- Female
- 71 Years
- 22/01/2025
I'm a bit worried because I've been diabetic for 35 years and have managed it pretty well until now, but recently, I've started experiencing this sinking feeling and episodes of fainting and dizziness. I got an ECG done and it shows some blockage. Could this be related to my diabetes, and what should I do next?
Answered by 1 Apollo Doctors
Given your 35-year history of well-managed diabetes, the recent symptoms of sinking feeling, fainting, and dizziness, along with ECG indications of blockage, suggest a potential cardiovascular issue, such as coronary artery disease or cardiac autonomic neuropathy, so consult a cardiologist to discuss further testing, like angiography or stress tests, and develop a plan to address the blockage and manage cardiovascular risk factors.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
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View allI'm a bit concerned after getting my Holter test results back. It says I had 17 ventricular beats in tachycardia at 100 bpm and no bradycardia, with a sinus tachycardia peaking at 162 bpm just once. The doctors mentioned this might be normal for someone who drinks and smokes, and they advised me to quit both. The test was done because of an irregular pulse. Could you help me understand what all this means and how serious it is?
The holter test report indicates ventricular beats at 17%, beats in tachycardia (>=100 bpm) at 15%, and no bradycardia. Sinus tachycardia was noted at 162 bpm (maximum only once). It is advisable to quit alcohol and smoking, as advised by your doctors. The irregular pulse may be related to these habits. To help with the irregular pulse, you can take Metoprolol (brand name: Lopressor) 25mg twice daily. This medication can help regulate your heart rate and reduce the occurrence of irregular beats. Regular follow-up with your healthcare provider is recommended to monitor your progress.
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I'm feeling a bit worried because I did ECG, echo, TMT, and a CT angiography back in November 2021, and everything turned out normal back then. But now I'm dealing with chest pain again from time to time, and I've got some acidity issues too. I'm wondering, is it necessary for me to repeat those tests? If so, how long should I wait before doing them again?
In your case, since you are experiencing chest pain again along with acidity issues, it would be advisable to consult with your doctor for further evaluation. The doctor may recommend medications to manage your acidity and chest pain symptoms. For acidity, you can take antacids like Omeprazole 20mg once a day before breakfast. For chest pain, you can take Paracetamol 500mg as needed for pain relief. If the symptoms persist or worsen, a follow-up with your doctor may be necessary for a reassessment.
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I'm experiencing these odd palpitations when I'm trying to sleep, but as soon as I wake up and move around a bit, they stop. I've had GERD since last September, and my recent endoscopy showed a grade 2. I've been keeping up with my health; did a TMT and checked my lipid profiles, and everything was normal. No blood pressure issues either, and I quit smoking 4 or 5 years ago, though I still have a drink now and then. My echo showed a grade 2, which makes me wonder if there's something going on with my heart or if it's all related to my esophagus issues. Also, I just started meds for fatty liverUdiliv 300, Darolac, Rifaximin 400mg, and Moza Plusand my SGPT was at 109. With a weight of 100 kg and being 5'10", I'm a bit worried. Is the grade 2 thing a sign of heart trouble, or could it be from the GERD? And is it possible for the grade 2 to be reversible?
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.