| Subject | Date Asked |
|
| Fast Heart Beat, Chest Pain | 7/11/2009 |
Q: i agree what you told me well i would like to add some more things like heartbeat problem was never ... A: The factt that pressing on your chest helps means that the discomfort is from your chest wall and no ...
|
| could this be from heart or something else | 7/10/2009 |
Q: I previously talked to you I believe back in March. My doctor told me that I had a heart murmur, ... A: A heart murmur does not lead to a heart attack. Unless you're over 45, you are not at risk of heart ...
|
| PVC's | 7/10/2009 |
Q: Richardson, I have recently begun to experience pvcs (50-100 daily last two weeks. I've been told ... A: 1. I'm not sure. PVCs are normal heart activity, to threat to life or health in someone with ...
|
| Event Monitor results | 7/10/2009 |
Q: I had a recent event monitor done for palpitations. The following were the results..my cardio doc ... A: Isolated monomorphic PVCs mean one at a time and all have the same shape. Bigeminy is not dangerous ...
|
| Wierd Problems lately | 7/9/2009 |
Q: Well it all started out about 3 days ago i was feeling wierd,as in nausea, shortness of breath, and ... A: It sounds like anxiety to me. Heart rate of 120 is okay. You probably had some virus causing ...
|
| fluctuating heart rates | 7/9/2009 |
Q: I work out about 4 days a week. One day about two weeks ago I was running on the treadmill until my ... A: Nothing is wrong with you in my opinion. It's okay for heart rate to jump around so long as it ...
|
| Cardiac? Help...Please | 7/9/2009 |
Q: 27 yo-female,Thoracic Syringomyelia (T4-T9)-2mm,Chiari 0,Ehlers Danlos Syndrome, Cranial Settling( ... A: A negative stress test monitored by echo gives you 95% likelihood of no heart attack or cardiac ...
|
| POTS | 7/9/2009 |
Q: My 18 year old daughter has been diagnosed with POTS in March. She had to drop out of college and ... A: Doesn't POTS stand for postural orthostatic tachycardia syndrome? I judge from her meds that she ...
|
| Rapid Heart Beat waking me from sleep | 7/8/2009 |
Q: I seem to be a healthy 45 yr old woman, whom exercises daily, skipping days here and there. I run & ... A: It's all fear and anxiety. Your symptoms are the classic symptoms of anxiety. Gradual slowing down ...
|
| unexplained chest pain | 7/8/2009 |
Q: 33 year old male.. i have chest pain above the left side nipple. This pain is almost constant for ... A: Chest wall pain may occur repeatedly for years and years. If you can modify the pain, make it ...
|
| continuation to my previous messages | 7/8/2009 |
Q: I hope you remmeber me i am mark the one who sent you week ago my echocardiogram and ecg tests and ... A: The hard pump was probably a skipped heart beat. The beat after the skip occurs when the heart is ...
|
| elevated heart rate with exercise | 7/7/2009 |
Q: I am a 36 yr. fit,healthy female who is 5'4", weigh 140 with normal blood pressure and have been ... A: Bulimia won't damage the heart. I think you need not be concerned, tho having to work awful hard ...
|
| Random sharp heart pains? | 7/7/2009 |
Q: I'm 21, I'm not on any type of medications, I'm 5foot3, 110lbs, I do not know my blood pressure. I ... A: The most common cause of pain like yours is cramping of the muscles in the chest wall. If you can ...
|
| 87 year old having a arteriogram | 7/6/2009 |
Q: Richardson, My aunt who will turn 87 next Wednesday is having an arteriogram this morning. She has a ... A: Seems dangerous to me. Arteriograms are usually done under local anesthesia. She prpbably should ...
|
| Rapid Heart Beat waking me from sleep | 7/6/2009 |
Q: I seem to be a healthy 45 yr old woman, whom exercises daily, skipping days here and there. I run & ... A: Supraventricular tachycardia runs at 180-220 beats a minute and starts and stops in one heart beat. ...
|
| left side chest and arm pain | 7/6/2009 |
Q: I'm a 24 yr old male, 5ft 11inches, 206lbs, and the past year or so I've been very inactive. I've ... A: I'm sorry you're having all this trouble 1. Further testing is unlikely to help. 1. Doesn't sound ...
|
| Low blood pressure | 7/5/2009 |
Q: I'm not sure if this is the right place to ask, but I'm seventeen, and I have low blood pressure, ... A: Please stop the sertraline, which can cause low blood pressure, unless ALL of your symptoms preceded ...
|
| septal infarct;age undertermined | 7/5/2009 |
Q: my question is regarding ecg test done, is reading normal sinus rhythm,septal infarct ... A: lizarraga, Can't answer most of your questions without knowing your age, how long the pain has been ...
|
| help | 7/4/2009 |
Q: 76m tall I weight train 4 times a week my resting heart rate is between 58 to 64 Ive had my heart ... A: No, neither the rate of 150 nor the skipped beats are at all dangerous. Skipped beats are normal ...
|
| Orthostatic HYPERtension | 7/4/2009 |
Q: I am well aware of orthostatic hypotension, however, I have the opposite effect. I am low normal BP ... A: No, sorry. If the dizziness is spinning, like you're spinning round and round or the room is ...
|
| Tachy/Brady ectopic beats | 7/4/2009 |
Q: I am writing on behalf of my mother, Joan. Joan is 77 and diagnosed with persistent afib in 2006. ... A: Please tell me what Hawthorne is supposed to help and what its ill effects are. Verapamil is not ...
|
| Fast Heart Beat & Chest Pain | 7/4/2009 |
Q: I am 27 yrs old men, i am physically fine and my weight is 72 KG now with 5'8 height. main problem ... A: Deaar Hasan, If your fast heartbeat starts and stops gradually, over several minutes, it's normal, ...
|
| Skipped beats | 7/3/2009 |
Q: I'm a 16 year old male, about 5'8" and around 51kg. Last week, while i was in bed i had a sudden ... A: Skipped beats are normal heart activity, no threat to life or health in someone with normal EKG and ...
|
| heart palpitations.. | 7/2/2009 |
Q: IVE written to you before regarding my heart troubles.As i was offline for a while i havent been ... A: Cramps in calves are normal. They come from having the calf muscles short. Get a board at the foot ...
|
| echo | 7/2/2009 |
Q: Here is my recent echocardiogram at rest results dated june 15 2009 my age is 33 male non smoker and ... A: Your heart is normal. Clogging pf cpronary arteries is very rare under age 45. Seems like anxiety ...
|
| heart rhythm | 7/2/2009 |
Q: UPDATE: I had a second holter monitor only 20 days later and they found several handfuls of ... A: Dea Mr. Turley, Find out if either Holter showed supraventricular tachycardia (SVT). This is a ...
|
| PVC's | 7/1/2009 |
Q: I am a 35 yr old female, 5'7", 133lbs, and my normal BP is anywhere between 107/70 - 95/60. I am ... A: Ask about flecainide, which is safe for someone with a normal EKG and echocardiogram and is more ...
|
| heart palpitations/chest tightness | 7/1/2009 |
Q: I am 37 years old and in decent shape. I have been experiencing on and off fast heart beat, chest ... A: Skipped beats are normal heart activity, no threat to life or health in someone with normal EKG and ...
|
| medications and the heart | 7/1/2009 |
Q: Last year in June I had an abnormal EKG. ST depression. I was having a full blown panic attack when ... A: Premature beats are normal heart activity, no threat to life or health in someone with normal cath ...
|
| Heart skipped beats and beats irregular | 6/30/2009 |
Q: I had a panic attack about little over a month ago and my heart beat fast for about 10 seconds if ... A: Skipped beats are normal heart activity, no threat to life or health in someone with normal EKG and ...
|
| SHort of breath chest pain breat bone rib 4 and 5 | 6/29/2009 |
Q: 7 months ago i was with a friend at the theatre watching a movie after having a dinner and while i ... A: The most common cause of pain like yours is cramping of the muscles in the chest wall. If you can ...
|
| Morning low pulse | 6/29/2009 |
Q: I am a healthy 76, 200 lbs, 5'11", four way bypass in 96 after 3 angioplastys. I was recently ... A: Conway, Cozaar is not a beta blocker, but an ACE Inhibitor. It does not slow the pulse. 35 is ...
|
| Chest pain. | 6/28/2009 |
Q: I am 66 years old,175cm high and 57kg. My blood pressure is usually normal. I stopped taking valium ... A: The most likely cause of pain like yours is cramping of the muscles in the chest wall. If you can ...
|
| untreated malaria causing heart diease | 6/28/2009 |
Q: In your general opinion can untreated malaria cause heart disease? DIC, Myocarditis, tachycardia, ... A: Anemia yes, from the parasites exploding red blood cells. Tachycardia would accompany fever in ...
|
| Heart Rhythm | 6/28/2009 |
Q: GOOD EVENING, I HAVE READ ON THIS SITE THAT SINUS ARRHYTHMIA ONLY OCCURS IN HEALTHY HEARTS.. SO CAN ... A: Yes, a heart with LVH may be quite healthy and have sinus arrhythmia, even a normal EKG, tho normal ...
|
| Wierd symptoms! | 6/27/2009 |
Q: for the past few weeks ive been expierencing wierd symptoms thatclearly point to a heart ... A: The most likely cause of pain like yours is cramping of the muscles in the chest wall and arms. If ...
|
| sudden waking up w/ tacycadia | 6/27/2009 |
Q: im 17yo and decently active. i play football, but just recently moved so i havent done much in a ... A: If the fast heart beat starts and stops abruptly, in one heart beat, it's probably supraventricular ...
|
| irregular heartbeats, skipping | 6/26/2009 |
Q: I am a 30 year old woman. Yes I smoke. Just over the past year or so, I have been experiencing very ... A: Skipped beats are normal heart activity, no threat to life or health in someone with normal heart ...
|
| Dilated aorta. | 6/26/2009 |
Q: I'm also an expert here on AllExperts since around 10 years. My fields are in my specialty (medical ... A: Nordquist, Normal aortic diameter is up to 3.7 cm. With her low blood pressure, her aorta is ...
|
| left side chest and arm pain | 6/26/2009 |
Q: Im a 23 yr old male, with cholesterol of 245, 6ft and 205 lbs. I have intermittent recurring left ... A: The sudden increase and decrease in pulse rate indicates PSVT, The most likely cause of pain like ...
|
| Fast pulse rate that won't come down with sedative | 6/25/2009 |
Q: I accidently asked this to the person below you, but meant to send it to you. I don't know if it's ... A: Anxiety is most likely. Overactive thyroid can too, but should cause weight loss, tremor and heat ...
|
| holter findings | 6/25/2009 |
Q: I wore a holter moniter over the weekend. Of course my doc is on vacation and i can't find out ... A: You probably meant PACs after 1,187. PAC's are normal heart activity, no threat to life or health. ...
|
| pain , numb tounge | 6/25/2009 |
Q: I am 33yr old male. I have chest pain on the left side above my nipple. it happens quite often , not ... A: The most likely cause of pain like yours is cramping of the muscles in the chest wall. If you can ...
|
| chest pains chronic | 6/24/2009 |
Q: for the last 15 months or so, i have been experiencing on and off stabbing pains in the left side ... A: The most likely cause of pain like yours is cramping of the muscles in the chest wall. If you can ...
|
| tachycardia | 6/24/2009 |
Q: I've been suffering from tachycardia for 10 years now. It started when I was about 17 (i am 27 now). ... A: It's called Inappropriate Sinus Tachycardia (IST). I'd try another beta blocker, atenolol or ...
|
| heart rate variability | 6/23/2009 |
Q: I preface this by noting that I had a small heart attack in September but fortunately escaped with ... A: The only concern is that anxiety and anger make the heart beat faster and are probably not good for ...
|
| Abnormal ECG | 6/18/2009 |
Q: I had an ECG on Tuesday as part of a pre op assessment. I'm due to have varicose vein surgery in a ... A: Nothing about your ECG report weighs against varicose vein or any surgery. The direction of the P ...
|
| Heart and alcohol | 6/18/2009 |
Q: Dr.Richardson, What is your opinion on heart disease and casual alcohol consumption (wine or ... A: Three ounces of whisky or 2 glasses of wine, especially red wine, lessen the likelihood of coronary ...
|
| Borderline Aortic Root | 6/18/2009 |
Q: I've asked you questions before on this forum and have always appreciated your opinions and ... A: My textbook says upper limit of normal aorta is 3.7 cm, so yours is borderline. Once aortas start ...
|
| high cholestrol and left side chest pain | 6/17/2009 |
Q: I'm a 23 yr old male, 6ft, and 205lbs, very inactive person and don't eat the greatest. I also drink ... A: Triglycerides are high because of beer and eating. Yes, I agree with most of above, but not that ...
|
| angina/neg angio gram/bridging | 6/17/2009 |
Q: Iam confused- I have seen two cardiologists- in past 1.5 yrs- i have had, stress test, ct scan 64 ... A: I don't see how another stress test will help, Paul. It was normal before and will probably be ...
