Question 1

I've noticed that sometimes my heartbeat suddenly speeds up while I'm sleeping, but it goes back to normal after a few minutes. Should I be concerned about this?

Accepted Answer

This sudden increase in heart rate during sleep could be due to a condition called paroxysmal supraventricular tachycardia (PSVT). To help manage this, you can take a beta-blocker medication such as Metoprolol. The usual dosage for Metoprolol in this case is 25-100mg per day, as prescribed by a doctor. It helps to regulate the heart rate and prevent episodes of rapid heartbeat. However, it is important to consult with a healthcare professional for proper evaluation and management.

Question 2

Is it normal for my resting heart rate to sometimes drop to 55? I've been keeping an eye on it using my Apple Watch, and I've noticed this happens on about six days over the past month. I'm currently taking Ciplar LA 20 since July, and before that, I was on Petril Beta for two months. Also, when I exercise, my heart rate shoots up to between 150 and 180 but returns to normal pretty quickly after I stop. I had a stress echo test done last December and everything was fine, but I'm wondering if I need any further testing. What do you think?

Accepted Answer

Resting heart rate between 54 to 60 beats per minute is considered normal for adults. Since you have a history of taking Ciplar LA 20 and Petril beta, which are beta blockers, it is expected to have a lower resting heart rate. Your heart rate increasing to 150 to 180 beats per minute during exercise is also normal and shows that your heart is responding appropriately to physical activity. As long as your heart rate returns to normal after you stop exercising, and considering your previous normal stress echo test results, there is no immediate need for further testing. Just continue monitoring your heart rate and consult your doctor if you notice any concerning symptoms.

Question 3

I'm really worried about my cholesterol levels. Last year, in May, my cholesterol was at 254 with LDL at 180 and triglycerides at 180. A doctor suggested statins, but after getting a second opinion, many said I'm too young for that and should try diet control first, which I did for a bit. Unfortunately, I couldn't keep up with it and slipped back into unhealthy eating because of personal issues. It's been 8 months now, and the doctors wanted me to reduce my cholesterol within 3 months. I'm scared about whether I've caused any irreversible damage, like clogged arteries, which might have shortened my life. Even though I'm trying to get back on track now, I just can't shake off the fear. Is there still hope for me to control this situation?

Accepted Answer

Having high cholesterol levels, especially with elevated LDL and triglycerides, can increase your risk of developing atherosclerosis (clogged arteries) over time. However, it is not necessarily a guarantee that irreversible damage has already occurred. It is important to take steps to control your cholesterol levels to reduce the risk of complications. Since you have already made lifestyle changes such as diet and exercise, it is a positive step towards managing your cholesterol levels. In addition to lifestyle modifications, your doctors may still recommend starting a statin medication to help lower your cholesterol more effectively. One commonly prescribed statin medication is Atorvastatin (brand name Lipitor). The usual starting dose for Atorvastatin is 10-20 mg once daily, but your doctor may adjust the dose based on your individual response. It is important to continue following a healthy diet, exercising regularly, and taking any prescribed medications as directed by your healthcare provider to help control your cholesterol levels and reduce the risk of complications. Regular follow-up with your healthcare provider is also important to monitor your progress and make any necessary adjustments to your treatment plan.

A colour doppler flow venous test is advised to the patient and cardiac opinion ..

More Cardiology Health Queries

I've noticed that sometimes my heartbeat suddenly speeds up while I'm sleeping, but it goes back to normal after a few minutes. Should I be concerned about this?

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