
I Had An Incident A Few Days Ago That Is

While twisting to get out of an adjustable bed that was not flat at the time, I squeezed my groin. The pain was quite pronounced and shot upward through my body and triggered a near fainting incident. Thankfully, I just laid back down in the bed and the sensation passed. Afterward I felt like it affected my heart.
This is my situation. I am taking the following medications: Rosuvastatin 10mg, Metoprolol ER Succinate 25 mg, and Lisinopril 5 mg to treat an enlarged Aorta at sinus of Valsalva (46 mm). I have had periods of lightheadedness before, but not for months, and never triggered by pain. The other two medical situations that is remarkable is that I take thyroid replacement hormone (Levothoroxine 125mg) and have started CPAP therapy recently (about a month).
This morning’s measurements:
Blood Pressure: averaged: 108/66
Heart Rate: 63 bpm
Temp: 98.2 under tongue
Additionally, I have attached a 6 lead EKG from a consumer device called AliveCor KardiaMobile 6L.
Finally, I’ve attached a sleep report from last night from a device called Wellue O2Ring.
I’ve requested an appointment from my cardiologist but wanted another opinion so I can be more informed.
My main concern? The risk to my heart from stress induced incidents like pain, i.e. how strong my heart is.
Thanks for your help.
I would explain as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I carefully reviewed your ECG report and sleep report and I am glad to confirm that they are within the normal ranges.
Regarding the episode of fainting during the pain, this is called a vagal response to the pain (also called vaso-vagal syncope), which is a physiological reaction to the pain, more prominent in sensitive persons. It doesn't show if a person has a weak or strong heart, just that a person is more sensitive than the others to the pain.
I don't think that is is harmful or indicative of any serious medical disorder.
You should know that these episodes do not impose the heart to a great stress, as they last for short periods of time.
Regarding the enlarged Aorta, I would recommend follow up every 12 months with a cardiac ultrasound.
It is also necessary trying to maintain a normal blood pressure values and blood lipid profile.
I hope you will find this information helpful!
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr. Ilir Sharka

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