Though I had experience of knocking sensation before but last Friday's episode was really dreadful after my dinner. On sitting I felt a pressure on mid-chest area, it was something like I have been locked from inside and can get relief if I have some belching. Noted the BP which was high 180/70 HR 78. No irregular beats. I took some antacids and got relief thereafter. But the episode had made me so anxious that I can't forget. On the following day it again occurred in the evening, soon I induce belching and within 20 minutes I did an ECG. It shows NSR with HR 71 and BP was 146/80. But one thing was written in the report " Interior antrolateral ST changes to R/O IHD. My local GP advised to take Sorbitrate 5 sublingual for that night. But my Cardiologist told me nothing to worry. But episodes again hit me in the night. Cardiologist advised me to do TROPONIN T. GP advised to check my TSH, sodium , potassium level. TROPONIN T is negative, TSH level is in the borderline. Na, K are normal.
My regular medicines are- Eltroxin 50, Ivabradine 5-twice daily, Telmisartan 40 and Aquazide 12.5, Clopidogrel 75, Atorvastatin 5.
Besides this my GP added Nitroglycerine 2.6 tablets twice daily. My ECHO,Angio all are normal. ECG always show NSR. Cardiologist says that I am absolutely OK. I have undergone Bilateral Hernia Surgery with Gall Bladder removal three months ago. i was monitored there thoroughly. I had episodes of two major AF 8 years ago that i previously posted.
Cardiologist telling me I don't require Nitroglycerine.
Now my BP is lying between 128/70 to 135/75 HR 56-72.
Can anyone have any answer? Do I need psychological treatment? I am in great fear.