Question 1

I'm concerned about my heart rateit's usually over 100, and I get palpitations a lot. When I'm just lying in bed, my heart rate gets between 110-120, and even just climbing up one flight of stairs sends it up to 160. My thyroid levels are normal, though I do have a thyroid nodule. My haemoglobin is at 9, and my BMI is normal. I also have spondyloarthropathy and hidradenitis suppurativa, so my CRP and ESR levels are high. I've attached an ECG from my Apple Watch that I took during the palpitations. Is such a high heart rate normal?

Accepted Answer

Based on your symptoms and medical history, it seems like you may be experiencing tachycardia, which is an abnormally high heart rate. Given your palpitations, breathlessness, and elevated heart rate even with minimal exertion, it is important to further evaluate the underlying cause. Considering your conditions and symptoms, I recommend you consult a cardiologist for a thorough evaluation. In the meantime, to help manage your symptoms, you can consider taking **Metoprolol** at a starting dose of 25mg once daily. This medication can help lower your heart rate and reduce palpitations. It is crucial to monitor your heart rate regularly and keep a record to share with your healthcare provider for a more accurate assessment and management plan.

Question 2

My mom and dad are both senior citizens, and I've been getting a bit concerned about their heart health because there seem to be so many cases of blockages popping up lately. I think catching any issues early on would be really helpful. Also, I've noticed these yellow patches around my mom's eyes, and when I looked it up, it seems like they might be cholesterol deposits or Xanthelasma. Could you suggest what tests we should consider for early detection of any possible issues?

Accepted Answer

An ecg,lipid panel and echo is advised to the patients.

Question 3

I'm 32 and weigh 45 kg, and I've been experiencing frequent breathlessness and sometimes chest pain. My doctor recommended some tests like an ECG, an echocardiogram, and a blood test. I'm really worried because I've heard that getting an echocardiogram might not be safe for the heart. I'm scared of going through with it. What should I do?

Accepted Answer

Echocardiogram is a safe and commonly used test to assess the structure and function of the heart. It uses sound waves to create a moving picture of the heart, allowing doctors to see how well the heart is pumping blood and detect any abnormalities. It is a valuable tool in diagnosing various heart conditions. In your case, since you are experiencing symptoms like breathlessness and chest pain, it is important to follow your doctor's recommendations for further testing. The information obtained from the echocardiogram, along with the other tests like ECG and blood test, will help your doctor make an accurate diagnosis and determine the appropriate treatment plan for you. There is no need to be afraid of the echocardiogram test as it is a non-invasive procedure and does not involve any radiation exposure. It is important to follow through with the recommended tests to ensure your heart health is properly evaluated.

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