|
| angina/neg angio gram/bridging | 6/16/2009 |
Q: Iam confused- I have seen two cardiologists- in past 1.5 yrs- i have had, stress test, ct scan 64 ... A: Spasm of a coronary artery? ...
|
| Constant small heart pain and exhaustion | 6/15/2009 |
Q: I'm a 31 years man and I have had a constant heart pain or feeling and tiredness now at least 4 ... A: Are you sleeping well? Do you snore? Do you fall asleep frequently during the day, even when ...
|
| cardiomyopathy | 6/15/2009 |
Q: I am 38 years old and was diagnosed with cardiomypathy in 2001. Upon the initial diagnosis the echo ... A: Yes, you are qualified for total and permanent disability. It helps if you take to SSA a note from ...
|
| cramp in the heart | 6/15/2009 |
Q: Sometimes my hart contracts like a cramp. It lasts for just a second. This happens while cycling in ... A: The most likely cause of pain like yours is cramping of the muscles in the chest wall. If you can ...
|
| 32-Year-Old With Persistent Chest, Left Arm Pain | 6/15/2009 |
Q: Richardson, I am a 32-year-old male, former 1-pack-a-day smoker for 5 years (quit a few months ... A: I think you're okay and don't need to pursue this further. Press firmly on the area that hurts. If ...
|
| high cholestrol and left side chest pain | 6/14/2009 |
Q: I'm a 23 yr old male, 6ft, and 205lbs, very inactive person and don't eat the greatest. I also drink ... A: The most likely cause of pain like yours is cramping of the muscles in the chest wall. If you can ...
|
| skipped heart beats | 6/13/2009 |
Q: YOUR A STAR!! i feel that sometimes i just need reassurance with these horrible things, one more ... A: Skipped beats are usually more frequent at rest. I don't know why yours disappear in the evenings. ...
|
| anterior wall reversibility & stress induced ischemia | 6/13/2009 |
Q: I am a 53 yr old woman who in the last few yrs was put on hbp, chols, thyroid meds. I had a echo ... A: Louise, you get to choose. If the pain and light pressure interfere with your life, see a ...
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| anterior wall reversibility & stress induced ischemia | 6/13/2009 |
Q: I am a 53 yr old woman who in the last few yrs was put on hbp, chols, thyroid meds. I had a echo ... A: It means the front wall of your heart doesn't contract as well as the rest of the heart when ...
|
| Tachycardia attacks, and odd heart rhythm | 6/13/2009 |
Q: I am an 18 year old male and weigh about 151 pounds and am 6 feet tall. Recently in the past 6-7 ... A: If the fast heart beat comes on gradually, over a few minutes, and subsides gradually, it is a ...
|
| pvc's and left side chest pain | 6/12/2009 |
Q: , thanks so much in advance for answering my question. I'm a 23 yr old otherwise healthy male. 6ft ... A: With normal echos, stress test etc., you are at no risk of VFib or AFib. It's quite safe so far as ...
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| Young female with chest pain, possible panic attack, normal ekg | 6/12/2009 |
Q: I am a 24-year old female, overweight (165lbs, height is 5 feet 1 inch), non-smoker, on omeprazole ... A: Pain from clogging of the coronary arteries that supply blood to the heart is unheard of in a ...
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| Ectopics | 6/11/2009 |
Q: I am a 23 m who gets PVCs during exercise. During exercise (treadmill walking, sometimes with an ... A: PVCs during exercise have slight special significance. Here's a quote:"Exercise-induced ventricular ...
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| Heart beat felt and cough | 6/11/2009 |
Q: late 30s, no meds, normal 8 weeks ago, I started feeling a strong heartbeat, like heart was ... A: Premature heart beats is a name. They are either premature atrial contractions (PACs) or premature ...
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| Heart beat felt and cough | 6/11/2009 |
Q: late 30s, no meds, normal 8 weeks ago, I started feeling a strong heartbeat, like heart was ... A: The poor quality could well have been caused by your bra preventing good contact between sensor pads ...
|
| L)Chest Pain | 6/10/2009 |
Q: 62 years old mail generaly in good health . HX of high BP ( 140/90 )and high colestrol controlled ... A: The most likely cause of your pain is cramping of muscles in the chest wall. You can prove if this ...
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| irregular heart beats | 6/9/2009 |
Q: i am a 50 year old post menopausal female who has been experiencing a funky 'extra hard' type of ... A: You're probably having extra heart beats called premature contractions. If they occur soon after ...
|
| Heart and antibiotics | 6/9/2009 |
Q: Doctor Richardson, I am a heart patient (CHF and CAD). I also have mitral regurgitation and a ... A: Sear Denise, The American Heart changed its guidelines recently because of new research. It has ...
|
| sick and tired of PACs | 6/8/2009 |
Q: i am a 42 year old female who has consulted you before on several occasions. I have been on ... A: It's okay to stop the flecainide abruptly since it's no help. Sotalol is worth a try. Neither ...
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| Junctional rhythm | 6/8/2009 |
Q: My question is can you explain a junctional rhythm with premature/extra beats. Symptoms are ... A: Disorders of heart valves are among the causes of junctional rhythm. But the positive tilt test ...
|
| swollen lower eyelids | 6/7/2009 |
Q: my mother is 83 yrs old, has hbp, cad, thyroid, pain in her groin and knee on the right side, ... A: Paantoprazole and amlodipine can cause swelling of lower eyelids. Try stopping the pantoprazole for ...
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| Junctional rhythm | 6/7/2009 |
Q: My question is can you explain a junctional rhythm with premature/extra beats. Symptoms are ... A: Ask if it's a junctional escape rhythm or an accelerated junctional rhythm, unless you already know. ...
|
| SVT | 6/6/2009 |
Q: My cardiologist thinks I may be having an exercise induced SVT. He said my heart is very normal and ... A: Gina, it's normal to feel lightheaded and short of breath during SVT. You will not fall over dead ...
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| Abmormal heart EKG + hyperthryoid | 6/6/2009 |
Q: Last month blood work showed a TSH of .01, further testing for FT4 was 4.6. I was referred to an ... A: It's very easy to make an EKG mistake by putting the electrodes too high on your chest. You ...
|
| mvp | 6/6/2009 |
Q: i have the foll question regarding mvp. i experience the occassional dyspnea where though i am able ... A: MVP with trivial regurgitation causes no symptoms, none at all. The fact that you can sometimes run ...
|
| what is it | 6/5/2009 |
Q: i am a 33 male. 2 years ago went to the cardiologist due to an awareness of my heart beat/pulse it ... A: Dizziness might be due to atenolol. Try stopping it, but stop gradually. 25 mg a day for a week, ...
|
| Pain down right arm | 6/5/2009 |
Q: I am a 36 year old female, no history of a cardiac conditions on either side of my immediate family. ... A: No need for concern. Feel the pulse in your wrist, then raise your arm up above your head and as ...
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| Stress Test | 6/5/2009 |
Q: I am a 31 year old female with no past medical history. I have been healthy my entire life until I ... A: Clogging of arteries is driven by cholesterol and is VERY rare, unheard of, in women below age 50. ...
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| skipped beats | 6/4/2009 |
Q: was just wondering if you could help me, i am 28 years old and i have been suffering from skipped ... A: You need not worry. Skipped beats are normal heart activity, no threat to life or health for ...
|
| Anti-platelet | 6/4/2009 |
Q: Richardson Could you please comment on my question about blood thinners (anti-platelet & ... A: I'm sorry, but I have no information on Plavix versus aspirin, only Plavix pus aspirin versus ...
|
| Tinnitus and Carotid Artery flow | 6/4/2009 |
Q: I am writing this on behalf of my mother. She is a 60 year old, healthy woman that has been battling ... A: Tinnitus means ringing or at least hissing in an ear. Hearing her heart beat in one ear is not ...
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| PVCs /hear rate and mortality risk? | 6/3/2009 |
Q: I'm 49yo male, nonsmoker, red wine drinker that works out daily with cardio or weights. In great ... A: Ken, your vigorous exercise probably accounts for the ventricular hypertrophy and the atrial ...
|
| About Pvc's! | 6/3/2009 |
Q: I've asked: Dear David! I want to ask you about pvc's. In 7/2007, after my business by plain (i ... A: Low potassium can increase the frequency of PVCs. No kind of PVCs cause VT or VF in someone with ...
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| Pulse | 6/3/2009 |
Q: Richardson, Can you discuss heart rate changes throughout the day? I have what I think is becoming ... A: No mantra that I know will slow your pulse. However, up to 120 with ordinary household activity is ...
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| PVCs /hear rate and mortality risk? | 6/2/2009 |
Q: I'm 49yo male, nonsmoker, red wine drinker that works out daily with cardio or weights. In great ... A: PVCs are normal heart activity, no threat to life or health. About half of us have premature beats; ...
|
| Slow resting heart rate | 6/2/2009 |
Q: I have had problems in the past with fast heart rates and pvc/pacs however I am now dealing with a ... A: Slow resting heart rate is good, healthy, predicts long life. You're not paranoid, just confused by ...
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| HEART DISEASE | 6/1/2009 |
Q: i have the foll question : During a visit to a friends house i climbed their stairs carrying my ... A: BP less than 12.1/7.0 is normal at rest and your bp should be a little higher right after climbing ...
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| Blood Pressure/Anxiety/Heart | 6/1/2009 |
Q: Richardson, I have been reading with great interest your patient, practical, and wise responses to ... A: Decreasing the beta blocker would not put you at greater risk. Dizziness may be caused by ...
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| chest pain | 6/1/2009 |
Q: I have SVT and I was wondering if it causes any pains in the chest. I can not tell if the pain is in ... A: The most likely cause of pain like yours is cramping of the muscles in the chest wall. If you can ...
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| PVC's! | 6/1/2009 |
Q: I want to ask you about pvc's. In 7/2007, after my business by plain (i afraid of plain). I had skip ... A: PVCs are normal heart activity, no threat to life or health for anyone with normal EKGs and ...
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| PVC's | 5/31/2009 |
Q: I am 38, and generally healthy I was diagnosed with a mild MVP in 1990. This after a pretty bad ... A: Sotacor is not listed by epocrates. Please send me its generic name. 1. MVP is not connected with ...
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| have svts,pvc, and pacs | 5/31/2009 |
Q: I am a 43 yo male overweight. I have svt attacks over the last year. I have done stress /nuclear ... A: The indication for cath is chest pain attributable to clogging of coronary arteries; this pain is ...
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| racing heart | 5/31/2009 |
Q: Iam a 31 yr old womam w/mild MVP, w/regurg. A few times after vigorous activity, I have had a racing ... A: Breathing hard and fast makes you light headed. Try breathing slowly and shallowly and see if the ...
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| skipped heart beats | 5/30/2009 |
Q: I have read a lot of your answers regarding skipped heart beats. I have had anxiety over my skipped ... A: Skipped beats almost never cause any trouble. Your exercise ability suggests strongly that your ...
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| Cad - Pvc's - Svt - rbbb | 5/30/2009 |
Q: I am a male- 51 years of age. BP- 117 / 68 I have RBBB and CAD 2005- MI - had angioplasty - three ... A: 1. SVT can cause light-headedness, but not chest or back pain or shortness of breath or nausea. Any ...
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| Heart missing 'down' beats | 5/30/2009 |
Q: Family history : males with WPW, every male has dies before the age of 50. I have passed WPW to ... A: Deaar Denise. I have no idea what a down beat is. You'll need to ask the doctor. Skipped beats ...
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| orthostatic intolerance | 5/29/2009 |
Q: I was wondering if you know much about orthostatic intolerance? My symptoms are dizziness when ... A: I think I'm one of the world's greatest experts on orthostatic hypotension. It can occur at any ...
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| ECG reading | 5/29/2009 |
Q: I had a question regarding my ECG. I'm 21 years old, in good shape(walk 4 miles, run 2 miles, lift ... A: Sinus arrhythmia is good. It shows your heart is responding well to nerve signals generated in the ...
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| racing heart | 5/29/2009 |
Q: Iam a 31 yr old womam w/mild MVP, w/regurg. A few times after vigorous activity, I have had a racing ... A: If the fast heart beat starts and stops abruptly, in one heart beat, it's not anxiety but paroxsymal ...
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| heart attack in 20 year old? | 5/28/2009 |
Q: I have a terrible anxiety problem. I am a healthy 20 year old, no medical problems besides my ... A: Heart attack in a 20-year-old woman from clogging of the coronary arteries that supply blood to the ...
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| CHOLESTEROL | 5/28/2009 |
Q: I'm 35 years male with 5'10" height aNd 75Kgs few months ago i had high cholestrol level as given ... A: In my opinion, every man with cholesterol over 240 should take atorvastatin 40 mg every evening for ...
