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Questions & Answers

Q&A

Answered by Dr. Pramod Bhanudas Narkhede

Why do I have chest pain & palpitations despite normal results?

Hello,Welcome to icliniq.com.I have read your query and understand your concerns.If you have been evaluated multiple times at various levels and all cardiac evaluations turn out negative, it is unusual for you to have a cardiac reason for concern. If you want to rule out cardiac pain, you can proceed with a stress thallium test or angiography just to assure yourself that there is nothing wrong. I think you should regularly engage in walking exercises, yoga, or meditation to help control your anxiety.

April 25, 2026

How to treat recurrent idiopathic pulmonary embolism?

Hello, Welcome to icliniq.com. I have read your query and can understand your concern. You are experiencing recurrent, unprovoked idiopathic pulmonary embolism (PE). The optimal duration of anticoagulation therapy following a pulmonary embolism depends on the risk of recurrent venous thromboembolism after the anticoagulation is discontinued. Although the best method for assessing this risk remains uncertain, patients with idiopathic pulmonary embolism are at a higher risk of recurrence than those with PE associated with transient risk factors.

April 16, 2026

Is it safe to ride on a roller coaster with myocarditis?

Hi, Welcome to icliniq.com. Myocarditis is an inflammatory disease of the heart muscle. It can have a variety of cardiac manifestations ranging from no symptoms to severe, debilitating, life-threatening conditions. In the acute phase, the risk of complication is higher. It is not safe to ride roller coasters when you are diagnosed with myocarditis.

March 13, 2026

Is chest pain a symptom of vitamin B12 deficiency?

Hello, Welcome to icliniq.com. Chest pain can be nonspecific; however, you should seek evaluation if the aches and pains occur all over the body or are concentrated in one specific group of muscles. I hope that this answers your query. Kindly follow up if you have more doubts. Thank you.

December 1, 2025

How can the blood flow to the heart be assessed?

Hello, Welcome to icliniq.com. I have reviewed your history and reports that show: patient exercised according to modified Bruce protocol for 5:0 (min:sec) achieving work level of MaxMETs 3. Resting heart rate initially was 35 bpm increased to max HR of 64 bpmResting blood pressuer was 130/80 mm of hg increased to maximum BP of 130/90 mm of hg. You are not symptomatic; however, the ECG (electrocardiogram) indicated a rhythm block. You are experiencing a high-grade atrioventricular block, which affects the rhythm but not necessarily the blood flow.

September 22, 2025

Should I worry after a non-sustained ventricular tachycardia episode?

Hello, Welcome to icliniq.com. This is an excellent narrative history. I believe you have had only one episode of nonsustained ventricular tachycardia. Other reports from a few years ago do not justify a diagnosis of ventricular tachycardia. You may have an idiopathic origin of ventricular tachycardia.

March 24, 2025

Can smoking cause high cholesterol levels?

Hello, Welcome to icliniq.com. You should reduce your smoking, as it is contributing to the increase in cholesterol levels and your elevated heart rate. Smoking stimulates the heart due to nicotine and hydrocarbons in the smoke, which can cause your heart rate to rise significantly. The possibility of infrequent supraventricular arrhythmias cannot be ruled out based on the tests you have already had. You should have an ECG (electrocardiogram) performed immediately when you experience an episode.

November 22, 2024

What is the recommended therapy for pulmonary hypertension?

Hello, Welcome to icliniq.com. I read your query and understood your concern. Firstly, if you are experiencing pulmonary hypertension, you need to evaluate whether it is primary or secondary. Given your BMI (body mass index) of 29, I suggest you work on reducing your weight. You need to rule out the major causes of secondary hypertension.

November 12, 2024

Any side effects of taking Potassium with Magnesium citrate?

Hi, Welcome to icliniq.com. I have gone through your history. Potassium supplements are good for general function but need careful monitoring of potassium levels in the blood. Potassium is a vital electrolyte in the body and has various functions depending on the cell where it accumulates. If it is in the higher or lower range, it can cause dysfunction, so you must regularly monitor your potassium levels.

November 12, 2024

What are the contraindications for potassium citrate solution?

Hello, Welcome to iclinic.com. I read your query and can understand your concern. It is good to hear that you have beneficial effects with salt restriction and potassium supplements. Yes, the outcome is good because your blood pressure remains stable, and circulation remains good with it. With the amount of potassium you are taking now, you will not have any problem.

November 12, 2024

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