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Long-term heart issue- chest pains
Hi everyone !
I came to this forum to hope that maybe someone here will find my story similar to their and/or will be able to shed some light on mine. So my heart related problem started around February 2015. Prior to this date I was happy 21 years old international student partying, drinking, studying - basically having fun person. No health issue whatsoever. But that month I went to the doctor to get some medicines for my sore throat. And they decided to check my pressure. Out of nowhere it was 166/100 with pulse around 100 after resting. They got me scared and they decided to put me under observation - check my pressure regularly and so on. From that moment on I started living in constant fear of having a heart attack. Then I developed tachycardia and sinus arrythmia which just made my fear even bigger. They gave me propranolol 10mg to control it as well as xanax to control my anxiety. Both failed so they decided to start giving me concor 5mg daily. I also changed my diet and lifestyle. I never smoked, I quit drinking, started exercising more often. ConCor kind of controlled my symptoms in terms of heart - my pulse got back to normal I got rid of sinus arrythmia, pressure was around ~140/70. It was pretty much ok until I got atrial fibrilation out of blue - of course ER, another dose of Propranolol 10 mg and again extremely scared. I developed some sort of panic attacks - chest pains, suffocating, sweating, palpitations, lack of appetite. And then my doctor decided to schedule echo - to show me that my heart is fine and put me in ease. Everything turned out to be fine, just small mitral valve prolapse. Nothing more. It relieved me a lot plus also my psychiatrist told me to start taking escitalopram which I guess also worked since all the symptoms disappeared. Pressure was still around 135-140. Still under concor. But I was kinda free
And here we go again. I went back to my country for the summer. Relaxed like never before, no problems, I almost forgot about everything. I stopped taking escitalopram ( which might have been not a good idea) since I felt fine and ConCor reduced dose. Then I went back to Taiwan to continue studying and again I started haing issues. To basically sum it up I got scared again - elevated cholesterol ( LDL: 145, HDL 32 Triglyceride 100), pressure 140+. I also developed lots of PACs ( 2000+ within 24h period). Doctor switched medicine from beta blocker to ramipril and also gave me rytmonorm ( propafenone_)150mg 3 times daily to get rid of PACs and bring back my sinus rhytm. I decided to put myself back in cardio shape ( since I've been going to the gym) but I developed sever pain in the middle of the chest which goes back to the back. It goes away quickly after I stop running but ofc it made me scared. Doctor says it's not an angina but I'm not convinced
What should I do ? I'm tired of constant fear of heart attack. I had many EKGs, hollter EKG, echo, treadmill test done and nothign except PACs and one atrial fibrilation attack came back. Should I focus on mental health and get back to escitalopram ? Or keep looking for heart problem ( I was even considering CT coronary scan but my doctor said there's no need since I'm so young) ? I'm really worried about those chest pains now since I cannot even jog without having this pain after 15 mins
Sorry for the long post and I hope there will be anyone who might have any clue what's that.
ECHO :
Conclusion
.Normal sizes of cardiac chambers.
.No significant regional wall motion abnormality.
.Preserved global contractility of left ventricle.
.Normal diastolic function of left ventricle.
.Mitral valve prolapse.
.EKG: Sinus rhythm.
AO 29 (20-38)(mm) LVIDd 51 (37-53)(mm)
AV 25 (16-26)(mm) LVIDs 34 (24-36)(mm)
LA 29 (19-40)(mm) LVEDV 123.8(80-190)(ml)
RV 21 ( 5-21)(mm) LVESV 47.4 (16-83)(ml)
EF slope 107 (80-150)(mm/sec) EF 61.7 (50-70)( %)
IVS 9 ( 7-11)(mm) HR 78.0 (60-100)(BPM)
LVPW 8 ( 9-11)(mm) CO 6.0 (2.5-7.2)(1/m)
EPSS ( <8)(mm) DT 220 (160-220)(msec)
IVRT 120 (70-90)(msec) E 67.6 (cm/s)
A 56.8 (cm/s)
Findings:
Ventricles
.Normal sizes of ventricular chambers.
.LV relative wall thickness ( 2PW/IDd) 50
Comments: eGFR(MDRD)=175*CRE(B)^(-1.154)*Age^(-0.203)*0.742(if
female)
HOLLTER EKG
Total Beats: 105624, SV: 105601, V: 23
AMBULATORY ECG ANALYSIS was performed for a period of 23:31:44 hours.
A total of 105624 beats(QRSs) were analysed.
The standard deviation over all normal beats was 246.8 ms.
AVERAGE HEART RATE was 81 BPM, with a maximum heart rate of 151 BPM at 13:12:12,
and a minimum rate of 40 BPM at 03:28:15.
