Question 1

I've been struggling with this issue for about two years now, and I'm really hoping for some insight. I'm a 27-year-old I.T. professional and this all started with sudden bouts of dizziness and sweating. I've gone through all the usual tests, like MRI and blood work, and the only thing that came up was a low B12 level at 83. Over time, I've begun feeling detached, and my doctor mentioned it might be anxiety. The problem hasnt gone away though, and now I sometimes experience fluttering, dizziness, and vomiting. It feels like I might faint, but I never actually do. I've had TMT and ECG tests twice, and both were normal. I worry it could be some kind of arrhythmia, but during these episodes, my heart rate seems stable with no major changes. It's confusing because these episodes don't seem linked to stress and only last a few seconds. I'm really anxious about this and just looking for a professional perspective on what's happening.

Accepted Answer

It sounds like you are experiencing symptoms of panic attacks, which can be very distressing. The dizziness, sweating, fluttering sensation, vomiting, and feeling like you might pass out are all common symptoms of panic attacks. Since your heart rate remains normal during these episodes and your cardiac tests (TMT, ECG) have come back normal, it is less likely to be related to arrhythmia. One possible treatment option for your symptoms could be to take an anti-anxiety medication such as **Xanax (Alprazolam)**. The usual starting dose for adults is 0.25 mg to 0.5 mg taken three times a day. However, it is important to consult with a doctor before starting any medication. In addition to medication, therapy such as cognitive-behavioral therapy (CBT) can also be very effective in managing panic attacks. It can help you understand and cope with the triggers of your anxiety. It is important to follow up with your doctor regularly to monitor your symptoms and response to treatment. If you continue to experience these episodes despite treatment, further evaluation may be needed.

Question 2

I'm really concerned because my dad had an angioplasty a few days ago, and they put in a stent. Since then, he's been having a really bad dry cough at night. The doctor gave us some medicine, but it doesnt seem to be making any difference. I'm worried this might affect his stent or his heart. Could this cough be connected to the procedure or the medication? What should we do next?

Accepted Answer

There are many possible explanations
What drugs is the patient currently on.  An ACE inhibitor can cause dry cough
Also what about his heart function sometimes CHF can also cause cough  consult cardiologist

Question 3

I'm curious about something. Can heart attacks cause just pain in the left arm with no chest pain at all? I've been feeling a bit of pain in my left arm, like above the elbow and sometimes near the shoulder. Should I be worried? Can heart issues manifest as only arm pain and not have any chest pain involved?

Accepted Answer

ecg and cardiac markers are advised to the pt.

I'm 23 and had some tests done recently where my ECG and ECHO came back normal, but my QRS duration was 98ms. I'm kind of worried about whether this might have any implications for my health in the future. Can you explain if this is something I should be concerned about?

QRS duration of 98ms is considered to be within normal limits for adults. It is unlikely to cause any issues in the future. No specific treatment is needed for this. Just continue to follow up with your healthcare provider for routine check-ups.

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