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What causes erratic heart rate and chest pain in a 20-year-old?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I visited a cardiologist for my fluctuating heart rate and chest pains. She told me I was healthy and needed to focus on my anxiety. However, when I looked at my health records online, I saw that she wrote the results of an echocardiogram: Left Ventricular Hypertrophy (LVH) and diastolic dysfunction, with an ejection fraction (EF) of more than 55 percent. These results sound worrying should not they have been mentioned? I am 20 years old, male, do not smoke, and have been active my whole life. Most of my blood tests came back normal.

Kindly help.

Answered by Dr. Chibitam Hope Obia

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern.

I am very sorry about your medical condition, and I am glad you are paying attention to changes in your body. Do not worry, I am here to take care of you. Regarding your symptoms, I believe you may have developed hypertrophic cardiomyopathy, where the blood flow from the heart is moderate, greater than 55 percent. I do not think it is much worse, although I would expect the echocardiogram to show at least 75 percent based on your age.

For now, please stop the Metoprolol (Kapspargo Sprinkle,), as your blood pressure is normal. This will help avoid hypotension and a low pulse rate. Reply if you have more concerns or questions by scheduling a direct appointment or follow-up.

I hope this helps you.

Thank you.

Medically reviewed by iCliniq medical review team
Published At February 14, 2025
Reviewed At February 14, 2025

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Chibitam Hope Obia is a dedicated General Practitioner and Family Physician with expertise in managing a wide range of acute and chronic conditions. He has a strong interest in mental health and has pursued advanced training in the field. Dr. Obia is known for his patient-centered approach, clinical efficiency, and commitment to holistic care for individuals and families.

This doctor is not available for online consultations on the platform anymore.

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