Question 1

What is Torsades de Pointes?

Accepted Answer

Rare type of ventricular tachycardia , characterized by a gradual change in amplitude and twisting of the QRS complexes around an isoelectric line on the electrocardiogram, which can be life threatening .

Question 2

I'm curious about what's happening with my heart. Sometimes my ECG shows these non-specific ST changes, and while my echo was normal, I'm still worried. I often feel chest discomfort and pains in my left arm. Is there something specific these ST changes could indicate, even though my ECG and echo seem alright? Could something be missed?

Accepted Answer

Non-specific ST changes on an ECG can be caused by various factors, including electrolyte imbalances, medications, anxiety, or even normal variation. Since your echocardiogram was normal, it is less likely to be related to a structural heart problem. However, given your symptoms of chest discomfort and left arm pains, it is important to continue monitoring and investigating further. To address your symptoms, you can try taking a medication like aspirin for chest discomfort (75-325mg once daily) and acetaminophen for pain relief in your left arm (500-1000mg every 4-6 hours as needed). Additionally, you may benefit from a medication like ranitidine for acid reflux if present (150mg twice daily). It is important to follow up with your healthcare provider for further evaluation and management of your symptoms.

Question 3

I'm really worried about this ongoing lightheadedness I've been dealing with for the past 8 months. It's like I'm under the influence of something, almost like alcohol, but I'm not. I've had these scary episodes where my chest hurts and my blood pressure shoots up to 150100. The ER told me it was a panic attack, and it's happened twice now. I've undergone so many testsHolter Monitor, ECG, EKG, chest and heart CT scans, even a brain MRI and countless blood tests. Everything comes back normal, including checks for anemia and thyroid issues. They did find H. Pylori, and I finished a 14-day antibiotic course for that, but otherwise, doctors say I'm fine. Yet, I can't shake these feelings and symptoms. I'm 30, 6 feet tall, and weigh 90 kg, with blood pressure often around 13590. I've even had ECGs during the pain episodes. Can you help me figure out what might be going on here?

Accepted Answer

It sounds like you have been through a thorough evaluation for your symptoms. Since all your reports have come back normal and your doctors have ruled out various possible causes, including panic attacks, it's important to consider other factors that may be contributing to your lightheadedness and other symptoms. One possible cause could be inner ear problems leading to vertigo-like symptoms. I recommend trying a medication called Meclizine (brand name Antivert) at a dose of 25-100 mg per day to help with your lightheadedness. Additionally, you may benefit from vestibular rehabilitation therapy to address any inner ear issues. It's also important to stay well-hydrated, maintain a healthy diet, and practice stress-reducing activities such as yoga or meditation. If your symptoms persist or worsen, it may be helpful to see an Ear, Nose, and Throat (ENT) specialist for further evaluation and management.

I'm experiencing this weird vibration-like sensation in the upper left side of my chest that's been going on for a couple of days. Initially, I thought it was just acidity, but its been almost 45 days now. Any idea whats causing this and how I can fix it quickly?

Ecg and x-ray chest pa view is advised to the patient.

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