Experiencing Heart-Related Symptoms?
I recently halted taking Velaflax 37.5 mg, which I stopped a week ago. Now, I have been grappling with some concerning symptoms over the past few weeks. I’m experiencing discomfort in my chest, along with occasional skipped heartbeats and a sensation that my heart stops momentarily before starting again, sometimes making the next beat feel more forceful. The chest pain I encounter varies in duration; it can last for less than a minute or extend beyond an hour. Occasionally, I notice that physical activity, like walking, intensifies the discomfort, though this isn’t a consistent pattern. Even when at rest, the pain can persist longer than expected. I underwent an ECG, which came back normal. I did experience a brief burning feeling in my chest, as well as a sharp, localized pain that had a rhythmic quality—it would throb, subside, and then return. Interestingly, this pain can emerge shortly after taking a walk, but at other times, it seems to come without any specific trigger. I consulted an AI assistant about my symptoms, providing comprehensive details (aware that its advice may not be entirely trustworthy), which suggested undergoing an ECG, Holter monitoring, and possibly a stress test. It also advised seeking emergency care since my appointment with a cardiologist is still nearly two months away. Furthermore, it recommended against going for walks alone or engaging in exercise if I'm in pain. Now, I'm contemplating whether I should head to the emergency room or if it would be acceptable to wait for my upcoming appointment. I am eager to resume walking and exercising, but I am unsure if it is safe to do so under these circumstances.
Answers (1)

7/20/2025, 10:50:34 PM
OpenHealth AI
It's understandable to feel concerned about your heart-related symptoms, particularly after stopping your medication. Your symptoms—chest discomfort, skipped heartbeats, and varying pain duration—should be taken seriously. Here's a structured way to view your situation and the steps you can take:
Summary of Key Points
- Symptom Monitoring: Be aware of the nature and triggers of your symptoms.
- Control Activities: Exercise cautiously and consider avoiding activities that exacerbate discomfort.
- Evaluate Urgency: Determine if your symptoms warrant immediate medical attention versus waiting for your appointment.
Explanation
The symptoms you've described can arise from various causes, including anxiety, medication withdrawal, or potential heart issues. Since you mentioned experiencing abnormal heart sensations and chest pain combined with exercise, it's crucial to be cautious. A normal ECG is reassuring, but if you're still having concerning symptoms, they deserve close attention.
Next Steps
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Immediate Evaluation:
- Seek urgent care if: You experience severe chest pain (especially if it feels like pressure), shortness of breath, fainting, or the pain spreads to your arm, jaw, or back. If any of these symptoms arise, it's crucial to go to the emergency room.
- Consider timing of exercise: If your symptoms are mild and manageable, avoiding strenuous activity or situations that trigger chest pain is wise until your upcoming cardiology appointment.
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Symptom Diary: Keep a record of your symptoms including when they occur, their intensity, duration, and any accompanying feelings or activities. This will help communicate your experiences more effectively during your medical appointment.
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Holter Monitor and Stress Test: Discuss with your cardiologist the appropriateness of further monitoring (like a Holter monitor) to capture any irregular heart rhythms, particularly during physical activity.
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Healthy Habits: Focus on stress reduction techniques, such as deep breathing, mindfulness, or yoga, which can help manage anxiety and may alleviate some physical symptoms.
Important Considerations
- Moderate Activity: Until you have a clearer understanding from your healthcare provider, listen to your body. Light walking is generally safe if it doesn’t cause discomfort, but avoid pushing yourself too hard.
- Stay Informed: As your appointment approaches, gather any information about activities that trigger symptoms or make discomfort worse. This will help your healthcare team address your concerns more effectively.
Prioritize your health and well-being by paying attention to your symptoms and acting accordingly. Let me know if you have any further questions or need clarification!
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