Question 1

I've been experiencing this weird sensation where I can feel my heartbeat or pulse when I'm lying down on my pillow. It usually happens in the side of my neck or at the back of my head. This has been going on for about three months now. I've had an ECG and an echo, and they were normal, except the ECG showed sinus tachycardia. I also got a thyroid test, which came back normal. My blood pressure is fine too, and I dont have any other symptoms. Its just strange that it only happens when Im lying down. I did have COVID nine months ago, but that feels like ages ago now. What should I do next?

Accepted Answer

It sounds like you may be experiencing palpitations, which can be concerning. Since your ECG and echo were normal and your thyroid test was also normal, it is good news that there are no major issues detected so far. Sinus tachycardia can sometimes cause palpitations, especially when lying down. One possible next step could be to monitor your heart rate with a Holter monitor to see if there are any irregularities in your heart rhythm over a longer period of time. In the meantime, you can try to avoid caffeine, alcohol, and stress, as these can sometimes trigger palpitations. If the symptoms persist or worsen, it would be best to follow up with your healthcare provider for further evaluation and management.

Question 2

I'm feeling pretty concerned about my wife's situation. She's 32 years old and she's had two abortions in the past. She's currently 23 weeks into an IVF pregnancy. Before getting pregnant, her echo was normal with an EF of 67, but now it shows Grade 1 diastolic dysfunction with an EF of 57, though everything else seems alright. She's experiencing mild breathlessness during activities like bathing. Her blood pressure reads 12490 on the right and 12084 on the left. I'm wondering if I should consider starting her on Labetalol. Is this something we should be worried about?

Accepted Answer

Considering your wife's medical history and current condition, it is important to address the diastolic dysfunction and high blood pressure to ensure the well-being of both your wife and the baby. Labetalol is a suitable choice for managing hypertension in pregnancy. I recommend starting your wife on tab. labetalol at a dose of 100 mg twice daily initially, with close monitoring of blood pressure. The dosage can be adjusted as needed based on her response. It is essential to continue monitoring her symptoms, blood pressure, and cardiac function regularly throughout the pregnancy. Additionally, it would be beneficial for your wife to follow up with her obstetrician and cardiologist for further evaluation and management of her cardiac condition during pregnancy.

Question 3

I'm experiencing this weird throbbing sensation in my chest and head, and I'm also feeling it in my legs. I had some tests done like ECG, echo, and they all came back normal. What could be causing this, and how can I address it?

Accepted Answer

Based on your symptoms and normal heart reports, it is possible that you are experiencing migraines with associated symptoms in your legs. To help alleviate these symptoms, you can take acetaminophen (Tylenol) for the throbbing feeling in your head and chest. For the pulsation feeling in your legs, you can try ibuprofen (Advil) to reduce inflammation and discomfort. Make sure to stay hydrated, get enough rest, and manage stress levels. If the symptoms persist or worsen, consult with your healthcare provider for further evaluation and management.

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More Cardiology Health Queries

I'm experiencing this weird throbbing sensation in my chest and head, and I'm also feeling it in my legs. I had some tests done like ECG, echo, and they all came back normal. What could be causing this, and how can I address it?

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