Question 1

For the past 4 to 5 days, Ive been dealing with an unusually fast heart rate, even when Im just resting. I havent been exercising for a few months now, and I can really feel my heart pounding throughout my body. It gets worse at night and when I checked, my heart rate was 103 bpm, and sometimes its 95 bpm, but it never goes below 90, even when Im just sitting. Im staying hydrated and I dont feel anxious, but Ive started having this chest pain that feels like when someone presses on a bone. What tests should I consider doing to find out whats going on? This fast heart rate is really becoming unbearable. Any advice?

Accepted Answer

Based on your symptoms of a fast heart rate at rest, palpitations, and chest pain, it is important to consult a healthcare professional for further evaluation. The following tests may be recommended: 1. Electrocardiogram (ECG) to assess the electrical activity of the heart. 2. Holter monitor to continuously record your heart's activity for a period of time. 3. Echocardiogram to evaluate the structure and function of the heart. 4. Blood tests to check for any underlying conditions such as thyroid disorders or electrolyte imbalances. In the meantime, to help manage your symptoms, you can consider taking a beta-blocker medication such as Metoprolol at a starting dose of 25mg once daily, as prescribed by a healthcare professional. Beta-blockers can help lower heart rate and reduce chest pain.

Question 2

I'm  wondering about continuing with corbis bisoprolol 5 mg, which I've been taking for a decade now. My blood pressure is normal, and my pulse is hanging around 60. I'm aware that bisoprolol can lower heart rate, and even though I'm not experiencing any issues, I'm curious whether I should consult a doctor about switching medications because of the lower pulse rate. How long is it generally okay to stay on corbis if I'm not having any problems?

Accepted Answer

visit dermatologist for evaluation and appropriate management

Question 3

I'm a bit worried about some of the results from my 24-hour Holter monitor and other tests. My heart rate got as high as 130 bpm at 11 am and dropped to 38 bpm at 4 am, with an average of 96 bpm. They noted baseline sinus arrhythmia but no trachiarrhythmia runs, AV block, or significant ST changes. My echocardiography shows an EF of 68 percent, which they said is normal. My fasting glucose came back at 106 mgdl. Everything else like LFT, KFT, and TSH seems to be within normal limits. Should I be concerned about these numbers? What do they really mean for my heart health?

Accepted Answer

Based on your results, I recommend you continue to monitor your heart rate and rhythm. Since there are no significant abnormalities detected, no specific medication is required at this time. However, it is important to maintain a healthy lifestyle with regular exercise and a balanced diet to support your heart health.

I'm 24 and I spend a lot of time sitting because of my job. My pulse rate seems to bounce between 92 and 110. Is it normal for it to be that high at my age? I'm a bit worried if it's something I should be concerned about.

ecg and echo advised to the pt..

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