VENTRICULAR ECTOPIC ACTIVITY: Total V beats: 23. VES(s): 23.
SUPRAVENTRICULAR ECTOPIC ACTIVITY: SVES(s): 2092. Tachycardia(s): 808.
Bradicardia(s): 440.SV Couplet(s): 23
PAUSE(S): 25. The longest pause was 1.6 sec at 05:27.
Maximum ST level was found at 00:15:19 with 1.45mm elevation in channel 1.
Minimum ST level was found at 13:00:04 with -3.76mm depression in channel 1.
I came to this forum to hope that maybe someone here will find my story similar to their and/or will be able to shed some light on mine. So my heart related problem started around February 2015. Prior to this date I was happy 21 years old international student partying, drinking, studying - basically having fun person. No health issue whatsoever. But that month I went to the doctor to get some medicines for my sore throat. And they decided to check my pressure. Out of nowhere it was 166/100 with pulse around 100 after resting. They got me scared and they decided to put me under observation - check my pressure regularly and so on. From that moment on I started living in constant fear of having a heart attack. Then I developed tachycardia and sinus arrythmia which just made my fear even bigger. They gave me propranolol 10mg to control it as well as xanax to control my anxiety. Both failed so they decided to start giving me concor 5mg daily. I also changed my diet and lifestyle. I never smoked, I quit drinking, started exercising more often. ConCor kind of controlled my symptoms in terms of heart - my pulse got back to normal I got rid of sinus arrythmia, pressure was around ~140/70. It was pretty much ok until I got atrial fibrilation out of blue - of course ER, another dose of Propranolol 10 mg and again extremely scared. I developed some sort of panic attacks - chest pains, suffocating, sweating, palpitations, lack of appetite. And then my doctor decided to schedule echo - to show me that my heart is fine and put me in ease. Everything turned out to be fine, just small mitral valve prolapse. Nothing more. It relieved me a lot plus also my psychiatrist told me to start taking escitalopram which I guess also worked since all the symptoms disappeared. Pressure was still around 135-140. Still under concor. But I was kinda free
And here we go again. I went back to my country for the summer. Relaxed like never before, no problems, I almost forgot about everything. I stopped taking escitalopram ( which might have been not a good idea) since I felt fine and ConCor reduced dose. Then I went back to Taiwan to continue studying and again I started haing issues. To basically sum it up I got scared again - elevated cholesterol ( LDL: 145, HDL 32 Triglyceride 100), pressure 140+. I also developed lots of PACs ( 2000+ within 24h period). Doctor switched medicine from beta blocker to ramipril and also gave me rytmonorm ( propafenone_)150mg 3 times daily to get rid of PACs and bring back my sinus rhytm. I decided to put myself back in cardio shape ( since I've been going to the gym) but I developed sever pain in the middle of the chest which goes back to the back. It goes away quickly after I stop running but ofc it made me scared. Doctor says it's not an angina but I'm not convinced
What should I do ? I'm tired of constant fear of heart attack. I had many EKGs, hollter EKG, echo, treadmill test done and nothign except PACs and one atrial fibrilation attack came back. Should I focus on mental health and get back to escitalopram ? Or keep looking for heart problem ( I was even considering CT coronary scan but my doctor said there's no need since I'm so young) ? I'm really worried about those chest pains now since I cannot even jog without having this pain after 15 mins
Sorry for the long post and I hope there will be anyone who might have any clue what's that.
ECHO :
Conclusion
.Normal sizes of cardiac chambers.
.No significant regional wall motion abnormality.
.Preserved global contractility of left ventricle.
.Normal diastolic function of left ventricle.
.Mitral valve prolapse.
.EKG: Sinus rhythm.
AO 29 (20-38)(mm) LVIDd 51 (37-53)(mm)
AV 25 (16-26)(mm) LVIDs 34 (24-36)(mm)
LA 29 (19-40)(mm) LVEDV 123.8(80-190)(ml)
RV 21 ( 5-21)(mm) LVESV 47.4 (16-83)(ml)
EF slope 107 (80-150)(mm/sec) EF 61.7 (50-70)( %)
IVS 9 ( 7-11)(mm) HR 78.0 (60-100)(BPM)
LVPW 8 ( 9-11)(mm) CO 6.0 (2.5-7.2)(1/m)
EPSS ( <8)(mm) DT 220 (160-220)(msec)
IVRT 120 (70-90)(msec) E 67.6 (cm/s)
A 56.8 (cm/s)
Findings:
Ventricles
.Normal sizes of ventricular chambers.
