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Breathlessness, palpitations, chest heaviness, sweating. Diagnosis and treatment?

I am 55,male, bank executive , sedentary life style. 65kg, 5' 6''. No history of hyper tension or sugar. I undergo annual health check ups.
Off and on I experience breathlessness and palpitations, together or separately. Palpitations are really nasty, heart thumping loudly, missed beats etc. While walking sometimes I feel chest heaviness. Sometimes even chest pain, sweating. At night, it interferes with sleep too.( Incidentally, My sleep has not been sound for several years even otherwise. ) However, the symptoms come and go and I become normal again. I have calcium, B12 and D severe deficiency. Some mitral valve regurgitation was noticed in echo but not serious. Sometimes I feel I may even die when the attacks come and last even hours but recover sooner or later.
Please suggest a diagnosis and action.I have a innate fear that my heart may be failing but afraid to hear the final pronouncement!
Please advise a diagnosis and action plan.
Asked On : Mon, 25 Mar 2013
Answers:  1 Views:  73
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

You need to be investigated for Coronary Artery Disease.
EKG / HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance.
The treating doctor may suggest them depending on need, based on his assessment of the situation.

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Sat, 18 May 2013
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