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| PMS and premature beats | 5/27/2009 |
Q: I have anxiety and panic attacks but did have a false reading of pulmonary hypertension on an echo ... A: Remember that skipped beats are normal heart activity, no threat to life or health for someone with ...
|
| Possible heart conditions | 5/26/2009 |
Q: married. Not very active physically. Weight 60Kg, hight 5'5" my conditions are as follows: 1) Pain ... A: The most likely cause of pain like yours is cramping of the muscles in the chest wall. If you can ...
|
| endurance vs interval training | 5/26/2009 |
Q: About a year and a half ago, I was given and passed a stress echo ( I have a well-functioning ... A: No, a stress echo does not adequately test for stop/start activity. It is normal to have different ...
|
| no atrial function follow up | 5/26/2009 |
Q: I would like to update you on what I have done and where I am at now. A few weeks ago I saw an ... A: 1.Atenolol is usually weaned, but that's because of fear of coronary disease. For a young woman it ...
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| Heart rate | 5/25/2009 |
Q: I am a 19 year old male, slightly overweight. I have many PVC's, but have had a heart echo, multiple ... A: No problem; heart rate of 140 during exercise is fine. Lightheadedness after exercise may be low ...
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| Supraventricular Tachycardia | 5/25/2009 |
Q: Richardson. I was hoping you could possibly help me put my mind to rest, as my wife keeps trying to ... A: Premature beats are normal heart activity, no threat to life or health in someone with normal EKG ...
|
| triathlete with possible heart issues? | 5/25/2009 |
Q: I am a 30 year old male, have always been fit, and am currently in what I consider great shape and ... A: The 3 quick beats are probably premature atrial beats. These are normal heart activity, as is the ...
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| scar after heart attack | 5/24/2009 |
Q: On6/28/08 I had a severe MI. Total blockage of the LAD. A stent was used. My injection fraction was ... A: Angioplasty areas sometimes renarrow. The fatigue, breathlessness and swelling are caused by your ...
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| ventricular fibrillation | 5/24/2009 |
Q: I have a sinus arrythmia w/ pvc's. when I was in the ER last week I was hooked up to the heart ... A: It could not have been vfib. You would have become unconscious in 15 seconds and dead in 5 minutes. ...
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| racing heart | 5/24/2009 |
Q: I woke up last night suddenly, feeling like my throat was closed off or I couldn't breathe. I have ... A: Murray, Panic can easily cause a heart rate that high. Extra beats are normal heart activity, no ...
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| Poor/Reversed R wave progression | 5/23/2009 |
Q: I had 2 ekg's performed for insurance reasons. One in July 08 and one April 09. July read poor r ... A: McNally, Yes, lead misplacement is probably the reason for poor R progression. Placing the leads ...
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| scar after heart attack | 5/23/2009 |
Q: On6/28/08 I had a severe MI. Total blockage of the LAD. A stent was used. My injection fraction was ... A: Scar in the right coronary area could not come from LAD. It means trouble with the right coronary ...
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| Chest Pains... | 5/23/2009 |
Q: I am scared about this, but don't know if I should go to the doctor or not for it. It started about ... A: The most likely cause of pain like yours is cramping of the muscles in the chest wall. If you can ...
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| PVCs: Exercise or Rest? | 5/23/2009 |
Q: Dr. Richardson, I have episodes of bigeminy and trigeminy. I do not have a heart disease but my ... A: By all means exercise as much as possible. PVCs occur a bit more often at rest when the heart is ...
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| pvc"s | 5/22/2009 |
Q: I have pvc's and take atenol to help with them. I do not have them every day. I have episodes ... A: PVC's are normal heart activity, no threat to life or health in someone with the normal heart ...
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| pain in left side of the heart | 5/22/2009 |
Q: I had a pain left Side of the heart and it take place to back side also, means it start from front ... A: The most likely cause of pain like yours is cramping of the muscles in the chest wall. If you can ...
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| coronary spasm and tingling feelings | 5/22/2009 |
Q: Dr. Richardson My name is Michelle and i have been diagnosed with coronary spasms and i was given ... A: The most likely cause of tingling is breathing too much. Pay attention to your breathing when you ...
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| Cardiovascular Assessment | 5/21/2009 |
Q: My name is Caroline and I am sending this question on behalf of my friend Rose. Rose has had a Heart ... A: The tests are fine, nothing at all to worry about. Not even a valve problem, so the murmur is ...
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| Studies on hypertension | 5/21/2009 |
Q: Could you please tell me whether there is any medical literature or web sites that would tell me the ... A: Sorry, Al, I know of no way other than to fill out the forms listing age, sex and blood pressure are ...
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| septal infarct | 5/20/2009 |
Q: I had an EKG today that when compared with my ECG of 03Apr 2007 said possible Septal infarct, my ... A: If you have chest pain that lasts over 10 minutes despite lying down and taking a nitroglycerine ...
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| Upcoming Surgery | 5/19/2009 |
Q: , I am to have laproscopic gall bladder surgery on Wednesday. Im 60 years old. I have risk factors ... A: Marge. We doctors are lucky to have patients like you to educate us. Please take the article to ...
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| PVCs spells...scary...causes/treatment? | 5/19/2009 |
Q: Richardson. I stumbled upon this website and can say this is a very valuable service you are doing. ... A: PVCs are normal heart activity, no threat to life or health in someone with a normal EKG and normal ...
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| congenital complete heart block | 5/19/2009 |
Q: "I am 24 years married and primigravida in 37 weeks. two years ago i admitted to ICU after taken ... A: rasha, since you've already had Stoke-Adams episodes, I think you need a pacemaker now. Does your ...
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| Upcoming Surgery | 5/19/2009 |
Q: , I am to have laproscopic gall bladder surgery on Wednesday. Im 60 years old. I have risk factors ... A: Toprol is VERY safe. In my opinion your should take every one of the recommended doses. Surgery ...
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| Heart Rate | 5/17/2009 |
Q: Dr.Richardson, I have read through your old answers and hope you can take a moment to help me. I ... A: 1. No. Heart rate lower than 70 means your pacemaker is not functioning correctly. 2. Norvasc and ...
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| Borderline EKG | 5/15/2009 |
Q: How is borderline EKG is defined by cardiologist? What is the significance in patient's care? A: There are a bunch of different ways an EKG would be read as borderline. Can you be more specific, ...
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| PVC's | 5/14/2009 |
Q: Dr. Richardson - I have been reading your posts for the last several years, primarily for periodic ... A: Heart cells are like capacitors. They store a an electrical charge (voltage) between inside and ...
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| Mitral valve prolapse/ Bystolic | 5/14/2009 |
Q: I was recently diagnosed with a slight mitral valve prolapse. I have anxiety symptoms, occasional ... A: Bystolic is very safe and has few ill effects. Flutter is to be avoided if possible. You said you ...
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| inconsistent heart rate | 5/13/2009 |
Q: I am 23 weigh about 125lbs and i am a 5'7. I had a total knee replacement 3 months because my right ... A: Inappropriate Sinus Tachycardia seems correct to me. Here's a abstract about treatment that you ...
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| pain left side of the chest | 5/13/2009 |
Q: I'm 27 years old, weight 242 pounds, I suffer arrhythmia, sometimes my heart beat skips for a second ... A: Your pain is almost certainly not dangerous. The most common cause of chest pain in a young person ...
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| stint surgery | 5/13/2009 |
Q: I had stint surgery through my grown. The doctors did not put a stint in my heart. They said that I ... A: Yes, it's possible, indeed usual. The heart can enlarge arteries so they make effective bypasses. ...
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| Enlarged heart | 5/12/2009 |
Q: My dad is 81 years old, probably about 5'10'', 140lb. For the past few months he has been suffering ... A: Yes, EECP may help a lot. It's often very helpful. Furosemide makes you pee a lot. ACE inhibitors ...
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| PSVT | 5/12/2009 |
Q: I am 56 years old male. I am on antenolol 100mg celexa 10 mg and hydro 12.5 mg. During the past 2 ... A: First, lie down. Valsalva: Take a deep breath, exhale but don't let the air out of your chest, ...
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| Enlarged heart | 5/12/2009 |
Q: My dad is 81 years old, probably about 5'10'', 140lb. For the past few months he has been suffering ... A: Sure, there are lots of medicines that could help his breathing. Furosemide (Lasix), ACE inhibitors ...
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| irregular heartbeay y beats | 5/11/2009 |
Q: I recently had a holter monitor due to an irregular heartbeat. I have had this condition for about ... A: No idea! Could he have said wide beats? There's no such thing as a y beat. At any rate, extra ...
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| right ventricular hypertrophy | 5/11/2009 |
Q: I am a 38 y/o F, 5'3",153lbs. I was at a Medi-Weightloss Clinic on 4/27. The prescreen involved ... A: Right bundle branch block is no threat to life or health. Electrical impulses reach the right ...
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| Chest pain | 5/10/2009 |
Q: I have been experiancing chest pain for the better part of a year now. The pain comes under my left ... A: Not MVP. That doesn't cause pain. It may be your colon, distended in its left upper corner, just ...
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| Should I see a cardiologist? | 5/10/2009 |
Q: I am uncertain if I should push for a visit to a cardiologist or even what to do. I am 29 year ... A: Petersen, I meant diastolic dysfunction of the heart, failure to relax well during diastole. That ...
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| mvp | 5/9/2009 |
Q: i have mild mvp with mild mitral insufficiency. i was diagnosed 12yrs and i;ve been paranoid about ... A: You don't need antibiotics for dental procedures, and missing one dose will not cause bacteria to ...
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| Suspected SVT concerns | 5/8/2009 |
Q: 35 / male / no meds / BP = 125/75 / No CAD/HD history in family Have a history of short, ... A: Yes, sounds like SVT. With short PR, might even be WPW. Episodes won't get any worse, but might ...
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| heart issues, ovary removal | 5/8/2009 |
Q: I was a bit alarmed by your response to a previous poster about clogged arteries and ovary removal. ... A: No, you're fine. Very young women whose ovaries are removed are more likely to develop clogging of ...
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| pain in chest | 5/7/2009 |
Q: i woke up yesterday with this heaviness or pain in the middle of my chestright between my breast.the ... A: Kelly, Pleurisy is pain worse with a deep breath in, so it's not pleurisy. Heart can give ...
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| Ectopics | 5/6/2009 |
Q: I am 46 year old male good blood pressure, reasonable weight. No family history of heart disease. ... A: Ectopics are normal heart activity, no threat to life or health in someone with a normal echo. Just ...
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| blunted both costophrenic angles | 5/5/2009 |
Q: My X-ray came back and it stated "blunted both costophrenic angles".Can you please tell me what it ... A: Pretorius, It could be a little fluid leaking out of the lungs, or it could be scar left from an ...
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| Heart skips beat with deep breth | 5/5/2009 |
Q: Ive been having this issue for a while now with a sort of skipped beat when take a deep breath. ... A: The heart normally slows down as you exhale after a deep breath. It's called sinus arrhythmia in ...
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| Cather ablasions SVT | 5/4/2009 |
Q: I'm 34 yr old female, slightly overweight but in good health and exercise 3 - 4 per week. I had 4 ... A: Yes, SVT can come back again. 100 is a little high. Your heart is not working harder if your blood ...
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| Catheter ablation | 5/4/2009 |
Q: About 2-1/2 weeks ago I had an ablation procedure for an SVT problem. After the ablation the Dr. ... A: The top number is the pressure reached when the heat is pumping blood into the arteries. The bottom ...
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| Quadruple Bypass and Emphezema | 5/3/2009 |
Q: My dad had a heart attack at age 39, he is now 58. Has had a few angiograms over the years but, no ... A: The emphysema probably won't slow his recovery much. They could have discovered it earlier but ...
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| Sharp, Sudden Chest Pain | 5/2/2009 |
Q: I am 21 years old. I am not taking any medicines. I weigh approximately 103lbs and am 5'2" tall. I'm ... A: The most likely cause of your pain is cramping of muscles around the ribs, a big nuisance but no ...
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| tachycardia | 5/2/2009 |
Q: I have MVP, with mild leakage. I had a couple of episodes in the last year where after activity, my ... A: It's no deadly rhythm. If your heart rate increases gradually, over a few minutes, and slows down ...
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| Pain in your left side of chest | 5/1/2009 |
Q: I am 32 years of age, height 181 meters, gender male and weight is around 88 KG. I have not ... A: Your pain is from cramping of muscles in the chest wall and is no threat to life or health. The ...
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| right ventricular hypertrophy | 5/1/2009 |
Q: I am a 38 y/o F, 5'3",153lbs. I was at a Medi-Weightloss Clinic on 4/27. The prescreen involved ... A: Unlikely to be a wrong reading. Probably not dangerous, but you should have an echocardiogram to be ...
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| PVC's and EKG | 5/1/2009 |
Q: Im a 23 yr old male otherwise healthy besides these skipped beat feelings I was fishing today and ... A: PVCs are no threat to life or health in someone with a normal QTc (less than 440 ms.) and echo. ...
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| Heart Calcium Scoring | 4/30/2009 |
Q: I have been a healthy, active 55 year old with no symptoms of heart disease. My recent CT heart scan ... A: Chapman, In men, CAC by EBT was associated with a relative risk for future cardiac events of 10.5, ...
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| Echo results | 4/12/2009 |
Q: My doctor told me that I had a murmur and sent me for an echo. The results were "Normal LV size, ... A: Neither hypertension nor obesity nor skipped heart beats would cause enlargement of the left atrium ...