.LV relative wall thickness ( 2PW/IDd) 50
Comments: eGFR(MDRD)=175*CRE(B)^(-1.154)*Age^(-0.203)*0.742(if
female)
HOLLTER EKG
Total Beats: 105624, SV: 105601, V: 23
AMBULATORY ECG ANALYSIS was performed for a period of 23:31:44 hours.
A total of 105624 beats(QRSs) were analysed.
The standard deviation over all normal beats was 246.8 ms.
AVERAGE HEART RATE was 81 BPM, with a maximum heart rate of 151 BPM at 13:12:12,
and a minimum rate of 40 BPM at 03:28:15.
VENTRICULAR ECTOPIC ACTIVITY: Total V beats: 23. VES(s): 23.
SUPRAVENTRICULAR ECTOPIC ACTIVITY: SVES(s): 2092. Tachycardia(s): 808.
Bradicardia(s): 440.SV Couplet(s): 23
PAUSE(S): 25. The longest pause was 1.6 sec at 05:27.
Maximum ST level was found at 00:15:19 with 1.45mm elevation in channel 1.
Minimum ST level was found at 13:00:04 with -3.76mm depression in channel 1.
Hi..
Did you have the die shot in you and have the nuclear stress test?
The one on the treadmill but with the die in you?
I had some issues for a very long time and out of know where, I found out I had a very small heart attack many moons ago. Had 2 stents put in last yr. They can not tell unless they go up in the heart in them small arteries. CAD is very common in the US. It has alot to do with our life style and eating habits. We also have so much processed foods. Even the water & air can be bad sometimes. The Dr said it also can be in the genes. I think it was my drug/booze days that did not help. Did not start smoking until my later 30s and this happen when I was 56...However, they said it started to plac up since I was very young..Well go figure. I still think it had to do with my Bad Habits.
I do wish you the best and I would talk to other Drs as well and not just one.
PS..You are Young so that makes me wonder.
Bless
Vickie
Did you have the die shot in you and have the nuclear stress test?
The one on the treadmill but with the die in you?
I had some issues for a very long time and out of know where, I found out I had a very small heart attack many moons ago. Had 2 stents put in last yr. They can not tell unless they go up in the heart in them small arteries. CAD is very common in the US. It has alot to do with our life style and eating habits. We also have so much processed foods. Even the water & air can be bad sometimes. The Dr said it also can be in the genes. I think it was my drug/booze days that did not help. Did not start smoking until my later 30s and this happen when I was 56...However, they said it started to plac up since I was very young..Well go figure. I still think it had to do with my Bad Habits.
I do wish you the best and I would talk to other Drs as well and not just one.
PS..You are Young so that makes me wonder.
Bless
Vickie
1 Comments
hey Vickie thanks for the response ! Unfortunately there was no dye shot during the stress test... Maybe I'll think to recheck it again. And surely I'll consult it with another doctor ! Thanks !
[Blood]
Glucose AC 90 mg/dL 70 - 99
ALT(GPT) 14 IU/L 14 - 40
Total Cholesterol 194 mg/dL 130 - 200
Triglyceride 100 mg/dL 35 - 150
Uric Acid 7.02 mg/dL 4.4 - 7.6
Creatinine 1.09 mg/dL 0.4 - 1.2
Estimated GFR(MDRD) 85.4 mL/min
Potassium 4.38 mEq/L 3.5 - 5.1
LDL-Cholesterol H 145 mg/dL 40,女>50
Comments: eGFR(MDRD)=175*CRE(B)^(-1.154)*Age^(-0.203)*0.742(if
female)
Glucose AC 90 mg/dL 70 - 99
ALT(GPT) 14 IU/L 14 - 40
Total Cholesterol 194 mg/dL 130 - 200
Triglyceride 100 mg/dL 35 - 150
Uric Acid 7.02 mg/dL 4.4 - 7.6
Creatinine 1.09 mg/dL 0.4 - 1.2
Estimated GFR(MDRD) 85.4 mL/min
Potassium 4.38 mEq/L 3.5 - 5.1
LDL-Cholesterol H 145 mg/dL 40,女>50
Comments: eGFR(MDRD)=175*CRE(B)^(-1.154)*Age^(-0.203)*0.742(if
female)
1 Comments
You are young and your heart has been thoroughly checked out and found to be healthy, apart from minor and benign hiccups. You note that while you were taking escitalopram, your problems essentially went away. This is a VERY significant clue!
You ask if you should focus on mental health and go back to escitalopram? Certainly that is the sensible thing to do. That approach has clearly worked for you in the past, and returning to it will keep your life from being consumed by a pointless cardiac obsession.
You ask if you should focus on mental health and go back to escitalopram? Certainly that is the sensible thing to do. That approach has clearly worked for you in the past, and returning to it will keep your life from being consumed by a pointless cardiac obsession.
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