Question 1

I'm concerned about my heart rateit's usually over 100, and I get palpitations a lot. When I'm just lying in bed, my heart rate gets between 110-120, and even just climbing up one flight of stairs sends it up to 160. My thyroid levels are normal, though I do have a thyroid nodule. My haemoglobin is at 9, and my BMI is normal. I also have spondyloarthropathy and hidradenitis suppurativa, so my CRP and ESR levels are high. I've attached an ECG from my Apple Watch that I took during the palpitations. Is such a high heart rate normal?

Accepted Answer

Based on your symptoms and medical history, it seems like you may be experiencing tachycardia, which is an abnormally high heart rate. Given your palpitations, breathlessness, and elevated heart rate even with minimal exertion, it is important to further evaluate the underlying cause. Considering your conditions and symptoms, I recommend you consult a cardiologist for a thorough evaluation. In the meantime, to help manage your symptoms, you can consider taking **Metoprolol** at a starting dose of 25mg once daily. This medication can help lower your heart rate and reduce palpitations. It is crucial to monitor your heart rate regularly and keep a record to share with your healthcare provider for a more accurate assessment and management plan.

Question 2

I've been on aspirin for the past five days to help with blood thinning and taking nebicardtelmiride h for my blood pressure. Yesterday evening, my blood pressure was really high, and I noticed my left arm feels stretched. Now there's a dark spot on my left arm, and I'm quite concerned. What could be going on with me?

Accepted Answer

That needs immediate attention,visit nearest Hospital as soon as possible and rule out cardiac issues

Question 3

I've been experiencing some concerning health issues lately and could really use some guidance. I'm 32, from Hyderabad, and generally healthyI don't smoke and only drink beer like once in every three or four months. I used to be really active with running, climbing, and cycling, even training for triathlons. But around five months ago, I started having chest pain that spreads to my back and left arm, especially when I'm lying down. Despite having had an ECG, echo, TMT, troponin, and a CT angiography, all these tests came back negative. The only thing I've been diagnosed with is high heart rate, for which I'm on medication. This has helped bring down the chest pain but not completely. Now, for the past month, I've had intense headaches and dizziness that make me feel like I might just collapse. Last night was particularly bad with the headache and chest pain. I'm really worried and not sure how to proceed. Could you advise on what might be causing this and what I should do next?

Accepted Answer

It sounds like you are experiencing a combination of chest pain, back pain, left arm pain, headaches, and dizziness. Since your cardiac tests have come back negative and you are already being treated for high heart beats, it is important to consider other possible causes for your symptoms. The chest pain, back pain, and left arm pain could be related to musculoskeletal issues or nerve impingement. For your headache and dizziness, it may be helpful to explore the possibility of migraines or other neurological conditions. I recommend trying a medication like Acetaminophen for your headache and pain relief. For your ongoing chest pain, back pain, and left arm pain, you can try a muscle relaxant like Cyclobenzaprine. Additionally, for your high heart beats, you can continue with the medication prescribed by your doctor. However, it is important to follow up with your healthcare provider to discuss these new symptoms and explore further evaluation or treatment options.

1-3 days is the hospital stay, post angioplasty sideeffects include paininfection, itching, bleeding and swelling.. They resolve after 3 days..

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