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| fluttering flip flop feeling... | 4/12/2009 |
Q: I am a 22 year old female, not currently on any medications about 40lbs overweight (which I am ... A: You're probably feeling skipped heart beats, which are normal heart activity, no threat to life or ...
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| Heart Rate | 4/11/2009 |
Q: 62 yrs old - I had open heart 4 weeks ago (mitral valve repaired, single bypass, and RF Maze)- ... A: If the pulse is regular, it's probably okay, tho I don't think surgery 4 weeks ago would make it ...
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| Low blood volume/hypertension | 4/11/2009 |
Q: I have mitral valve prolapse syndrome and a funky nervous system. I get frequent panic attacks due ... A: No, low blood volume would not make your blood pressure go up. Down, if anything. How high does ...
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| Echo results | 4/11/2009 |
Q: My doctor told me that I had a murmur and sent me for an echo. The results were "Normal LV size, ... A: My apologies! I completely missed the atrial size. There is no hint about why your doctor heard a ...
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| Echo results | 4/10/2009 |
Q: My doctor told me that I had a murmur and sent me for an echo. The results were "Normal LV size, ... A: The echo is perfectly normal, all of it. All you need to do is keep your blood pressure normal and ...
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| Prognosis in 80 yr old male with EF of 15% | 4/10/2009 |
Q: My Dad just had an echocardiogram showing EF of 15%. He suffered a massive MI 13 years ago, and was ... A: 50% of people with congestive heart failure die in 2 years. That doesn't help much. If his heart ...
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| trace mitral regurg. | 4/9/2009 |
Q: hey doc, i was told in oct 08 after an ultrasound of heart that i have trace mitral reg.i just turn ... A: Trace regurg will not get any worse, ever, and does not produce any symptoms. It's normal. The ...
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| trace mitral regurg. | 4/8/2009 |
Q: hey doc, i was told in oct 08 after an ultrasound of heart that i have trace mitral reg.i just turn ... A: Trace mitral regurg is normal and would not cause your symptoms. Please exercise as much as ...
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| pain in chest | 4/8/2009 |
Q: my age is 39 yrs. & waigh 65 kgs hight is 5feet4" my problem is that i feel giddiness & sleepy ... A: The most common cause of chest pain in the young is cramping of muscles in the chest wall. You can ...
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| sudden start of PVCs | 4/8/2009 |
Q: 46 yo male, 195 lbs (5'11"). I started having PVCs suddenly about three weeks ago. I've had a EKG ... A: PVCs are no threat to life or health in someone with a normal nuclear stress test and EKG. They ...
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| nonischemic cardiomyopathy | 4/7/2009 |
Q: I am a 55 female. I was diagnosed with nonischemic cardiomyopathy in 2006. RVEF of 14%. My Dr. ... A: Poor R progression is usually caused by putting the electrodes too high on the chest. Previous ...
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| congenital complete heart block | 4/6/2009 |
Q: "I am 24 years married and primigravida in 37 weeks. two years ago i admitted to ICU after taken ... A: Rasha, Normal delivery is okay. Why not get a pacemaker? If you've already had Stokes-Adams ...
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| Sometimes I fear I am going to die, sometimes I think I would feel better if I did! | 4/6/2009 |
Q: I am 39 years old (female), 5'2, 115 lbs and my blood pressure is normally around 100/70's-80's when ... A: SVT starts and stops abruptly, in one heart beat. Sinus tach starts and slows gradually, over ...
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| I can feel my heart through my chest wall | 4/6/2009 |
Q: I'm 22, male, non-smoker and I rarely drink. I eat quite well and go to the gym 3 - 4 times per ... A: All is well. On most non-obese people, the heart is easy to feel through the chest wall. Us ...
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| ECG results I dont quite understand | 4/5/2009 |
Q: Results say, "ECG demonstrates a normal sinus rhythm with poor anterior R-wave progression and ... A: Poor R-wave progression means the first upward spike of the QRS complex (the big sharp spikes) ...
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| hear my heart beat | 4/4/2009 |
Q: why do i hear my own heart beating? my doc. thought it was high blood pressure but it is not high at ... A: Not sure. IF you hear your breathing as well as your heartbeat, it's because the tubes that connect ...
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| Skipped Heartbearts | 4/4/2009 |
Q: Richardson, For 20 years, I suffered greatly with terrifying heart palpitations (skipped beats, ... A: Charles, Skipped heart beats are normal heart activity, no threat to life or health. The passing ...
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| EKG Interpretation | 4/4/2009 |
Q: I was hospitalized for 4 days; admitted due to severe abdonominal/chest pains that were acute. At ... A: Griner, The message you got from the gastro dept. is not clear. The strips sound like ventricular ...
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| LAFB+RBBB | 4/4/2009 |
Q: I just had a EKG come back with incomplete LAFB and RBBB I am a 28 year old male active in sports. I ... A: The LAF (left anterior fascicle) and the right bundle branch are both very thin bundles of ...
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| SVT | 4/2/2009 |
Q: 68 years old, white male, weight fine. 11/3/08 had L5 & L4 removed. Shortly thereafter developed ... A: You need not travel world wide. A cardiac ElectroPhysiologist can help. There are usually several ...
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| leakey heart valve | 4/2/2009 |
Q: my mom was hospitalized for a fall which led to all her underlying problems....mom while in the ... A: Lasix is not likely to cause harm in someone with moderately decreased kidney function. Lasix with ...
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| palpitations | 4/2/2009 |
Q: I am a 34 year old female mother of a 6 year old I live in Greece with phobias and health worries ... A: Blackout spells are a problem. The only way I know to get at the problem is an event monitor, a ...
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| Is this Heart Related | 4/2/2009 |
Q: Iam 28 years old male. For the last one year, I have been experiencing the folowing symptoms. pain ... A: MVP is not a problem at all and requires no medicines. With a normal echo and stress test, your ...
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| palpitations | 4/1/2009 |
Q: I have anxiety and palpitations and I'm on a beta blocker propranolol 80mg slow release. In the past ... A: Sure, go back and ask the doc. Ask if it could have been supraventricular tachycardia, though you ...
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| Aorta Vale replacement | 4/1/2009 |
Q: Has the minimally invasive aorta valve replacement via entry through the groin been approved for ... A: I doubt if it's been improved in the U.S. Probably 3 or more years. Results look good. Dr John ...
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| no atrial mechanical function | 4/1/2009 |
Q: I am a 34 yr old with a history of large ASD repair as a child with a Dacron patch I have had lots ... A: Ashman, Normal aortic diameter is 2.0-3.7 cm. Weak atrial contribution means you do have stagnant ...
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| far left chest burning | 3/31/2009 |
Q: I'm a 34 year old male, non-smoker at my ideal weight and have no family history of heart disease. ... A: The way-out pain may be cramping of muscles in the chest wall or heartburn from acid flowing from ...
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| Night time Bigeminy PVCS | 3/31/2009 |
Q: Dr. Richardson: I am a 51 years old male, 6' tall, 226 lbs, BP 138/86, on Norvasc and Toprol, ... A: Bigeminal PVCs provide little risk for someone with an EF of 45%. PVCs are of course more frequent ...
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| LVH | 3/31/2009 |
Q: My recent ECG shows "minimal voltage for LVH". The ECG shows deep S waves in V1, V2 and V3 (24mm, ... A: Hard to tell. Do you have hypertension or aortic valve narrowing? If not, LVH is unlikely. The ...
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| MVP | 3/31/2009 |
Q: I was recently dx with Mild MVP although for years some doctors have noticed a murmur. (age ... A: Branham, That your MVP doesn't make symptoms, though anxiety about the murmur may. Palpitations ...
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| Natural bypass and chemical pypass | 3/30/2009 |
Q: I have no knowledge about this course of treatment. Could you please advise its acceptability and ... A: They will probably inject a clot-dissolving substance called TPA into the artery through a long ...
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| Cold all the time? | 3/30/2009 |
Q: I am a 25-year-old woman and I'm cold all the time. I can't remember when my symptoms started, as ... A: Hypothyroid is all I can think of, but you've had your thyroid checked. See an internist, and ask ...
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| MVP and HBP and chest discomfort | 3/29/2009 |
Q: I am 5'1, 44 years old and a non-smoker. I think I weight 145lbs. I take Metopolol 20 mg 2X daily, ... A: Waking up with your arms numb doesn't sound like a big problem. If you are sleeping with your arms ...
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| svt | 3/29/2009 |
Q: David, I am a 60 year old mail, taking 160 mg of Diovan for bp ( well under control) and 10 mg of ... A: I would certainly try medicines before undertaking an ablation. Beta blockers are extremely safe ...
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| Chest Pains | 3/29/2009 |
Q: I am a 35 year old woman and a couple of months ago I was having chest pains in my left chest area. ... A: Chest wall pain can recur for years. The pain could be breast related. No lumps there? LBBB is ...
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| Chest Pains | 3/28/2009 |
Q: I am a 35 year old woman and a couple of months ago I was having chest pains in my left chest area. ... A: Heart burn doesn't seem a good explanation. The most common cause of chest pains in a young woman ...
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| pac/pvc | 3/28/2009 |
Q: boderline mitral valve prolapse and a Patent Formen Ovale. I can not drink caffeine, take ... A: As you've been told, PACs and PVCs are normal heart activity. They don't mean you have heart ...
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| LVH | 3/28/2009 |
Q: I am 34yrs old 5'9 and my weight is 200lbs. Nine years ago I was diagnosed with Left ventricular ... A: No, LVH has nothing to do with dizziness. Probably your blood pressure is too low. Get someone to ...
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| Ebsteins Anomaly | 3/28/2009 |
Q: My husband had Ebsteins Anomaly, he had his tricuspid valve replaced 3 times, twice when he was a ... A: It means your doctor thought it might show atrial flutter with variable conduction of atrial ...
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| Ebsteins Anomaly | 3/27/2009 |
Q: My husband had Ebsteins Anomaly, he had his tricuspid valve replaced 3 times, twice when he was a ... A: Deanna, Here's a list of conditions that may not tolerate metoprolol: Depression, Myasthenia ...
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| Heart Rate | 3/26/2009 |
Q: I am a 34 yr old female (slim, petite). I eat well, don't smoke or drink, but don't exercise much (I ... A: Yes, they are in the normal range and very safe. Heart rate tends to speed up a bit in the 30's and ...
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| Event Monitor PVCs and other | 3/26/2009 |
Q: You have been such a tremendous help to me in the past. I do have something else I would like to ... A: A PJC is a premature junctional contraction. PJC's are totally harmless. The junction is the ...
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| Exercise Ectopics | 3/25/2009 |
Q: A few years back I had tests for ectopic beats, all the usual test that turned out ok. Recently at ... A: I'm familiar with a Stanford study that showed that individuals undergoing treadmill testing who had ...
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| transthoracic echocrdiography report | 3/25/2009 |
Q: I am a female 42 years of age For the past six months i have had a number of issue pain in the ... A: You have congestive heart failure. You need a cardiologist and perhaps cardiac catheterization to ...
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| pain in legs | 3/24/2009 |
Q: i am heart patient and OPERATED IN SEPTEMBER 2005. I AM USING 75 MG ASPIRIN AND10 MG ATORVASTATIN.MY ... A: Your leg pain when walking suggests block in the artery supplying blood to that leg. A doctor can ...
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| chest pain | 3/24/2009 |
Q: I am a 31 year old woman weighing 158lbs and standing 5'3" tall. Tonight I am experiencing tight ... A: The most common cause of chest pain in 31-year-old woman is cramping of muscles in the chest wall. ...
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| High resting pulse and breathlessness | 3/23/2009 |
Q: I am 41, 5feet 7, weigh 9stone 8 blood pressur 117 over 65 Lately i have become quite breathless ... A: Probably nothing is wrong. Pulse of 88 is okay. Heavy arms when walking fast up a hill might be a ...
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| palpitations, dizziness, aching in chest | 3/20/2009 |
Q: Im 31 and have been having palpitations occasionally over the last 3 months, They were the type that ... A: You're having skipped heart beats, which are are normal heart activity and no threat to life or ...
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| constantly skipping heart | 3/19/2009 |
Q: Over the past 15 years I have not gone one single day without my heart skipping at least 2-3 times ... A: Skipped beats no matter how frequent are normal heart activity, no threat to life or health in ...
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| Tingling Feeling in Lower Left Jaw | 3/18/2009 |
Q: I was curious. I on occasion have a slight tingling feeling in my lower left jaw, usually when I ... A: It's not heart. You're too young to have clogged coronary arteries. Since it only occurs when ...
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| IST/ AVNRT ablation | 3/18/2009 |
Q: Dr. Richarson, I asked you a question around two or three months ago about my heart rate and how it ... A: Sorry, I've no experience with sinus node modification. Sounds like a good idea. Other things that ...
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| ECG, Heart Health | 3/17/2009 |
Q: Please excuse the long story. I was admitted to hospital in September 2003 with a very fast ... A: 1. A little concern. 2. It's possible but unlikely that a coronary artery running in a funny way ...
