Can I experience heaviness in my chest after Nedal?

I have noticed that I usually have a feeling of heaviness in my chest after physical exertion. Then my neck hurts too. Other symptoms disappeared, such as tingling in the limbs that I had at the beginning and dizziness. Or maybe he cares too much about it all and the symptoms appear on their own

To @Czarna:
I'm afraid that this question should be addressed to a cardiologist.

Here you can take advantage of the teleconsultation:

https://www.gdziepolek.pl/telekonsultacja/z-kardiologiem

In this case, if a resting ECG is not able to accurately determine coronary artery disease, what could be the reason for the slight hypoxia that the doctor read from the recording? She told me to take the drug agen, even though I have not yet been diagnosed with this disease by a cardiologist. I don't have an appointment until June. I have low blood pressure, I don't have any diseases, I don't drink alcohol or smoke. I am a slim person, I have no problems with overweight, diabetes, etc.

To @Czarna:

1. Is it possible to detect coronary artery disease in a resting ECG?

Resting ECG is of limited value in detecting coronary artery disease in patients without a history of myocardial infarction.

In order to diagnose coronary artery disease (ischemic heart disease), a number of tests are performed. Their selection, based on individual indications for each patient, is decided by the doctor. These can be, m.in resting and stress ECG, Holter test, echocardiography, scintigraphy, etc.

To detect coronary artery disease in patients without a history of myocardial infarction, stress tests such as stress testing on a treadmill or imaging of myocardial perfusion during exercise or after administration of weight-bearing medication are more useful. These tests have higher sensitivity and specificity in detecting significant stenosis in the coronary arteries compared to a resting ECG alone.

2. Can stress and nervousness before the ECG test possibly distort its result?

Yes, stress and nervousness before an ECG test can interfere with the result.

Strong emotions, such as anxiety or nervousness, cause increased secretion of stress hormones, such as adrenaline and cortisol. These hormones can increase heart rate, increase blood pressure, and cause cardiac arrhythmias. As a result, an ECG performed in a nervous state can show abnormalities that do not occur at rest or during normal activity.

Therefore, before performing an ECG, it is recommended that the patient is in a state of maximum relaxation. Doctors often ask for a few minutes of rest before the test to minimize the impact of stress on the result.

3. What treatment is undertaken as a result of coronary artery disease?

Both pharmacological and surgical methods are used in the treatment of coronary artery disease. Pharmacological treatment includes:

Coronary vasodilators, such as nitroglycerin, calcium channel blockers, and beta-blockers, to improve blood flow to the heart muscle.

Blood pressure-lowering drugs, such as angiotensin-converting enzyme inhibitors and sartans, to reduce the burden on the heart.

Lipid-lowering drugs that lower cholesterol.

Antiplatelet and anticoagulant drugs to reduce the risk of blood clots.

If pharmacological treatment is ineffective, surgical treatment is used. The goal of treatment is to increase blood flow to the heart muscle, reduce the load on the heart, and prevent complications such as heart attack.

4. How long can you live with this disease?

The prognosis and life expectancy of patients with coronary artery disease depend on many factors, such as the severity of the disease, the patient's age, the presence of other comorbidities, and the effectiveness of treatment. With early diagnosis, effective pharmacological and surgical treatment, and lifestyle modifications, many patients with coronary artery disease can live for many years.

About 1% of patients with stable coronary artery disease die within a year of the disease, while about 2% have a heart attack. With the high availability of hemodynamic laboratories (interventional cardiology) and proper invasive treatment, the prognosis for life is good.

Factors such as diabetes, kidney failure, respiratory diseases and old age negatively affect the prognosis. The main complications of coronary artery disease that can shorten life are heart attack and heart failure.

According to the doctor, the resting ECG showed slight hypoxia. Is it possible to detect coronary artery disease in this type of ECG, because I found information on the Internet that only an exercise ECG is able to show this. The doctor prescribed the drug agen half a tablet due to low blood pressure. Can stress and nervousness before the ECG test possibly interfere with its result? What treatment is undertaken as a result of coronary artery disease. I am a young person, I have a child. I am generally afraid of a situation in which the diagnosis will be confirmed. How long can you live with this disease?

To @Czarna:

No, blood test results such as glucose, TSH or electrolytes are not specific to the diagnosis of coronary artery disease. Coronary artery disease is caused by narrowing or obstruction of the coronary arteries supplying the heart with blood and oxygen, which is most often due to atherosclerosis.

To diagnose coronary artery disease, other tests are necessary, such as:
Resting and exercise electrocardiogram (ECG)

Cardiac enzyme level test (troponin, CK-MB)

Cardiac echocardiography

Coronary angiography (cardiac catheterization)

Testing cholesterol levels and inflammatory markers (e.g. CRP)

I have visited my family doctor, who ordered an ECG. It turned out to be a slight hypoxia. However, I concluded from the doctor's behavior that she is not entirely sure about this reading. I received a referral to a cardiologist for further diagnostics for possible coronary artery disease, as well as a referral for an X-ray of the spine. I am supposed to take Agen half a tablet because of low blood pressure. Can good blood results, glucose, TSH and electrolytes still indicate coronary artery disease?

To @Czarna:

Given your symptoms, as well as the fact that your blood tests and chest X-ray are normal, there are a few options to consider:

1. Gastroesophageal reflux (GERD): The backflow of acidic gastric contents into the esophagus can cause a feeling of tightness, burning sensation in the chest, as well as a lump in the throat. It is one of the more common causes of non-heart-related chest pain.

2. Heart problems: Although less common in younger people, chest pain can indicate heart problems such as coronary artery disease or pericarditis. However, blood tests and chest X-rays that are normal make this cause less likely.

3. Stress and anxiety: Stress and anxiety can cause a variety of physical symptoms, such as chest pain, dizziness, numbness in the limbs, or a lump in the throat. If you have been in a stressful situation recently, this may be the reason.

4. Neuromuscular disorders: Stinging, tingling and numbness in the limbs may suggest neuromuscular disorders, which sometimes also manifest as chest pains.

Since the symptoms persist for more than a month and preliminary tests have not revealed abnormalities, it is advisable to continue monitoring the symptoms and possibly consult a specialist (gastroenterologist, neurologist) to determine the cause and appropriate treatment.

If you are unable to consult your doctor, you can use the teleconsultation here:
https://www.gdziepolek.pl/telekonsultacja

Hello, I have been experiencing chest discomfort for over a month. Like pressure, stinging. In addition, sometimes dizziness, numbness and tingling in the limbs. Empty bounce. Recently, there has been a feeling of a lump in the throat. The family doctor ordered a blood test and a chest X-ray, all normal. What could be the cause.

The feeling of heaviness (tightness) in the chest has many causes. It can mean heart, lung and stomach diseases, as well as be associated with, for example, spinal disorders and neurosis. Cage tightness is one of the most common ailments that affects people of different ages and usually passes as quickly as it appeared. Disturbing becomes the frequent or enduring feeling of heaviness in the chest, which always requires going to the doctor and performing diagnostic tests. In general, the effects of Nedal are mild and/or moderate and resolve on their own with continued treatment. If such symptoms appeared after long-term therapy (over a year), it may indicate the progression of the underlying disease, and not too strong effect of the drug. I enclose a detailed description of the preparation you are asking about: https://www.gdziepolek.pl/produkty/52548/nedal-tabletki/apteki