I have SVT and recently started developing sharp chest pain with a purple foot. Kindly help.

Hello,

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I went through your query of chest CT (computed tomography) scan. Please upload the CT scan report. I need to know some more details about your chest pain. Where is the exact location of your chest pain? How long does it exist? Is it on exertion or walking or even at rest? You had any local injury over there or any history of heavy weight lifting recently? Do you frequently have gastritis or indigestion? Have you done an ECHO (echocardiogram) for your heart? You also mentioned SVT (supraventricular tachycardia). When did you have it, and how many times so far? Are you on any treatment for that? Mild vascular calcification should be ignored and should not be worried about. Kindly get back with the above details and all available reports for further discussion and management.

Hi,

Welcome back to icliniq.com.

I went through your reports (attachments removed to protect the patient's identity) and the detailed history that you have described very well. Your CT report is absolutely fine, and you need not worry at all about that. Your lipid profile is borderline that can be taken care of by lifestyle modification, diet (low carbohydrates), and regular exercise. Your chest pain seems to be less likely to be cardiac in origin. Provided your ECG and Echo is normal (I could not find any report). For your SVT, if the frequency is more, say, for example, once in two to three months or so, and you are symptomatic, and you are unable to take medicines. You can think about EPS (electrophysiology study) with or without RFA (radiofrequency ablation). Till then, you can take a beta-blocker (Metoprolol 12.5 mg or 25 mg if your blood pressure permits). How much is your BP (blood pressure) range when you measure it, and what is the heart rate range normally? For your chest pain, you take tablet Dolo (Paracetamol650 mg) twice a day for five days along with tablet Pan 40 mg (Pantoprazole) once a day for five days. And see how it makes a response. For the pain and bluish discoloration of your legs. Can you please tell me if it is on both legs or only on one? Does it occur regularly? Does it subsides spontaneously or remains for few days? It would be better if you can share a photo of bluish discoloration on your feet. Kindly get back with the above details for further discussion and management.

Hi,

Welcome back to icliniq.com.

I saw your photo. Yes, it has bluish discoloration. But the photo is not very clear. I just saw a blurred image. I believe that you must have done bilateral lower limb arterial and venous doppler. Kindly get back with the Doppler report and a clear picture of your leg if possible. Take care. Have a review with your reports.