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| Infererior ischemia and anterolateral ischemia | 3/17/2009 |
Q: What is this and what is the treatment A: Deqr Bqrb; It's insufficient blood reaching the back and left side of the heart. Treatment depends ...
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| missed beats and triple beats with heart murmer | 3/15/2009 |
Q: I have emphysema, and I have also had long standing problems with lungs over 20 years ie PE, ... A: Skipped and triple heart beats are normal heart activity, no threat to someone with normal left ...
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| Heart | 3/15/2009 |
Q: Dr.Richardson, I had a 4 bypass heart operation 5 years ago and have had to do stress tests for my ... A: Depends on how high the right ventricular pressure is. Right ventricular pressure is the pressure ...
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| Chest pain | 3/15/2009 |
Q: I am a 26 year old female, 2 boys, 5 and 15 months. After I had my youngest son everything started ... A: Laura, I'm against cath. All those negative tests and the locations of the pains eliminate ...
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| Chest pain | 3/15/2009 |
Q: I am a 26 year old female, 2 boys, 5 and 15 months. After I had my youngest son everything started ... A: It can't be your heart at your age and with all those negative tests. lIt must be possible to have ...
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| High bloodpressure in 20's and what to do? | 3/14/2009 |
Q: I am just turned 21 years old, Im about 5'11" and around 200lbs. Im not sure of my blood pressure ... A: White coat hypertension, when your BP is high only when you're around a doctor, is sort of ...
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| cath | 3/14/2009 |
Q: I had a R and L heart cath on March 3rd. It was totally normal. Everything about it was normal. ... A: Wait a week. It will probably go away. You're probably right that it's caused by bleeding into the ...
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| Negative cardiac stress test | 3/14/2009 |
Q: I am training for a triathlon and started swimming in the ocean. I get severe chest pain and I have ... A: Maybe not absolutely necessary, but very safe. It is difficult to imagine a cardiac cause of chest ...
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| High bloodpressure in 20's and what to do? | 3/13/2009 |
Q: I am just turned 21 years old, Im about 5'11" and around 200lbs. Im not sure of my blood pressure ... A: Yes, 120 mg all at once is a pretty high dose. Usual dose is 40 mg. three times a day. ...
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| Dull Chest Pain | 3/13/2009 |
Q: I am a 23 year old woman. I am 5'3 and 220 lbs. I know my weight needs to be reduced. I was in the ... A: Skipped heart beats are normal heart activity, no threat to life or health. The most common cause ...
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| 64 slice CT scan | 3/13/2009 |
Q: I am 54 yr. old female and due to family history and worry went to a cardiologist (also a friend). ... A: What's a VAP? Please send more info on the NMR lipid test. NMR probably stands for nuclear ...
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| 64 slice CT scan | 3/12/2009 |
Q: I am 54 yr. old female and due to family history and worry went to a cardiologist (also a friend). ... A: I would do no more except find out what the mild abnormality was, and be sure your cholesterol and ...
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| please help | 3/12/2009 |
Q: .beat...skip...skip..beat. It was racing at maybe 150bpm when i got to the ER it was gradually ... A: Skipped beats are normal heart activity, no threat to life or health. Since your racing heart ...
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| my heart | 3/11/2009 |
Q: i went to the doctor 5days ago for some extreme heaveniess in in my chest and pain.i felt little ... A: Michelle, with a normal stress echo last June, you have nothing to worry about and there is no need ...
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| Abnormal EKG | 3/11/2009 |
Q: I am a 26 year old, male of (Black) African decent living in the Caribbean. I am 131 lbs, ... A: EKG's are no good at telling right atrial enlargement. Tall T waves are normal, in fact very good, ...
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| afraid pvc runs may hurt my baby | 3/11/2009 |
Q: Richardson, I am a 37 year-old female. Before I became pregnant with my third child, I had an ... A: Tallon, PVCs, even runs or 4 in a row, won't hurt your baby or you. Your heart immediately pumps ...
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| my heart | 3/11/2009 |
Q: i went to the doctor 5days ago for some extreme heaveniess in in my chest and pain.i felt little ... A: Kelly, Most likely it's cramping of muscles around ribs. If pressure on the area that hurts ...
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| High Heart Rate | 3/10/2009 |
Q: I have an aunt who is 61 years old.She asked me to search for her & see if there is anything that ... A: Ask your aunt how high her heart rate runs and if the run starts and stops abruptly, in one heart ...
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| Heart Mumur | 3/10/2009 |
Q: I'm 25 years old, and today had a physical for work. The doc told me she heard a murmur. I've never ... A: Ask the doc if the murmur is systolic or diastolic. And ask her for an echocardiogram, a ...
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| CAD | 3/10/2009 |
Q: Yesterday I spoke to a neighbor who had a triple bypass. I asked him what caused him to think he ... A: Usually CAD causes pressure in the middle of the front of the chest that may radiate to jaw or left ...
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| POTS or NCS/Mother and daughter | 3/9/2009 |
Q: I was diagnosed with "Extreme NCS - vasovagal/cardioinhibitory - a few years ago after collapsing on ... A: Sounds like POTS, especially if your fainting only occurs if you're standing up. I don't understand ...
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| fast heart rate | 3/9/2009 |
Q: I had surgery on 2/23 for a deviated septum and a cyst on my maxillary sinus. After surgery my BP ... A: The surgery and the fever that continued after surgery probably account for your fast heart rate. ...
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| I'm convinced I will have a heart attack... | 3/8/2009 |
Q: I am a 21 year old female, For about a year I have worried about my heart, and have got quite ... A: A heart attack is unheard of in a 21-year-old woman. Your symptoms are probably caused by anxiety ...
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| fast heart rate | 3/8/2009 |
Q: I had surgery on 2/23 for a deviated septum and a cyst on my maxillary sinus. After surgery my BP ... A: Anxiety? Infection should give you fever and a high white blood cell count and pain in sinus or ...
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| cath | 3/8/2009 |
Q: In June of 08 I had an ST depression show up on an EKG during a massive panic attack. I was admitted ... A: Maybe chest wall pain from cramping of muscles. If pressure on the painful area modifies the pain, ...
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| Left side chest pain | 3/8/2009 |
Q: I am 39 in good health. I have been experiencing some Chest pain, tingling for about a week. It ... A: The most common cause of chest pain in a 39 year old woman is cramping of muscles in the chest wall, ...
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| pre hypertension in healthy 24 year old female | 3/7/2009 |
Q: I'm a little confused. I recently realized that for several months I have had prehypertension. ... A: High blood pressure is almost always of unknown cause. There are rare conditions known to elevate ...
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| Distended neck veins / head pressure | 3/7/2009 |
Q: About a month ago, I was lying flat on my back and felt a pressure around my throat. When I put my ... A: It's normal for jugular veins to be full when you're lying flat, and to fill at the root of the neck ...
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| LA Size | 3/7/2009 |
Q: I have a couple questions about an enlarged left atrium. On my last echo, everything was normal with ... A: Your cardiologist's comments seem absolutely correct to me. Don't bother with more tests. More ...
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| Angina | 3/6/2009 |
Q: Richardson, Is there a method or are there any clues by which to tell the difference between angina ... A: Angina is brought on by exercise or strong emotion and is relieved in 5 minutes by rest and ...
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| fast heart rate | 3/6/2009 |
Q: recently my resting heart rate has increased but im not sure why they think that its because im ... A: I'm very sorry, but I don't know. Possible causes are anemia, hyperthyroidism, anxiety, but you're ...
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| no atrial mechanical function | 3/6/2009 |
Q: I am a 34 yr old with a history of large ASD repair as a child with a Dacron patch I have had lots ... A: Cardiomyopathy means heart muscle disorder. The term is usually applied to ventricular dysfunction. ...
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| Heart Beat! | 3/6/2009 |
Q: I have had many so called "Panic Attacks", but being the type of person that I am, I have always had ... A: Normal hearts don't speed up much with exercise in people who exercise a lot. Your dizziness may be ...
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| interpretation of the conclusion of a nuclear stress test | 3/5/2009 |
Q: I am a 47 year old woman that recently underwent a nuclear stress test. Could you put this ... A: Normal LVEF is 50% and above. So your heart is contracting a little less vigorously than normal. ...
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| Extra Beats | 3/5/2009 |
Q: Richardson, I have reads your answers in the past and they have been so comforting to me. Let me ... A: Extra heart beats are normal heart activity, no threat to life or health in people with a normal EKG ...
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| heart rhythm | 3/5/2009 |
Q: Good morning David. I've written before and thanks so much for your quick responses. I'm 62, male, ... A: If your heart sped up abruptly, in one heart beat, it may have been supraventricular tachycardia, ...
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| heart murmurs and heart rate | 3/5/2009 |
Q: I just recently turned 27 and found out I have a heart murmur. I have never been told this before. I ... A: More information is needed to tell if the murmur is any concern. Ask what's causing the murmur, and ...
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| heart skipping beat | 3/4/2009 |
Q: esp at work during stress or after I drank a lot of coffee. I gave up caffeine which seemed to ... A: Skipped beats are normal heart activity, no threat to life or health. Low potassium or magnesium in ...
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| Residual pDa In Adults | 3/4/2009 |
Q: Respected Sir, I am male of 50 Yrs I was operated For pda In 1986. Though i had no specific problems ... A: Yes, you need an operation to remove the subaortic membrane. It the aortic stenosis means your ...
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| high heart rate | 3/4/2009 |
Q: My heart rate is 115-120 at any given moment no matter what I am doing. I have had every heart test ... A: Anxiety, anger, hyperthyroidism all cause sinus tachycardia. A cardiac electrophysiologist probably ...
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| PVC's.Sinus Tach and SVT?? or Afib?? | 3/3/2009 |
Q: Sorry for the length of this but I am desperately hoping you will be able to help me. I have had ... A: I'm sorry you're having so much anxiety. There's no need for another stress test or echo. They'll ...
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| brother's hospitalization | 3/3/2009 |
Q: My brother is70 with no previous heart condition. He went to the emergency room on Sat with pain ... A: Probably the heart cath showed very poor pumping function of his heart. This can't be repaired. ...
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| tachycardia? | 3/2/2009 |
Q: My question is about whether what I am experiencing is normal, or indicative of something specific. ... A: What kind of dystonic reaction? Albuterol was a BIG mistake on my part. I meant atenolol. ...
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| PVCs after excercise | 3/2/2009 |
Q: i get pvcs when stressed, randomly and then sometimes during and after exercise. i have had a ... A: I"m not sure I know about that study that says PVCs after exercise carry a poor prognosis. Possibly ...
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| Increased heart rate | 3/1/2009 |
Q: I'm 63 years old, fit and feeling well. I experienced an MI in 1999, and have been fine since ... A: Increased appetite, weight, cholesterol and triglycerides are listed as ill effects of mirtazepine, ...
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| My heart beat is 102 | 3/1/2009 |
Q: My heart is beating at 95 to 102 per minutes since last few weekswa and I can feel it beating in my ... A: Hunjon, Probably, both the rate and the feeling of your heart beating in your chest. You could get ...
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| Breathing Problems During Aerobic Exercise | 3/1/2009 |
Q: Age: 43 Height: 5' 7" Weight: 195 lb. BP: About 112/70 (I would prefer you don't publish my height, ... A: The only way to keep your weight etc private is to mark the email to AllExperts as Personal or ...
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| heart complications | 3/1/2009 |
Q: i am 22 years old, 5'4" 160lbs. Ever since i could remember, I've been having heart problems. when i ... A: You're having skipped heart beats. These are normal heart activity, no threat to life or health. ...
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| PVC's, Citalopram, Diazepam and Morning Racing heart and PVC's | 2/28/2009 |
Q: I did Cocaine a few years ago, had a bad reaction and had to go to A&E. Thought i was dying but the ... A: Boler, PVCs are normal heart activity, no threat to life or health. Normal in that about half of ...
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| tachycardia? | 2/28/2009 |
Q: My question is about whether what I am experiencing is normal, or indicative of something specific. ... A: Maybe your fast heart rate during exercise comes from Lexapro or Seroquel. Seroquel is used for ...
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| irregular heartbeats | 2/27/2009 |
Q: I have been having skipped or missed beats since i was in my 20s (I'm now 36) for the last year ... A: Skipped beats are normal heart activity, no threat to life or health. Two or three skips in a row ...
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| Heart Rythym Getting Worse | 2/26/2009 |
Q: I am a seventeen year old male. 6'3 / 160. Ever since I was a child, I have had breathing problems ... A: Skipped heart beats, no matter how frequent, are normal heart activity, no threat to life or health. ...
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| Pain, is this heart related? | 2/26/2009 |
Q: Richardson, you've helped me out before, and I have something that's come up that I'm curious ... A: Not heart related. Pain where leg joins body can come from clogging of the artery to the leg. That ...
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| PVCs and infrequent arrhythmia | 2/25/2009 |
Q: Richardson, I am a 38 year old otherwise very healthy female who plays tennis 3 times a week and ... A: With a normal QT interval, echo and stress test, sudden cardiac death is unlikely, but remotely ...
