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Tôi đang Cần tư vấn tim mạch ....
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Cardiac & Vascular Health
Question #19255
154 days ago
248

Tôi đang Cần tư vấn tim mạch .... - #19255

Lê Đoan

Dạ em cảm thấy nhói tim lúc bị lúc không có khi sẽ thấy khó thở tim đập nhanh, thỉnh thoảng bị nhưng tầm 2 hôm nay thì nhói nhiều như kiểu bị thắt lại, lần trước em có đo điện tim thì họ bảo không sao mà em cứ đau hoài như vậy ạ. Em có bị dạ dày và bị xương khớp, lúc trước có bị cơ mà không xác định cụ thể bị gì uống thuốc 3 năm hiện tại đã ngưng thuốc. Phiền bác sĩ tư vấn giúp ạ.

Age: 22
Đau nhói tim
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
153 days ago
5

Hello dear As per clinical history it seems musci pain only. However for exact clarification iam suggesting some tests Please get them done and share result with orthopedic surgeon in person for better clarity Bone scan Esr Serum ferritin Serum troponin Serum LDH Cbc ECG repeat Please share the result with concerned physician only and take medication only after recommendation by concerned physician only Regards

2990 answered questions
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Triệu chứng nhói tim, khó thở, và tim đập nhanh có thể có nhiều nguyên nhân khác nhau, từ những vấn đề tim mạch cho đến những nguyên nhân ngoài tim như vấn đề căng cơ, dạ dày, hoặc lo âu. Trong trường hợp của bạn, đặc biệt khi bạn đã từng đo điện tim và kết quả không cho thấy vấn đề nghiêm trọng, có thể cân nhắc thêm các yếu tố khác. Loét dạ dày hay trào ngược dạ dày thực quản (GERD) có thể gây cảm giác đau ở ngực giống như các triệu chứng tim mạch. Vấn đề xương khớp, đặc biệt ở vùng ngực và cột sống, cũng có thể gây ra những cơn đau nhói kiểu này. Tuy nhiên, cần lưu ý rằng không nên chỉ dựa vào các triệu chứng cũ. Nếu bạn cảm thấy cơn đau hiện tại khác thường hoặc kéo dài hơn, cần khám lại để loại trừ khả năng biến chứng nghiêm trọng như nhồi máu cơ tim, nhất là khi triệu chứng mới xảy ra. Quan trọng là theo dõi các triệu chứng kèm theo như đau lan lên cổ, cánh tay hoặc ra sau lưng, vã mồ hôi, hoặc buồn nôn. Tốt nhất, bạn nên liên hệ với bác sĩ và thảo luận chi tiết hơn về các triệu chứng để có thêm xét nghiệm cần thiết. Trong khi chờ đợi, bạn nên tránh các yếu tố làm kích thích, chẳng hạn caféin và stress, và chú ý chế độ ăn uống tránh các thức ăn có thể gây khó chịu cho dạ dày. Nếu triệu chứng đột ngột trở nên nghiêm trọng, khó thở dữ dội hoặc đau nặng hơn, hãy tìm kiếm sự trợ giúp y tế ngay lập tức.

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