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Suggest Treatment For Severe Chest Pain

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Posted on Tue, 8 Nov 2016
Question: i have been facing chest pain from last few years but whenever doctor carries out thread-mil, ecg , echo all r coming negative. Last one year 3 times i had gone through thread mil and results is its nagaitve at heights load. But my resting heart rate is high around 85-90 for which calaptin 20 mg tablets is advised three times a day. Most of the doctor says its panic anxiety disorder my BP is always between 120-134 / 80-90 my fasting sugar is around 98 and pp is around 90 . Echo shows very minute prolapse in mater valve rest are okay. My cholesterol is arrount 150 triglyceride is arround 125 and ldl arround 85 and hdl around 45 please advice whether the pain which i get is related to chest out to come out from it

Sir,
how often i need to go through treadmill test and echo .As far as i remember during the first week of JULY 2016 i had gone through thread mill test , echo and blood test please advice.

Everyday i usually go for 30 to 40 minutes of walk and 20-30 minutes breathing excesize. Since my Heart rate is around 90 i am afraid to go for jogging or running as i feel it further increases my heart rate . I would like to ask you can i go for jogging ?

Some times after food i feel my palpitation increases bit high (around 100) for an hour is it okay

sir please advice on the above questions

Regards
doctor
Answered by Dr. Dholariya Sagar Jayantilal (11 hours later)
Brief Answer:
As mention below

Detailed Answer:
Hello dear XXXX
Welcome to HCM and thanks for the query
I understand your concern

Chest pain is not due to cardiac cause as your ECG, ECHO and TMT tests are negative.
Your heart rate, blood pressure, blood sugar and cholesterol levels are normal.
Your symptoms may be due to panic attack/stress.

- You should go for the ECHO and TMT test if your physician advice for the same.
Otherwise in healthy individual, no need to go for ECHO and TMT regularly.
Blood tests like glycated Hb, blood sugar and lipid profile should be repeated yearly. But You have not need to repeat the tests as your blood tests are completely normal.

- You can go for jogging. Normal heart range is 60-100 beats /minute. Increase heart rate during exercise is normal phenomenon. 90 beats per minutes is not a contraindication for the jogging.
When I do exercise my heart rate will reach around 150-160 beats/minutes.
So just be relax and do regular jogging for 40-60 minutes in the morning.
Also do yoga in the morning for 15-20 minutes.

- Heart rate is not same at all the time. It may increased during the activity, stress and during meal. It is normal.

So just be relax and enjoy life. Spend time with family and friends and enjoy your hobby.
Eat 4 almonds, 4 pistachio, 1 walnut every day.
Eat more green leafy vegetables and fresh fruits, drink plenty of water.

Hope I have answered your query
Let me know if you have further query
Stay healthy
Best regards
Dr. Sagar
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
Answered by
Dr.
Dr. Dholariya Sagar Jayantilal

General & Family Physician

Practicing since :2009

Answered : 5898 Questions

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Suggest Treatment For Severe Chest Pain

Brief Answer: As mention below Detailed Answer: Hello dear XXXX Welcome to HCM and thanks for the query I understand your concern Chest pain is not due to cardiac cause as your ECG, ECHO and TMT tests are negative. Your heart rate, blood pressure, blood sugar and cholesterol levels are normal. Your symptoms may be due to panic attack/stress. - You should go for the ECHO and TMT test if your physician advice for the same. Otherwise in healthy individual, no need to go for ECHO and TMT regularly. Blood tests like glycated Hb, blood sugar and lipid profile should be repeated yearly. But You have not need to repeat the tests as your blood tests are completely normal. - You can go for jogging. Normal heart range is 60-100 beats /minute. Increase heart rate during exercise is normal phenomenon. 90 beats per minutes is not a contraindication for the jogging. When I do exercise my heart rate will reach around 150-160 beats/minutes. So just be relax and do regular jogging for 40-60 minutes in the morning. Also do yoga in the morning for 15-20 minutes. - Heart rate is not same at all the time. It may increased during the activity, stress and during meal. It is normal. So just be relax and enjoy life. Spend time with family and friends and enjoy your hobby. Eat 4 almonds, 4 pistachio, 1 walnut every day. Eat more green leafy vegetables and fresh fruits, drink plenty of water. Hope I have answered your query Let me know if you have further query Stay healthy Best regards Dr. Sagar