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| Heart and exercise symptoms | 2/25/2009 |
Q: Richardson, I am writing again because I do not know if my last message went through? You probably ... A: Your symptoms were Not heart related. Low blood pressure maybe. Not serious probably. Please ...
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| rapid heartbeat | 2/25/2009 |
Q: I'm male,52 been on bloodpressure meds for about 20 yrs., verapamil 120 mg twice a day, heart ... A: More info needed. How fast was your heart when it was beating rapidly? Did the rapid heartbeats ...
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| What could be causing my low blood pressure and tachycardia symptoms? | 2/24/2009 |
Q: [Personal info: I'm a 19 y.o. female, currently prescribed Adderall XR 30mg for ADHD, 5'6 and ... A: It's called postural orthostatic hypotension symptoms (POTS) and it's caused by inadequate signals ...
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| Pain in left side of the heart | 2/24/2009 |
Q: I went online to check out my question and landed here. i hope you will be able to answer my ... A: Dar Sameera, Chest pain that is made worse by pressure on the chest comes from the chest wall, ...
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| heart palpitations.. | 2/23/2009 |
Q: Im a 32 year old female..currently about 10 kilos overweight,For 2 years now ive been putting up ... A: Metoprolol wouldn't affect the results of a stress test. If the EKG showed more than 1 mm of plane ...
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| Possible Heart Palpitations? | 2/22/2009 |
Q: I'm a 25 year old female, 5'9, 140 pounds. Yesterday evening I experienced trouble breathing, rapid ... A: Not very serious, but should be checked out with a doctor. Notice when it happens again if your ...
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| Heart skips a beat | 2/22/2009 |
Q: I've read so many articles on how common and "ok" it is for a persons heart to skip beats. I am a 55 ... A: Skipped heart beats ARE normal heart activity. Normal in the senses that about half of us have ...
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| Re: Strange tappings in the heart | 2/20/2009 |
Q: The Tapping doesnot occur in any one position. It happens when I am lying down or sitting or ... A: If the tapping does not occur at the same rate as your pulse, it must not be heart. I don't know ...
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| Echo and Stress Test | 2/20/2009 |
Q: I visited my cardiologist on Monday and had a echo that came back abnormal. He immediately scheduled ... A: Doggone it, they should have given you a copy of the echo report or at least told you what the ...
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| Borderline Prolonged QT interval | 2/20/2009 |
Q: My 13-year-old daughter had a near syncopal episode today. Her EKG was told to us as normal but the ... A: QT is not enough info. The corrected QT (QTc) is needed. If what you were given is QTc, here are ...
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| chest pain | 2/19/2009 |
Q: Over the past two weeks I've been to see two doctors about recurrent chest/arm pain on my left side, ... A: The most common cause of chest pain in the young is cramping of muscles around the ribs in the chest ...
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| Strange tappings in the heart | 2/19/2009 |
Q: Age 32 years, No medicines, Height 5'7'',weight 170 lbs and Blood Pressure 115-120/75-80 Dear Sir, I ... A: With negative EKG's, echo and stress test, it cannot be abnormality of heart. Observe if the ...
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| Ref: Answer dated 11/26/2006 | 2/18/2009 |
Q: Dr. Richardson, I appreciate your time, thank you for reading this. I have a question related to ... A: It's called skipped heart beats, which are really premature beats, so premature that the heart is ...
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| heart palpitations and menopause - HRT | 2/18/2009 |
Q: Richardson: I am 51 (5'7" - 175 lbs at the moment (menopause waist weight - was always about 140 ... A: Skipped heart beats are normal heart activity, normal in the senses that: about half of us have ...
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| heart palpitations.. | 2/17/2009 |
Q: Im a 32 year old female..currently about 10 kilos overweight,For 2 years now ive been putting up ... A: Nobody knows why some people have palpitations and others don't, but i don't think hypercalcuria ...
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| Cardiac syndrome X and leg pain? | 2/17/2009 |
Q: Richardson, I'm a first year medical student and I'm asking this question on behalf of a friend of ... A: Is she's had ultrasound or angiographic study of her aorta and ilio-femoral arteries that shows no ...
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| Unexplained swelling of the right arm. | 2/17/2009 |
Q: My husband had been exercising at the gym yesterday when his right arm started to swell from the ... A: No. Heart trouble would not cause swelling of one arm. Obstruction of veins in that arm by clots ...
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| lightheadness | 2/16/2009 |
Q: Everytime when i excercise, i'm getting lightheaded. I have seen three docters and have done the ... A: PVCs during exercise are harmless. Anxiety can certainly cause lightheadedness. Anxiety makes us ...
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| Stress test | 2/16/2009 |
Q: Richardson, My father (86 yrs old) is about to go in for a stress test on Wednesday. It is supposed ... A: Yes, it's okay to take an OTC acid-reducer the night before the test. Zamtac will not interfere ...
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| 19 year old dies | 2/16/2009 |
Q: Dr Richards, My daughter's 19 year old boyfriend of 4 years was found face down on his couch ... A: Doolan, PACs are not dangerous and did not cause his death. The most common cause of sudden ...
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| palpitations | 2/15/2009 |
Q: I am 41 yo, 5'6", 135 lbs, BP 125/80. I had an RF ablation for AVNRT about a year ago. I am still ... A: PACs/PVCs are normal cardiac activity even if they occur every other beat or three in a row. With a ...
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| surgery/blood thinners | 2/15/2009 |
Q: My husband had an mechanical aortic valve (generic st. Jude) about 7 years ago and has been taking ... A: There's firm called INRCare that sells a coumadin strength meter for $1,495. Their phone number is ...
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| surgery/blood thinners | 2/15/2009 |
Q: My husband had an mechanical aortic valve (generic st. Jude) about 7 years ago and has been taking ... A: Doesn't seem very safe to me when he has a St. Jude aortic valve. It's pretty easy to use ...
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| concerned over omron blood pressure results | 2/15/2009 |
Q: I am a female 44 years of age, im 5ft 5 3/4" tall and weighed 181 now 3 weeks later 171. i take 81 ... A: A stress test would let you know exactly how your BP reacts during every minute of the test and ...
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| EKG | 2/14/2009 |
Q: I am a 52 year old healthy female with no history of heart disease. I do have some skipped beats ... A: Yes, Patti, I'll be glad to look at your EKG. Please send me your email address by writing back, ...
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| Coumadin/surgery | 2/13/2009 |
Q: My husband has been taking coumadin since having a mechanical aortic valve. He is going to have a ... A: No. Not safe. He should receive Lovenox, a form of heparin, within 24 hours after stopping the ...
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| hypertension | 2/13/2009 |
Q: im a 24 yr old female who is overweight, my last tests showed that my cortisol levels were slightly ... A: Not so far as is known. Ordinary hypertension can make BP higher standing than lying, and I don't ...
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| Rapid heartbeat | 2/13/2009 |
Q: I've noticed I will go through episodes where if i take a deep breath my heart starts beating ... A: How fast does your heart beat when it's beating rapidly, and does the rapid beating start and stop ...
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| Chest pressure | 2/12/2009 |
Q: I am 23 years old, 5'7, weigh 165, and usually have normal blood pressure. I was put on zoloft for ... A: My advice is get an echocardiogram, a simple non-invasive test, to be sure your heart's structure ...
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| Chest and Arm Pains | 2/12/2009 |
Q: I was wondering if you could help me figer out what could be the cause of some pains I have been ... A: McCormick, The most likely cause of your pain is cramping of muscles in the chest wall, around the ...
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| IHD | 2/12/2009 |
Q: I am a 32 year old woman, weigh 70 kg, I am 172cm tall. I woke two weeks ago from a severe ... A: Ischemic heart disease seems very unlikely in a 32-year-old woman. No need to be terrified about a ...
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| heart | 2/11/2009 |
Q: when i lay down to sleep my heart bounds so fast i can't sleep. why? A: I don't know. Count how fast your heart beats in 15 seconds, and note whether it speeds up and ...
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| heart palpations | 2/11/2009 |
Q: I had bypass surgery in May 08 they graphed 6 blockages. I had Afib right after surgery three times ... A: Premature or skipped heart beats are normal heart activity, no threat to life or health. They will ...
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| irregular beats | 2/10/2009 |
Q: I have had various arrhythmia issues over the years but have been mostly symptom free for over two ... A: Premature heart beats are normal heart activity, no threat to life or health in someone with normal ...
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| Just diagnosed with incomplete RBBB | 2/10/2009 |
Q: I have a Question to ask on the below answer from you: "Yes, you'll be fine, and hard work-outs ... A: There's nothing you can do to make the RBBB go away, though it may come and go by itself. ...
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| heart palpitations.. | 2/10/2009 |
Q: Im a 32 year old female..currently about 10 kilos overweight,For 2 years now ive been putting up ... A: Ask your doc for an event monitor, a little box you carry with you that records your EKG a few ...
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| Chest and left arm pains | 2/10/2009 |
Q: I have had a left twinging chest pain and a sore left forearm since nov 06. I get pins and needles ... A: Pain in left forearm may be referred from chest pain, or may be cramp of muscles in forearm. Very ...
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| WPW Ablation Protocols? | 2/9/2009 |
Q: I'm a 50 yo female, 5'8", 110 lbs, BP 98/50, with lifelong (can't remember ever NOT having this) ... A: 1) Retrograde aortic seems better to me. 2) Best criteria are how much the SVT interfere with your ...
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| Chest and left arm pains | 2/9/2009 |
Q: I have had a left twinging chest pain and a sore left forearm since nov 06. I get pins and needles ... A: If the pins and needles are in both hands, they're probably from over breathing due to anxiety about ...
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| Ectopic beats | 2/8/2009 |
Q: I'm 48 and have been experiencing skipped beats for the past 13 years. I saw a specialist when I ... A: Holmes, Skipped beats are normal heart activity, no threat to life or health in someone with a ...
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| heart issues | 2/7/2009 |
Q: Dr. Richardson, I have a few more questions about heart rates and the cardiac muscle. 1) Do PVC's ... A: 1) No 2) No 3) Exercise is always a good idea for a healthy person. Helps relieve anxiety. 4) ...
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| HDL | 2/6/2009 |
Q: Are there any foods that you would suggest to raise HDL levels? Also, a couple of times after ... A: Avoid carbohydrates. Use oils like olive oil instead of butter to maintain calloric intake if ...
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| long QTc syndrome | 2/6/2009 |
Q: I'm a 23 year old female (5'4, 117lbs) being treated for anxiety. Currently I am on Klonopin (.05mgs ... A: Here are the normal, borderline and long values for QTc. Rating 1-15 years (msec) Adult Male (msec) ...
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| Pulmonary artery rebuilding..... | 2/6/2009 |
Q: My 39 year old sister has pulmonary stenosis (artery, NOT valve). She had a couple of open heart ... A: I'm very sorry, but I don't know. Look around at http://www.ncbi.nlm.nih.gov/pubmed by entering ...
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| premature beats | 2/5/2009 |
Q: Dr. Richardson, I wrote some time back and was experiencing premature beats, halter monitor showed ... A: 100-120 PACs in 24 hours are not minimal, but not a problem either. Normal heart activity. Yes ...
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| PACs | 2/5/2009 |
Q: Dr. Richardson, 32 yo male, overweight, take toprol 50mg 1x/day, normal echo,ekg, and passed nuclear ... A: 1. PACs for 5-6 beats are not threatening to life or health. Only if they get more than 20 in a row ...
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| premature beats | 2/4/2009 |
Q: Dr. Richardson, I wrote some time back and was experiencing premature beats, halter monitor showed ... A: See an electrophysiologist and explain that the skipped beats are ruining your life and interfering ...
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| PVC's | 2/3/2009 |
Q: I am a 38 year old women with a Fibromyalgia.I take absolutely no meds. I had a heart ablation back ... A: Heart attack is extremely unlikely in a 38-year-old woman. Isn't the pain due to your fibromyalgia? ...
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| ekg/ septal infarct | 2/3/2009 |
Q: i just went to a cardiologist had an EKG it said septal infarct.he said it is a couple of years old. ... A: EKG is not very good about septal infarcts. It may well be a false positive. The cardiologist can ...
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| Heart flips then races | 2/3/2009 |
Q: I have had PVCs since I was a teenager. Lately, I'm 54, I've had the flip sensation followed by a ... A: If the racing starts and stops abruptly, in one heart beat, and exceeds 145 beats a minute (35 beats ...
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| Unresposive person with eyes open | 2/2/2009 |
Q: My father was in the hospital two week ago with what they said was Atrial Flutter. They did a few ... A: Sorry, but I'm not a good enough neurologist to understand why eyes open or shut is important. Did ...
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| dizziness | 2/1/2009 |
Q: echo,holter,stress) all ok but recently also I get them so forceful I get a slight dizziness I worry ... A: IF the dizziness is spinning, like you're spinning round and round or the room is spinning around ...
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| fast heart rate; tramadol, 50mg, percocet7.5, synthroid 175, bp 130/80-180/120, 128lbs, 5'6 | 2/1/2009 |
Q: When relaxing or dozing-off, (mostly in slight sitting position), I awake to a pounding heart, so ... A: Symptomatic SVT needs attention. You're not stupid to see a doctor about that. Ask the doc to ...
