Patient's Query
Hello doctor,
I am a 29-year-old male with a family history of diabetes, hypertension, and heart disease. For the past two years, I have been experiencing intermittent chest pain, discomfort in my left arm and shoulder, along with periods of breathlessness. I have undergone ECGs on several occasions, and doctors have described the results as unremarkable, suggesting that the pain may be orthopedic or neurological in nature.
I have consulted several reputable orthopedic and neurological specialists and have had MRIs, X-rays, EMG, and NCV tests performed, all of which returned normal results. The pain remained intermittent during this time. However, over the past three months, the discomfort has worsened. One doctor recommended that I undergo a cardiac CT scan, which revealed the presence of a myocardial bridge.
I also have a history of high cholesterol and have been on statins for three years. Additionally, they have prescribed a beta blocker. I would like to know more about this condition. The report and CT images are attached.
I look forward to your opinion.
Hello,
Welcome to icliniq.com.
Myocardial bridging: In your case, one of the heart's arteries, the left anterior descending artery (LAD), has a mid-portion that passes through the cardiac muscle instead of lying on the heart wall. When your heart rate increases due to this condition, blood flow is reduced, causing discomfort. As a result, you try to avoid strenuous activities. With medication, you should feel better, but it is important to continue avoiding strenuous activities.
I hope this helps you.
Thank you.
Patient's Query
Hello doctor,
Thank you for the reply.
Are my current medications appropriate? I would also like to mention that I have been a smoker for the last 10 years. I want to bring a few incidents to your attention: I used to practice yoga and circuit training with a trainer. On several occasions, while working out, I suddenly became sweaty and felt dizzy and lightheaded. The trainer asked me to sit down and check my pulse with a pulse oximeter. The reading ranged from 195 to 205. He advised me to stop the workout and consult a doctor. There have also been instances where I have felt discomfort without engaging in very intense activity.
Kindly let me know the prognosis and how I should proceed.
Hello,
Welcome back to icliniq.com.
According to the attached reports (attachments removed to protect the patient’s identity), all your heart arteries are normal, with the exception of the portion I have already mentioned. You should avoid activities that increase your heart rate above 90 to 100 beats per minute. You must continue taking the beta-blocker Metoprolol XL 25 mg. Please follow up with your cardiologist.
I hope this helps you.
Thank you.
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Answered byDr. Amiya Kumar Chattopadhyay
Medically reviewed byDr. K. Shobana
Same symptoms don't mean you have the same problem. Consult a doctor now!
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