Question 1

I'm really concerned about my recent master checkup results. The doctor mentioned I have an abnormal heart rhythm where my heart stops for 1.8 seconds. He said it's a birth defect and suggested I get a pacemaker. I've been feeling dizzy lately, and I'm wondering if that's related to my heart issue. Do you think it's a good idea to go ahead with the pacemaker? Are there any other treatments or alternatives you would recommend?

Accepted Answer

Yes, the dizziness could be related to the abnormal heart rhythm causing brief pauses in the heart's electrical activity. A pacemaker is commonly recommended for individuals with significant heart rhythm abnormalities like yours to help regulate the heart's rhythm and prevent pauses that can lead to symptoms like dizziness. Alternative treatments may include medications to help control the heart rhythm, but in cases where there are significant pauses in the heart rhythm, a pacemaker is often the most effective and safest option to prevent complications and improve quality of life. It is advisable to follow your doctor's recommendation to have a pacemaker implanted to help regulate your heart rhythm and prevent further symptoms like dizziness.

Question 2

I'm 29 and since 2018, I've been experiencing skipped or missed heartbeats, which make me feel really uneasy. In 2019, I had an ECG, an echo, and a TMT done, and they didn't find anything. Recently, I've had two more ECGs and still nothing showed up. The doctor prescribed ivabradine and some anxiety medicine. I also discovered I have hyperthyroidism. I got some relief, but the symptoms have started again, and I'm really scared and worried that something serious is going on. Can you help me figure out what's happening and where I should go to find out the exact cause?

Accepted Answer

It's understandable to feel anxious and concerned about your symptoms. Skipped or missed heartbeats, known as palpitations, can be distressing but are often benign, especially with normal ECG, echo, and TMT results. Hyperthyroidism can contribute to palpitations and should be managed effectively. Since you have already been prescribed ivabradine and an anxiety medication, it's important to continue following your doctor's advice and taking your medications as directed.

Given your ongoing symptoms and anxiety, it might be beneficial to seek a comprehensive evaluation at a specialized center, such as a tertiary care hospital with a cardiology and endocrinology department. They can conduct further tests, such as a Holter monitor to track your heart rhythms over 24-48 hours, and refine your treatment plan.

Additionally, managing anxiety through therapy, relaxation techniques, and lifestyle changes can also help alleviate your symptoms. Please consult with your healthcare provider to discuss your concerns and consider a referral to a specialist if needed.

Question 3

Is peanut butter good for cholesterol?

Accepted Answer

Peanut butter, almond butter, and other nut butters, these creamy treats are fairly healthy. And as long as they don't contain hydrogenated fat, nut butters including peanut butter won't cause problems for your cholesterol levels.

I'm really worried about a heartbeat of 240 beats per minute. Is this life-threatening? Can it lead to heart failure? Is there a way to treat it, or what should I do next?

Yes it is very abnormal and needs immediate attention ,vist cardiologist for appropriate managemnet

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