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| Qtc | 1/31/2009 |
Q: I did an holter-ECG which found a QTc of 430.(min. qt230 and max qt 449). Is this borderline or long ... A: With no unexplained faint, exercise-triggered faint, a doorbell triggered faint, seizure, or family ...
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| recent chest pains | 1/31/2009 |
Q: I am a 23 year old female who is concerned about some recent chest pains. To give a little ... A: Most likely it's your body telling you to exercise more and lose weight. In a 23-year-od former ...
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| increase heart rate, heart burn | 1/29/2009 |
Q: I am 37, fit, 5'2 107 lbs, who has a family history of heart disease. I have normal cholesterol, ... A: Your family history increases your risk a little. Only parents and siblings count a lot. Your ...
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| b vitamins and in stent restenosis | 1/29/2009 |
Q: My new cardiologist just told me that a 2004 study in the New England Journal of Medicine suggested ... A: I knew nothing about this. Please send me the reference to the NEJM article. My opinion is that B ...
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| Heart | 1/29/2009 |
Q: I am 31 years old and all of a sudden my blood pressure has spiraled out of control I failed my EKG ... A: No, damage to heart would lower BP, not raise it. The echo will show if your heart was damaged, but ...
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| premature beats | 1/28/2009 |
Q: Dr. Richardson, I wrote some time back and was experiencing premature beats, halter monitor showed ... A: You need not be concerned. Two PACs in a row is still normal. In some people, slowing the heart ...
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| irregular heart beat and edema in left foot | 1/27/2009 |
Q: I am a 26 year old female, exercise 4 times a week (30 mins. of cardio + light lifting), 5’6”, BMI ... A: Edema of one foot is probably from obstruction of veins or lymphatics in that leg. Nothing to do ...
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| antibiotics/rheumatic fever | 1/27/2009 |
Q: age 61, ambien, levoxyl, 5' 8", 170, BP 128/75 Hi, At 8, I was diag with heart murmur/rheumatic ... A: Here's what the guidelines say, The writing committee concluded that only a small number of ...
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| high heart rate | 1/27/2009 |
Q: . about 125 bpm.. i take a pill called atenonol 25 mg per day.. im frightend that with my heart rate ... A: Fast heart rates are probably accompanied by shorter life, a little shorter. Dull chest pain at ...
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| heart surgery and exercise | 1/26/2009 |
Q: My husband had a quadruple bypass in Jan. of 2008 after having a heart attack in Dec. (The reason ... A: Gresham, I'm very sorry about all your troubles. More than two people should have to bear. ...
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| Chemical Stress Test | 1/26/2009 |
Q: My father is 73 y/o white male with hx of insulin dependent diabetes since 1955 (yes, that's right ... A: Unless he is greatly bothered by chest pain or pressure, I see no point in a stress test. The ...
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| Homeopathic cure for Afib | 1/26/2009 |
Q: My latest bout with Afib conclusion is to leave me in Afib but on Warfarin. Do you have any comment ... A: I know of no homeopathic meds effective in afib. Thanks for the two references. Note that the ...
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| Angina or Anxiety or neither? | 1/25/2009 |
Q: Dr. Richardson. I come to you with the question...if I am actually feeling angina, whether it ... A: Sue, stable angina can go on for years. Unstable angina can mean fairly abrupt increase in anginal ...
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| Angina or Anxiety or neither? | 1/24/2009 |
Q: Dr. Richardson. I come to you with the question...if I am actually feeling angina, whether it ... A: If the problem in paragraph 1 is the tingling vibration in paragraph 2 then it is certainly not ...
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| cardiac ablation | 1/24/2009 |
Q: I am a 46 YO male with history of multiple pvc's and unsustained v-tach. I am very physically ... A: Look at http://www.cardiosmart.org/ManageCondition/Default.aspx?id=814 for some answers. Ablation ...
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| return of symptoms | 1/24/2009 |
Q: Richardson, I had an ablation conducted two weeks ago. The doctor told my family that it was ... A: 115 seems okay for one with all your stress and anxiety. I doubt if you need another ablation. If ...
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| Endocarditis? | 1/23/2009 |
Q: I am 37 years old, and have had little to no medical issues in the past. My previous physical ... A: Look at http://www.cardiosmart.org/Search/?q=endocarditis And write back if you have any questions. ...
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| palpitations | 1/23/2009 |
Q: I am a 22 old man, one month ago i had palpitations when i was walking. Suddenly my heart was going ... A: Your episode sounds like atrial fibrillation, which can cause breathlessness and lightheadedness. ...
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| Heart Problem? | 1/23/2009 |
Q: Doctor. This is my problem. I don't get chest pain on exertion. I don't get shortness of breath. ... A: Discomfort from clogging of the coronary arteries that supply blood to the heart is usually pressure ...
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| Echo report | 1/22/2009 |
Q: Richardson, I'm a 52-year old female with a history of two open-heart surgeries due to a bicuspid ... A: Hypokinetic means a part of heart muscle is not contracting well, either asleep or damaged or an ...
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| Another question about EKG "gLon QT" | 1/22/2009 |
Q: My EKG the last time I had one showed an QT interval at 396, whatever that means. Is this ok? ... A: It depends on your heart rate. If your heart rate is 60, QT up to 430 is normal, but if your heart ...
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| Echo report | 1/22/2009 |
Q: Richardson, I'm a 52-year old female with a history of two open-heart surgeries due to a bicuspid ... A: MAYBE a branch of a coronary artery was blocked during the valve replacement or aneurysm repair. ...
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| hypertension | 1/21/2009 |
Q: I am 50, no major health issues other than being overweight (who isnt) and I have sleep apnea- I am ... A: Genetics play a big role in hypertension, and chronic stress can be a factor, though a small one. ...
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| rapid heart rate & spiking BP | 1/21/2009 |
Q: I'm a 50 y/o female, 145 lbs, 5'6". Cholesterol is 204, HDL 79, LDL 113, triglycerides, 61. BP is ... A: No good idea about the bubbly vibration. Falling onto your desk without losing consciousness leaves ...
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| PVC Questions again... | 1/21/2009 |
Q: I was reading this forum and came across another Dr. (Cardiologist) who posts to people with ... A: PVCs, no matter how frequent are dangerous only to people with an abnormal echo AND EKG, namely long ...
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| Heart Disease, Diabetes | 1/20/2009 |
Q: I am diabetic. I have a 6.9 A1C. I am not taking medication as I'm trying to take care of the ... A: Low A1C probably lowers the odds that you will have heart disease. "for every percentage point of ...
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| CPKMB TEST | 1/20/2009 |
Q: On Lipitor 10mg, 5'6" and 150 lb and normal BP. Under blood tests for CPKMB What does Ckmb mean? ... A: CPKMB stands for creatine phosphokinase, muscle type B, B being cardiac muscle. CPKMM is skeletal ...
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| Lightheadedness, other symptoms after CABG | 1/18/2009 |
Q: Age: 48 year old male Height/Weight: 5' 11", 220 lbs. PMH: Hypertension, Hyperlipidemia, CAD s/p ... A: Take your blood pressure standing quietly for 1,3 and 5 minutes. If it gets below 90, that's the ...
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| R on T phenomen | 1/17/2009 |
Q: I m a neurology doctor in Turkey, I am 30 years old and I have sometimes PVC, last holter one dr ... A: Banu, R on T is not a problem for people without prolonged QT interval and with a normal echo. The ...
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| Coronary calcification, "benign" PVC's | 1/17/2009 |
Q: For two years I have complained of intermittent chest pain (by the breastbone), shortness of breath ... A: Calcification of the coronaries does indicate increased risk of trouble (angina, heart attack, etc) ...
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| Stressed to Death? | 1/17/2009 |
Q: I have dealt with panic attacks for most of my life and managed to control them by convincing ... A: I guess you're correct. Look at ...
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| follow up on fast heart rate | 1/17/2009 |
Q: Dr. Richardson, I wrote to you just the other day about a fast heart rate I was experienceing during ... A: Erin, a normal stress echo give you great confidence for no severe heart trouble like heart attack ...
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| Cardiac myopia and periecarduim, Peripheral resistance. | 1/16/2009 |
Q: Dr. Richardson, Can LVEF value be affected by heart rate and BP at the time of echo? It seems to me ... A: No, LVEF is not affected by HR & BP. High peripheral resistance just raises BP and doesn't affect ...
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| Cardiac myopia and periecarduim | 1/16/2009 |
Q: A friend of mine is suffering from possibly both of the above. Her doctor's seem very reluctant to ... A: Cardiac myopia makes no sense It's probably cardiomyopathy. Pericardium is the outside lining of ...
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| Heart palpitations | 1/16/2009 |
Q: I've been experiencing skipped heart beats, hard thumping beats, and what feels like bubbles in my ... A: Skipped heart beats are normal cardiac activity. About half of us have them, they are easy to ...
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| tachycardia | 1/16/2009 |
Q: I am an 18 yo female who plays D2 college soccer, and have played soccer all my life. I am 5'3'' and ... A: There's a disorder called diastolic dysfunction in which the heart contracts well but doesn't relax ...
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| heart | 1/15/2009 |
Q: i am 28 male, for the past three year i have feeling like my heart skips some times i get them 10 ... A: Skipped beats are normal heart activity, no threat to life or health in someone with a normal EKG ...
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| ecg | 1/14/2009 |
Q: for weeks now ive had heart palps, skipped beats (long pauses) and discomfort (like a murmur ... A: No, an ecg would not rule all severe, life-threatening diseases. Skipped beats, however, are ...
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| In afib again | 1/14/2009 |
Q: 1-9-09 Follow up. Was converted after 4/08 Afib bout, but it lasted only 17 days. Cardio said since ... A: Charlie, I got the article o.k. I still tilt toward rhythm control. Atrial fib begets atrial fib, ...
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| rapid heart rate & spiking BP | 1/14/2009 |
Q: I'm a 50 y/o female, 145 lbs, 5'6". Cholesterol is 204, HDL 79, LDL 113, triglycerides, 61. BP is ... A: No, nothing else to worry about. See if you can get your BP measured when you're having an episode ...
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| heart palpitations | 1/14/2009 |
Q: I have been drinking for about 20 years, I will be turning 50 next week. For a few months now ... A: If the palpitations are single skipped beats in an otherwise regular heart rhythm, these are normal ...
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| Premature beats | 1/11/2009 |
Q: Dr. Richardson, I will try to explain my concerns as lucidly as possible... For starters, I am a ... A: Premature beats are normal cardiac activity, no threat to life or health now or in the future. They ...
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| rapid heart rate & spiking BP | 1/11/2009 |
Q: I'm a 50 y/o female, 145 lbs, 5'6". Cholesterol is 204, HDL 79, LDL 113, triglycerides, 61. BP is ... A: Spikes of BP and heart rate raise the question of pheochromocytoma, a very rare benign tumor of ...
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| pvc's | 1/10/2009 |
Q: However, when I exercise, I get pvc's and fluttery feelings with a rapid heartbeat after I stop the ... A: The pause of a PVC is surprising and forces you to hold your breath for a second. This is not ...
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| Chest pain | 1/10/2009 |
Q: Basically this is a plea for some help. I had a bad throat infection in late November of 2006. I ... A: Pericarditis is a faint possibility, tho that usually doesn't last so long. If you haven't had an ...
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| In afib again | 1/10/2009 |
Q: 1-9-09 Follow up. Was converted after 4/08 Afib bout, but it lasted only 17 days. Cardio said since ... A: I don't completely agree with your recent study. Would you please send me the reference to that ...
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| sleep and heart sensations. | 1/10/2009 |
Q: Richards, I have a question about something that seems to happen to me when I am falling asleep ... A: You're probably feeling a premature beat that is so premature that the heart hasn't had time to fill ...
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| Should I Try Ablation for Possible Arrhythmia That Happens Only When Sleeping? | 1/9/2009 |
Q: Dr. Richardson. First, the history. In February of 2008 at the ripe old of age of 37, I ... A: 1. I haven't heard of such, and don't know why. 2. No, an arrhythmia produces symptoms only when ...
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| Frequent PVC's | 1/9/2009 |
Q: Richardson, I have written you before and I thank you again for your time and expertise! I hope ... A: PVCs, no matter how frequent, have no effect on life or health in people with a normal EKG and ...
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| FAINTING, DIZZINESS | 1/8/2009 |
Q: David, I am 43 yr old probably about 43 pounds overweight. blood pressure normal range but the ... A: Measure your BP lying, then sitting, then standing quietly for 1,3,& 5 minutes. If it gets below 85 ...
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| PVCs and LVEF | 1/8/2009 |
Q: Dr. Richardson, Iam a 52 years old male. My LVEF is 47% with normal echo as far structural aspects ... A: Not much risk or danger for PVCs with EF over 35%, and presumably normal QT on EKG. Maintaining ...
