Question 1

I'm really worried because my heart rate is usually at 100 or above. I check it by counting the pulse on my neck, and it comes out to be something like 24 to 27 pulses in 15 seconds, which is more than 100 when I calculate it for a minute. I have a history of panic attacks that started back in 2015 with a very fast heartbeat, and I was told it might have been due to acid reflux. It happened again in 2019. I'm really scared of traveling, especially late at night during long journeys. I get these terrible thoughts about what if I have an attack and theres no one around to help, like if the train is passing through a jungle. These thoughts just make my heart race even more, and I end up feeling extremely scared. Can you please help me understand what's going on and how I can handle this?

Accepted Answer

It sounds like you may be experiencing symptoms of anxiety, especially given your history of panic attacks. The rapid heartbeat you are feeling could be related to anxiety and stress. To help manage your symptoms, I recommend trying relaxation techniques such as deep breathing exercises, meditation, or yoga. In terms of medication, you can consider taking a beta-blocker such as Propranolol. Start with a low dose of 10mg once daily, and you can increase it as needed under medical supervision. Beta-blockers can help reduce heart rate and physical symptoms of anxiety. However, it's important to consult with a healthcare professional for a proper evaluation and personalized treatment plan.

Question 2

I've been told by my doctor that I need a CT angiography, but because of my sinus tachycardia, he mentioned it might be hard to do. I'm already taking beta-blockers and sedatives, but my heart rate is still not under control at the doctor's office. I'm worried about how I can manage my heart rate so I can get the CT angio done. What should I do?

Accepted Answer

To manage your heart rate for CT angiography despite sinus tachycardia, you can consider using a calcium channel blocker such as Diltiazem. The recommended dosage for Diltiazem in this case would be 120-360 mg per day. This medication can help in controlling your heart rate and making it feasible to undergo the CT angiography procedure. Additionally, you may also benefit from the use of a medication like Atenolol, a beta blocker, at a dosage of 25-100 mg per day to further help in controlling your heart rate during the procedure. It is important to follow your doctor's guidance and dosage instructions carefully.

Question 3

My mom has been in the hospital for a few days with chest and left arm pain, and the doctors are saying her ejection fraction is really low. Theyve mentioned theres no definite treatment beyond the medication she's on, and theyre not sure about her life expectancy. Im really worried. Is there any other treatment available, like pacemakers or maybe even a transplant? How does a low ejection fraction, like 28, affect life expectancy?

Accepted Answer

With an ejection fraction of 28%, your mother is experiencing heart failure. In cases where medication alone is not sufficient, treatment options such as implanting a pacemaker or considering heart transplantation may be considered. Pacemakers can help regulate the heart's rhythm and improve its function. In more severe cases, heart transplantation may be recommended. Medications that are commonly used to manage heart failure and improve ejection fraction include: - ACE inhibitors (e.g., Enalapril) - Dosage: as prescribed by the doctor - Beta blockers (e.g., Metoprolol) - Dosage: as prescribed by the doctor - Diuretics (e.g., Furosemide) - Dosage: as prescribed by the doctor - Aldosterone antagonists (e.g., Spironolactone) - Dosage: as prescribed by the doctor It is important to follow the treatment plan outlined by the healthcare team and make lifestyle changes to manage heart failure effectively. As for life expectancy, it can vary depending on various factors, including the underlying cause of heart failure, overall health, and response to treatment. It is best to discuss this in detail with your healthcare provider.

I've been noticing that my heart starts beating really fast sometimes, especially when I'm going up the stairs, and it makes me feel pretty anxious. Could you suggest some tests to figure out what's going on?

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