Question 1

I've been having these sudden heart palpitations and some breathlessness since last week in May, and even when I do activities like slow walking or yoga, my heart rate spikes up to around 150-170. After seeing my cardiologist, I was on Inderal 10 mg for 2 months, but it didn't help much. Now I'm taking Betacap TR 40 and Daxid 25 mg, but sometimes my heart still races even when I'm just resting. My cardiologist mentioned that stress might be causing it. I'm really anxious to know when this might get better. I'm 31, breastfeeding, and all my tests like ECG, echo, thyroid, and sugar levels came back normal. I'm using my iWatch to track my heart ratehow reliable is that, or should I consider a different device?

Accepted Answer

Based on your symptoms and the medications you have tried, it seems like you are experiencing persistent tachycardia and palpitations despite the treatment. Since your cardiologist mentioned stress as a possible cause, it may take some time to see improvement as managing stress levels can be a gradual process. In addition to the medications you are currently taking (betacap tr 40 and daxid 25mg), your doctor may consider adjusting the dosage or trying other medications to better control your symptoms. It is important to continue following up with your cardiologist for further evaluation and management. Regarding monitoring your heart rate, while devices like the Apple Watch can provide useful information, they may not always be as accurate as medical-grade monitoring devices. If you are experiencing persistent symptoms and want more accurate heart rate monitoring, you may consider investing in a dedicated heart rate monitor recommended by your healthcare provider. It is essential to continue working closely with your cardiologist to address your symptoms effectively and monitor your progress over time.

Question 2

I'm feeling a bit worried because every time I move my left hand, I get this sudden cramp in the center of my chest. A couple of years back, I had an ECG, an echo, and a TMT done, but everything was normal. I also had an endoscopy, which only showed H. pylori. This pain has recently started again, and I'm not sure what it means. Could it be related to the H. pylori, or should I be concerned about something else?

Accepted Answer

Rule out cervical spondylosis

Question 3

I'm 86 and I've been having some issues. I've been getting occasional angina pain and my doctor told me to take Imdur isosorbide mononitrate, 30mg every day. But since I started, I've been feeling dizzy when I stand up or get out of bed, so I'm guessing it's because my blood pressure drops. Should I stop taking Imdur, or is there something else I can do? I'm not sure what's best and would really appreciate some advice.

Accepted Answer

Don't stop Imdur abruptly. Consult your cardiologist  to adjust dosage or switch to alternative medications. Possible solutions:

Medical Adjustments

1. Reduce dosage: Gradually decrease Imdur to 20-10mg daily.
2. Alternative medications: Consider nitrate-free options like beta blockers or calcium channel blockers.
3. Combination therapy: Add medications to stabilize blood pressure (e.g., fludrocortisones).

Lifestyle Changes

1. Increase fluid intake.
2. Elevate head while standing.
3. Slow rising from bed.
4. Avoid sudden movements.

Monitoring

1. Regular blood pressure checks.
2. Electrocardiogram (ECG) monitoring.
3. Follow-up appointments.

I'm curious and a bit concerned about the medication bryta mur that I've been prescribed for my isolated systolic hypertension. Is it something that can really tackle the problem at its core, or will its effects wear off once I stop taking it?

visit your Physician for evaluation and appropriate management

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