- Male
- 62 Years
- 22/01/2025
My dad was in the hospital, had an angiography, and they put a stent in his heart. Ever since, his heart rate's been all over the place, and he's been vomiting blood after eating or drinking. What's going on? Is this normal after a procedure like this, or should we be really concerned?
Answered by 1 Apollo Doctors
cardiologist opinion.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0

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View allI'm Rohit, and I'm from Delhi. Back in December, I had some chest pain and got an ECG done. The doctors thought it might be type 1 Brugada morphology. I've since done a bunch of tests like ECG, ECHO, TMT, CT Angiography, and a 24-hour holter test, all of which came back negative. The doctor said it's asymptomatic since I don't have ventricular tachycardia, ventricular fibrillation, a family history of sudden cardiac death in a close relative under 45, or anything like that. Now, I'm planning to get married and just want to be sure about the Brugada syndrome diagnosis. Do you think it's a good idea for me to take a Flecainide or Ajmaline challenge test to confirm whether I have Brugada syndrome? Also, could you recommend any hospitals in India, especially near New Delhi, where I could get this test done? Would appreciate any info you have!
Yes, you can undergo a FlecainideAjmaline challenge test to confirm the presence of Brugada syndrome. This test is commonly used to unmask the Brugada ECG pattern in individuals suspected of having the syndrome. In India, you can consider getting this test done at reputed hospitals like AIIMS (All India Institute of Medical Sciences) in New Delhi, or at Max Super Speciality Hospital in Saket, New Delhi. It is important to undergo this test under the supervision of a cardiologist experienced in managing Brugada syndrome, as the test involves administration of a sodium channel blocker (Flecainide or Ajmaline) which can induce changes in the ECG pattern characteristic of Brugada syndrome. This test should only be performed in a hospital setting with facilities for managing any potential complications that may arise during the test. Before proceeding with the FlecainideAjmaline challenge test, it is advisable to discuss the potential risks and benefits of the test with your healthcare provider to make an informed decision.
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I'm experiencing heart palpitations, a fluttering feeling in my chest, and shortness of breath. I've already had an ECG, TMT, and echo scan, and all of the results came back normal. Why might this be happening?
Heart palpitations, fluttering, and shortness of breath can be caused by various factors, even if your ECG, TMT, and echo scan results are normal. One possible cause could be anxiety or stress. However, other causes such as thyroid disorders, electrolyte imbalances, or certain medications can also lead to these symptoms. In your case, since your reports are normal, I recommend trying a beta-blocker medication like Metoprolol (25-50mg) to help with the palpitations and fluttering. Additionally, practicing relaxation techniques and stress management may also be beneficial in reducing these symptoms.
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I've been experiencing a rapid heartbeat and palpitations with no specific timing. Sometimes it feels like my heart is sinking. I've had an ECG and TMT, and both came back normal. I also have hypothyroidism, and my doctor thinks it might be due to anxiety. I'm wondering if I should get any other tests to rule out heart disease. What do you think?
Based on your symptoms and the normal ECG and TMT results, it is likely that your palpitations and fast heart rate are indeed related to anxiety, especially given your history of hypothyroidism. However, if you still have concerns about ruling out any underlying heart disease, you may consider getting a Holter monitor test to monitor your heart rhythm continuously for a period of time. This can help detect any irregular heartbeats that may not show up on a standard ECG. Additionally, an echocardiogram may be considered to assess the structure and function of your heart. In the meantime, managing your anxiety through relaxation techniques, regular exercise, and stress-reducing activities can also help alleviate your symptoms.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.


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