I am 21 year old male having heart palpitations, fatigue, dizziness and chest pains for 2 months. I also have hypertension since 2 years! feels like heart beating too hard and irregular. Ecg done 20 days back which was normal except for sinus tachycardia another ecg done a day back says possible left atrial enlargement and atrial fibrillation. An echo test done 5 months back was normal. Tmt test done 15 months back normal what to do? Shall I go for repeat echo? Do I have heart disease? There?s no family history of heart problems except for high bp.

Dr. Col V C GoyalGeneral Physician46yrs exp

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1.no alcohol 2. Reduce body weight 3. No smoking/ tobacco/drugs/ avoid pollution 4. Diet - no ghee/ butter, have mix of vegetable oils - mustard, til, ground nut, olive oil, have more green vegetables and fruits, have whole grain atta, no fried. Fast. Spicy / processed/ junk food. Less sugar, potato, rice. Less salt. 5. 30 mts brisk walk daily 6. Deep breathing exercise for 10 mts daily 7. Meditation daily for 10 mts. 6-8 hrs of sleep at night 8. Expose your body to sun for 15-20 mts daily after some oil massage to get vit d. 9. Take more water medicine can not be advised for open question ,for medicine and further advise contact on private consults good luck.  

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