. The reports were quite normal and didnt see much of any disturbance. I was told that I might be under stressed and to do regular excercise & my stamina level is very low. I couldnt complete the TMT test due to strain and felt like as if all the presurre is building on my head and felt like I am going to collapse. Cholestrol scores were shown marginal high and not too high....bad chol was shown high and good chol was shown low. :( Post to that I didnt go for any further examination or other treatment. As the doctor suggested i started doing exercise like skipping at less interval The problem is that I still experience the pain in my chest at times and sense of pricking... though not regularly. I can skip upto 25 times continously but i am not able be run for short distance or climb the stairs at fast mode, neitherr play with my kid (2.5 yrs old) by lifting him ....I get very tired and feel like having heavy breathe for sometime till I am relaxed....Also very rarely I feel like blacked-out for few seconds...! My living life-style is - I am project manager and work 11 AM to 9 PM Excercise - twice/ thrice a week for 15-20 mins started recently Smoking - No / very occasionaly 1 or 2 butts in a month Alcohol - 2-3 pegs of whiskey in a week or a bottle of beer (either one of it & not both) Stress - I manage almost 8-10 mind gets stressed out often Other issues - I get frustrated / irritated for every small things / silly issues at home! Not sure what could be the cause but I am bit worried about my health and at times get panic whenever I hear someone passed away due to heart-attack!! Please suggest if I need to undergo some sort of tests or will Yoga helps me to keep calm
User:quite detailed, please have your time to read through it!
Doctor:how old are you?
User:I am 35 right now
Doctor:during the TMT, were there any ECG changes that your doctor was concerned about
User:not really much but based on the reports were normal doctor suggested me to under go PFT
User:not sure if i have taken the right name... which is related to lungs test
Doctor:do you have the reports?
User:Doctor said that if the test related to lungs comes normal then he has to do the detailed check-up again
User:not at this moment doctor!
Doctor:if the TMT was fine
Doctor:then you dont need to worry about the heart
Doctor:what is your height and weight
Doctor:your symptoms can be caused by either total lack of exercise or simply anxiety
User:am 5.7 with 73
Doctor:however, if there are issues with the ECG or TMT, the heart needs to be looked into
Doctor:You're overweight
Doctor:but not that much
User:okay, then i feel bit relax now.....
Doctor:yoga can help
Doctor:so can pranayama
User:oh, but i hardly eat any dairy products or others.
Doctor:but if its possible
Doctor:scan the reports and send them to me
User:even my diet holds at 3 chapatis @ lunch and minimal rice for dinner
User:sure doctor i shall arrange for the scan reports at the earliest
Doctor:having chapatis at dinner is better
Doctor:please send them at YYYY@YYYY
User:ok, usually i go for ragi ball now-a-days
User:sure, i have noted down the email id
Doctor:That is also fine
User:does joining for GYM helps
User:instead of yoga
Doctor:i want you to exercise for 250 minutes in a week
Doctor:that can be a brisk walk as well
Doctor:yoga will help calm you down
Doctor:this irritability will reduce
Doctor:also, strength training (weights etc) is to be done 3 times a week
User:fine doctor... i will plan it across now!
Doctor:is there any other concern I can address?
User:how about my cholestrol
User:does having alchohal twice a week increases it
Doctor:you can reduce with a good diet
User:i go for 2-3 pegs for a week
Doctor:reduce junk, oily food, fried, sweets etc
Doctor:also, have 1 fruit a day and 5-6 servings of fruits and vegetables
Doctor:if you send me the reports
Doctor:we can discuss in more detail
User:sure Doctor, i will send it by tomorrow same time to the given email address.
Doctor:any more questions?
User:Nope, thanks for your time for now :), even i need to rush for an client meeting
User:have a great evening!
Doctor:have a good day
User:thanks you
Doctor:thanks for consulting me
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