Talk to Cardiologist on Heart Electric System
Asking for Self, Female, 38 years old, Pakistan
I felt inbalance ,fluttering in chest,sudden drop in bp breathlesness , these symtoms starts with right arm numbess in down area ...my tilt test postive during test heart rate 40 systolic bp drop first then diasystolic drpoed even to zero both i got faint after crp i got senses..tell me wht type of syncope i hv vosovogal or cardiac my heart beats fast some time beats slow
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Dr. Rabia Noor - Family Medicine
MBBS, HAAD, MRCGP | Lahore
Thanks for sharing ur concern. More history is needed and evaluation of ur problem.You may book an online video consultation to discuss it and then give him treatment
The history suggests mixed type of syncope with both cardioinhibitory and vasodepressive element. When you had such significant tilt test you must have been advised some kind of tilt training or medications? They often advise pacemaker if you continue having symptoms despite therapy. You need to see nearby electrophysiologist for further management. Might as well require Holter monitoring to rule out arrhythmia and echo to rule out any associated structural heart disease..
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Echo is normal .holter result is mixed..doc advice me exercise nd inderal tab but still i hv problem of inbalanceness nd shortage of breath some times occured i felt severe pressure in chest nd some time pain.
1 year ago
MBBS, FCPS (Cardiology) | Islamabad | Book Appointment
5 Positive Reviews
Mixed Holter report? Has to be seen to comment on that..
Also have you consistently followed therapy? Your drugs can be modified if you are not responding to therapy. There are other options. Also you need to be regular with the tilt excercise. If nothing works you might be advised a pacemaker after necessary workup. You need to have a follow up with your electrophysiologist where possible change of medicines as a first step would most probably be opted.
1 year ago
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Underlying sinus rhythm sinus tachycardia miximum H.R 177 /min no simus no pause....this is result of holter report but during holter test syncope or event does not occured or record
1 year ago
MBBS, FCPS (Cardiology) | Islamabad | Book Appointment
5 Positive Reviews
This heart rate is not normal. You definitely need another prolonged Holter to confirm any rhthym abnormality. Sinus at 177 without trigger is rare. As these days you are having symptoms, you should go for one. Record events during monitoring.
1 year ago
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Anonymous User
Ok thanks
MBBS, FCPS (Cardiology) | Peshawar | Book Appointment
5 Positive Reviews
CRP is a marker of inflammation. Less than 3 is ok. Should have done trip t rather to rule out heart attack.
1 year ago
What were you doing when this started? Did palpitations started first? If chest discomfort and palpitations come first followed by syncope the rule out ischemia and arrhythmia. If symptoms come on standing from lying or squatting then vasovagal or POTS (postural tachycardia syndrome)
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Fist some type of discomfort in felt in chest then i felt numbness in right arm then i felt breatlessness after that i felt im going to fell down but with cough again breathing start i felt heart beating fast after cough sweating i felt skin went pale
1 year ago
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Crp level 2,5 that was nt normal ....i think crp test confirms the heart disease ??? Im i right ...
During sleep one time i felt blackout with same condition tht i described above...sir ws it cardiac aresset episode or cardiac syncope??? Due to arthma
1 year ago
If preceded by chest discomfort then one must rule out coronary artery disease. Stress MIBI is recommended. That will also show the heart rate and BP response. Defibrillator and crash cart must be checked so that one is ready to deal with any ischemia induced arrhythmia.
Aternatively CT cor angio is good to rule out CAD.
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