Question 1

I've been having these sudden heart palpitations and some breathlessness since last week in May, and even when I do activities like slow walking or yoga, my heart rate spikes up to around 150-170. After seeing my cardiologist, I was on Inderal 10 mg for 2 months, but it didn't help much. Now I'm taking Betacap TR 40 and Daxid 25 mg, but sometimes my heart still races even when I'm just resting. My cardiologist mentioned that stress might be causing it. I'm really anxious to know when this might get better. I'm 31, breastfeeding, and all my tests like ECG, echo, thyroid, and sugar levels came back normal. I'm using my iWatch to track my heart ratehow reliable is that, or should I consider a different device?

Accepted Answer

Based on your symptoms and the medications you have tried, it seems like you are experiencing persistent tachycardia and palpitations despite the treatment. Since your cardiologist mentioned stress as a possible cause, it may take some time to see improvement as managing stress levels can be a gradual process. In addition to the medications you are currently taking (betacap tr 40 and daxid 25mg), your doctor may consider adjusting the dosage or trying other medications to better control your symptoms. It is important to continue following up with your cardiologist for further evaluation and management. Regarding monitoring your heart rate, while devices like the Apple Watch can provide useful information, they may not always be as accurate as medical-grade monitoring devices. If you are experiencing persistent symptoms and want more accurate heart rate monitoring, you may consider investing in a dedicated heart rate monitor recommended by your healthcare provider. It is essential to continue working closely with your cardiologist to address your symptoms effectively and monitor your progress over time.

Question 2

I'm a bit concerned about some ECG results from my recent TMT test. The report came back normal, no signs of ischemia or arrhythmias, but I noticed some changes in the T wave on one of the pages. I brought it up with the cardiologist, and he dismissed it as non-specific. Still, I can't shake this uneasy feeling. I attached a resting ECG I took two hours after the TMT. Can you take a look and let me know if there's anything to worry about?

Accepted Answer

Nothing to worry it is normal, t wave presence is normal since the tmt test is also negative for ischaemia and arrytmia.Repeat ecg is advised after 2 weeks...

Question 3

I'm really worried about my heart rate. I was prescribed Propranolol 20 MG for anxiety and palpitations by my cardiologist, but when I started feeling uncomfortable with light chest pain, I went to another cardiologist who told me to stop taking it. So I did, and I felt normal for a day, but then my heart rate jumped from 85 sitting to 145 standing the next day. I'm scared to go to the hospital because my heart rate might increase even more. If it's already at 140 just standing, I can't imagine how high it would go while working. Is this something very serious? Also, my blood pressure at night was 130 after eating and 127 before eating while I was on the medication, but it hardly ever went over 120 before all this. If just two days of using Propranolol caused these withdrawal effects, how am I supposed to handle this medication for the long term? I'm living in constant fear of dying. Can you help?

Accepted Answer

It sounds like you are experiencing significant anxiety and palpitations along with withdrawal effects from Propranolol. The sudden increase in heart rate upon standing is concerning and may indicate a condition called orthostatic intolerance. This needs to be evaluated further by a healthcare professional. To address your symptoms, you can try the following: - Discontinue Propranolol under medical supervision to avoid withdrawal effects - Practice relaxation techniques such as deep breathing or meditation to help with anxiety - Stay well-hydrated and maintain a healthy diet - Avoid sudden changes in posture to prevent orthostatic intolerance In the meantime, it is important to consult with a cardiologist or a healthcare provider for a proper evaluation and management plan. They may consider alternative medications or therapies to help with your symptoms. Remember, sudden changes in heart rate and chest discomfort should not be ignored. Take care.

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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