Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Do Chest Pain, Rapid Heart Rate And Headache Indicate Despite Taking Propranolol?
Question: Good evening,
Doctor my daughter is 17 years, complains of episodes of chest pain, rapid heart rate, on propanolol . Diagnosed with precordial catch syndrome, but now she is complaining of palpitation with headache, headache 5/10, alert, awake. She is being monitored for this symptoms for the past year and it is not getting better.Please advise.
Doctor my daughter is 17 years, complains of episodes of chest pain, rapid heart rate, on propanolol . Diagnosed with precordial catch syndrome, but now she is complaining of palpitation with headache, headache 5/10, alert, awake. She is being monitored for this symptoms for the past year and it is not getting better.Please advise.
Brief Answer:
Please refer to the detailed answer below
Detailed Answer:
Hello
After going through the medical history provided by you I would like to tell you that the symptoms of your daughter seems more of psychological rather than cardiac.
Stress, panic attacks, anxiety are the most common and most frequent cause of palpitations in youngsters specially girls.
Regarding precordial catch you need to take care about her sitting posture, watch her and guide her to sit proper upright as improper posture trigger pain.
In my opinion it's advisable to take help of a psychiatrist as well as neurologist for evaluation and management plan.
I hope this information will be helpful.
Kind Regards
Dr Bhanu Partap
Please refer to the detailed answer below
Detailed Answer:
Hello
After going through the medical history provided by you I would like to tell you that the symptoms of your daughter seems more of psychological rather than cardiac.
Stress, panic attacks, anxiety are the most common and most frequent cause of palpitations in youngsters specially girls.
Regarding precordial catch you need to take care about her sitting posture, watch her and guide her to sit proper upright as improper posture trigger pain.
In my opinion it's advisable to take help of a psychiatrist as well as neurologist for evaluation and management plan.
I hope this information will be helpful.
Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by :
Dr. Kampana
Thank you very much for a very straight forward answer. Even before I consulted a cardiologist, I made sure that she was seen by a social worker, psychiatrist, nuerologist, neurosurgeon, and psychologist. I will do what you have advised regarding her posture and again, thank you so much for your time and advise.
Brief Answer:
Hello Again
Detailed Answer:
Its a pleasure helping my patients.
In future if you want my assistance then kindly mention my name as Dr Bhanu Partap in your query.
Kindly close the discussion and rate the answer.
Kind Regards
Dr Bhanu Partap
Hello Again
Detailed Answer:
Its a pleasure helping my patients.
In future if you want my assistance then kindly mention my name as Dr Bhanu Partap in your query.
Kindly close the discussion and rate the answer.
Kind Regards
Dr Bhanu Partap
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Kampana
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
