Amrit Tanwar (Ayurveda) needs a second opinion on this medical case.
22/y/o with sudden feeling of tightness in chest, sweating, feeling of palpitations and dizziness. This happens in episodic form and has happened thrice in past 2 months.
No h/o systemic diseases
All his recent investigations including ECG, Echocardiography, Trop T, chest X-ray and blood investigations was carried out but came out to be normal.
His Primary physician has said there is no cardiovascular or pulmonary abnormality.
BP-116/80 mm of hg
Pulse - 72 bpm
P/A abdomen soft & non tender but mild hepatomegaly
Chest examination- Normal
On auscultation S1-S2 normal, no murmurs
What to do in such case? How to reach diagnosis? Can this be a psychosomatic issue, how to be sure?