chest pain

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Hello i would like to start with saying that i am a pretty healthy 22 year old that doesnt smoke and drinks once every 2 months. I am 140 pounds and 5ft 11ft tall. Today i was on the way to work in the metro and while i was standing up i started getting a mild pain on my left side of the chest i ignored it because i sometimes do get random pains which last a few seconds, the thing is this one didnt go away. At first i though it was my heavy bag that could have caused an irritation but then my heart starting beating pretty quick at about 100 bpm. I didnt give much attention to it i was almost sure that it was going to go away but then that turned into light headness, mild confusion, 130 bpm, weird feelings in both arms and hands. I was sure i was going to die, i ended up skipping work and going to the doctors. Couldnt go to an er because i dont have insurance so i ended up going to this clinic and they hooked me up to an ekg and checked my blood pressure. The results were pretty bad: 130 bpm, 174/85 pressure. They hooked me up to a drip with 1 litre of electrolites and i just lied there for about 2 hours, they thought i was dehydrated because the ekg didnt show any heart problems. When they were letting me go the chest pain would only be there when i walked, its still like this now (8 hours later) im at home and when i stand up to do something my left side of the chest is mildly painful and my heart rate is at 100 since i left the clinic, the past hour it went down to 85-90. Anyone have any ideas what this could be? Could it be a panic attack? Sometimes i wake up in the middle of the night feeling panic in my chest and my heartrate is at 100 bpm and i feel like dieing. Could this be connected? This was the worst i ever experienced..

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  • Posted

    ECG is not so specific in this cases. It may be normal while the patient has angina pectoris. If atleast 2 or 3 seperate ECG doesnt show  arrhythmic signs, then you must do an Echocardio. And Angiogram.

    Your case seems MVp or anxiety related chest pain to me.

    Your night tachicardia can be a result of Paroxismal atrial tachi cardia. 

    Please start 20 mg propranolol three times a day (one dose just at bed time). Also sustac 2.6 b.i.d and use TNG pearls if the attack come back.

    exercise regullarly and take a no fat , low salt foods. Don' t be at stress and do aerobic every other day. You'll be fine . 

    Dr. Aidin 

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    • Posted

      Thank you for your answer, il keep all this in mind. Seems like il have to go get those scans. Today i woke up and felt fine, i checked my hr about an hour after and it was 75. I just ate and since then my hr went up to 95 and i feel a light heavyness on my left side and it feels as if i wasnt getting enough air, also feeling a bit tired.
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  • Posted

    Hi,

    I'm no expert but I had a heart condition known as SVT (supra-ventricular tachycardia). Every time I moved to fast bent over too fast or did any exercise my heart rate would shoot right up my highest being 293bpm which is a horrible feeling as you know. I used to feel very faint, a little detached from reality and of course had pain. Once the episode stopped I felt weak and tired and had chest pain for the next day or so. I had many tests; ECG's, Echocardiagrams, blood tests the lot by all came back clear it wasn't until I was put on a treadmill whilst they monitored my heart that I was diagnosed. If quick movement is the cause of you pain and increase in heart rate then I suggest you get a 'stress test' which is the treadmill. I know how stressful and irritating this process is but I hope this helps and you get better soon 😊

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