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| is this heart? | 1/7/2009 |
Q: can y pls answer me the foll query: i am 33fem. today i was returning from shopping and feeling ... A: I think your BP got a little too low, like 90, at the top of the steps. Your symptoms are ...
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| tachycardia, PVC's | 1/7/2009 |
Q: I went to the Cardiologist because I was complaining about chest pain and hypertension. It is ... A: A stress test will not put you in any danger. PVCs are usually less during exercise. Your pulse ...
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| Heart racing | 1/7/2009 |
Q: I have bad heart 'skips' and heart racing....I'm on Atenolol 50 mg twice a day for 100 mg/day....I ... A: Could it be the clonazepam or Paxil? Try stopping both for a while unless your fast heart beat ...
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| chest pain | 1/6/2009 |
Q: I am a 24 year old nonsmoking light drinking female, I am 5'9 about 180lbs, normal blood pressure ... A: You can probably find the cause of your chest pain yourself. If firm pressure with fingers on a ...
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| pvcs assoc with costochronditis? | 1/6/2009 |
Q: 29yr old femal over weight. dx with costochronditis at the same time dx with bi-jiminey and ... A: PVC's are not painful. You can prove it's costochondritis if pressing on a painful spot modifies ...
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| Positive pulse in aVR lead | 1/5/2009 |
Q: For the last few years I've been having odd feelings in my chest area. I went in an ECG about a ... A: The S wave is the upward deflection at the end of the QRS in aVR. Your aVR has a sharp downward ...
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| Atypical vs. angina | 1/5/2009 |
Q: I am sick of being confused! In june I had a normal cardiolite stress test, echo and holter monitor. ... A: We doctors are not very good at dealing with atypical pain. Could be fibromyalgia. Look at ...
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| Audible pulse | 1/4/2009 |
Q: I am a 42-year-old male, 6' tall, 150 pounds, bp 130/80. No medication, no history of health ... A: Go to file:///%20%20Medicine%2012:07/Patulous%20Eustachian%20tube%20.webarchiv and see if that fits. ...
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| High Cholesterol and CAD | 1/4/2009 |
Q: I have ignored my cholesterol levels for years because I didn't want to take statins. My cholesterol ... A: Your excellent HDL is quite protective. A stress test would be needed only if you were having chest ...
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| whooshing in ear | 1/3/2009 |
Q: For a couple days I can hear and feel my heart beat in my right ear. I do get migraines, but haven't ... A: Probably bending of an artery to that ear. If stretching you head far back or to the side opposite ...
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| Thumping In throat & chest | 1/3/2009 |
Q: First off i'd like to say Happy New Year & Thank You so much for helping people like me with their ... A: Overactive thyroid or Xanax withdrawal or nicotine are the most likely causes. Ask the doctor about ...
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| Bad Heart Why Bother!!!??? | 1/2/2009 |
Q: Dr. I am a 47 male. I am very heavy (330). I had an MI in Jan 06. I just had another Cath. (3 more ... A: Weight loss would improve the quality of your life if it is now impaired by breathlessness or ...
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| Lump Bulge upper left thigh that does not go away | 1/2/2009 |
Q: David, I am 43 over weight by about 40 pounds normal blood pressure range dialistic around 90+ ... A: If the lump is on the inside of your thigh, where your leg joins your body near your testicles, ...
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| SVT | 1/2/2009 |
Q: I have written before (female, 51 with RA and skipped beats). I finally have all of my tests back. ... A: Mary, a "skipped" beat may be a premature atrial contraction that could start a run of SVT, which ...
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| Pulmonary Embolism | 1/1/2009 |
Q: I hope you had a wonderful Holiday and a wonderful New Year! I have a family member that has had ... A: Hermans, A small clot would not cause air hunger. One must lose one whole lung to develop air ...
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| SVT | 1/1/2009 |
Q: I have written before (female, 51 with RA and skipped beats). I finally have all of my tests back. ... A: SVT is not dangerous. The worst that can happen is more frequent or prolonged episodes. Are you ...
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| Tightness in Chest | 1/1/2009 |
Q: First of all Happy New Year. It's so kind of you to be here for us in cyberspace. Onto my ... A: Chest tightness caused by clogging of the coronary arteries that supply blood to the heart is ...
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| oxygen and our bodies | 1/1/2009 |
Q: I was wondering if you could possibly explain how oxygen works in our bodies. I know that MOST life ... A: Oxygen is the energy source for muscular contraction and brain function and for the work of every ...
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| heart attacks and beer | 12/31/2008 |
Q: my husband drinks 4to5 beers a night and has had two heart attacks and takes isosorbs, plavix and ... A: Explain that liver disease is terrible, itching all over, no appetite, vomiting, swollen abdomen ...
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| heart pain | 12/30/2008 |
Q: i now get very painful dull pains over my heart. always over heart. can radiate to back but not ... A: Heart pain is usually in center of front of chest, brought on be exercise and relieved in 5 minutes ...
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| SVT | 12/30/2008 |
Q: What keeps SVT from being dangerous. Mine skips then races to 189 or 200. I get so paniced of dying. ... A: SVT is NEVER fatal and does not cause blood clots because blood doesn't pool in your heart during ...
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| Multiple Runs Pvc's | 12/30/2008 |
Q: I have just had a pacemaker put in six weeks ago. I have been on solatol for eight years for pvc's. ... A: With a normal echocardiogram, runs of PVCs are not dangerous to life or health, except for the ...
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| Lisinopril 2.5 mg | 12/30/2008 |
Q: Richardson, I have written to you on 3 seperate occasions. I have been taking Lisinopril 2.5 mg ... A: I don't know why your hands and feet are so cold. Hypothyroid? Anxiety? Exercise will warm them ...
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| Missing heart beat | 12/29/2008 |
Q: I am 51 year old with height 180 cm and weight 58 Kg. Eight year back I was sensing missing heart ... A: Your missing beats are premature ventricular contractions, occurring so soon after the preceding ...
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| heart rate question | 12/29/2008 |
Q: Is a finding of "symmetrical ventricular hypertrophy" on an echo reversible or am I doomed to ... A: Symmetrical ventricular hypertrophy is reversible. If your blood pressure is high, lowering it will ...
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| pvc's | 12/28/2008 |
Q: However, when I exercise, I get pvc's and fluttery feelings with a rapid heartbeat after I stop the ... A: You need no stress echo. PVC's are harmless is someone with normal EKG and echo. PVC's are more ...
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| palpitations | 12/23/2008 |
Q: You answered a few questions for me the other night and were very helpful (female with RA and heart ... A: An echo will show how well your valves are working and how well the ventricles are pumping. They ...
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| Chest pain | 12/23/2008 |
Q: I was wondering if you could give me some advice on the chest pain I have been having for the past ... A: Megan, pulmonary embolism is VERY unlikely. The chief symptom of pulmonary embolism is ...
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| Heartburn and Bystolic | 12/23/2008 |
Q: I have rather severe heartburn. It began around the time I started taking Bystolic. I wondered if ... A: Epocrates, the online drug reference, does not list heartburn as an ill effect of Bystolic. The ...
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| irregular heart beats | 12/22/2008 |
Q: Over the past year or two I've been experiencing what feels like a single strong heart beat every ... A: Single strong heart beats occur after a premature heart beat. During the long pause after a ...
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| Chest pain | 12/22/2008 |
Q: I was wondering if you could give me some advice on the chest pain I have been having for the past ... A: Chest pain that worsens when you press on it is chest wall pain, since you can't press on heart, ...
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| palpitations | 12/22/2008 |
Q: You answered a few questions for me the other night and were very helpful (female with RA and heart ... A: An echo tells that your heart's structure and function are normal. Drinking, especially through a ...
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| chest pain alert | 12/21/2008 |
Q: David, I'm currently working here in the Middle East. Two weeks before my flight going here last ... A: Most likely cramping of muscles around ribs. If firm pressure on the painful area modifies the ...
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| Chest pain | 12/21/2008 |
Q: I read your answer to Sarah regarding her "dull chest pain" and I wondered if this answer would ... A: Probably cramping of muscles around ribs. Press firmly on the area that hurts. If pressure ...
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| 22 YEAR OLD VERY CONFUSED | 12/20/2008 |
Q: I am a 22 year old mother or 3 , I was diagnosed with anxiety at age 17 i ahev been on lexapro since ... A: Most likely it was sinus tachycardia, a normal response to fright. The other possibility is ...
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| pvs and svt | 12/20/2008 |
Q: I have had a history of heart arrhythmia for the past 20 years off and on. Lately in the past year I ... A: What are pvs? Did you mean pvc's? Flecainide is effective in preventing svt and is safe for ...
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| Abnormal ecgs | 12/20/2008 |
Q: I am 59; woman; nonsmoker, slim, no previous history of cvd. Previous ekgs all normal. I felt ... A: Well, you're getting a second opinion. If you send me your email address, I'll send you mine and my ...
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| Electrolyres and PVCs | 12/20/2008 |
Q: Dr. Richardson, I have suffered with PVCs for several years and have been monitoring my labwork and ... A: I'll share it with people who have PVC's. Have you found information on electrolytes and PAC's? ...
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| Giddiness | 12/19/2008 |
Q: I have undergone CABG with 3 grafts on Nov 20, 2007. I am on DOSPIN 75 MG, BEPLEX FORTE AND 10 MG ... A: I don't know what Dospin is. Could its generic name be clopidogrel? If so, none of your meds are ...
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| Heart Palpitations | 12/18/2008 |
Q: David, I am a 51 year old , female with rheumatoid arthritis. I think all of my life I have had ... A: Neither Enbrel or methotrexate cause skipped heart beats, which are just normal heart activity. ...
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| EKG question | 12/18/2008 |
Q: I am a 61 year old woman. 5'6". I am only on Atenolol 25mg. once daily. My question is: I have read ... A: Linda, send me your email address and I'll send you my fax number. I don't like to have my fax ...
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| Heart Palpitations | 12/18/2008 |
Q: David, I am a 51 year old , female with rheumatoid arthritis. I think all of my life I have had ... A: Percent is less than 1. Skipped heart beats are normal heart activity, no threat to one whose heart ...
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| leaking heart valve | 12/16/2008 |
Q: I'm a 40yo female and I have just had an ECG. It showed that one of my upper chambers has a leaking ... A: Presumably you mean you just had an echo. ECG wouldn't show all that. Concern is reasonable since ...
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| Palpilations | 12/16/2008 |
Q: I'm a 22 year old man and I have frequent pvc's after a excercise(recovery phase). It's like this; ... A: PVC's are harmless in people with a normal echo. They don't mean you have heart trouble or lead in ...
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| Hypertension | 12/15/2008 |
Q: I am male, 60 years old, 5'6, 160lbs. I have had high blood pressure for over 7 years. On certain ... A: Probably not. Your blood pressure should affect both eyes. And if 130-140 is the top number on ...
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| ST depression | 12/14/2008 |
Q: I am 40 years old with mild hypertension recently diagnosed in June of this year. In 1992 I was ... A: Modification of chest pain by pressure proves the pain is in your chest wall, since you can't press ...
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| slow heart rate | 12/14/2008 |
Q: i am a 47 year old 140 pound male. I have has high particle scores (99th percentile) with ... A: Chris, please send me any literature that says below 60 is abnormal. No test is needed, just count ...
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| creative protein showed 2.4 | 12/13/2008 |
Q: I am a 55 year old female who has never had any health issues in the past. Recently I had some blood ... A: Medved, Creatinine of 2.4 is abnormal and means your kidneys are not functioning correctly, and ...
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| Benign heart rhythms? | 12/13/2008 |
Q: I am 24, and have been stressed out lately. I went for my medical examination for citizenship. Had a ... A: Extra heart beats are normal heart activity and no threat to life or health in someone with a normal ...
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| Dull pain in chest | 12/13/2008 |
Q: Over the past year, i have noticed a dull pain/tightness in the left side of my chest. It doesn't ... A: Well, being a doctor, I think it's never too early to get a checkup. But at age 30, dull chest pain ...
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| creative protein showed 2.4 | 12/12/2008 |
Q: I am a 55 year old female who has never had any health issues in the past. Recently I had some blood ... A: Medved, Sorry, but neither I nor the US Library of Medicine know about creative protein. There's a ...
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| Hard Heartbeats | 12/12/2008 |
Q: For about a week i have experienced a hard heart beat. My heart will beat normal and then it will ... A: You're feeling premature beats, which cause the heart to contract, then have a pause, and then go ...
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| EKG | 12/12/2008 |
Q: I am a 43 year old female (5'4" 154lbs). While at the gym I was doing a 35 minute interval training ... A: Your EKG is nearly normal. The PR interval is long, but that never hurt anybody. Yes, you'll be ...
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| Hypertrophic Cardiomyopathy et al. | 12/11/2008 |
Q: I am a 48 year old male, 275 lbs., 6'0". I have a history of Rheumatic Fever and have had a heart ... A: Ah ha! You didn't have cardiac arrest at all. Severe bradycardia and low BP. Please ask what your ...
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| coronary artery calcification | 12/11/2008 |
Q: Will Zocor help contain coronary calcification so that it does not separate and possibly cause a ... A: Diet and exercise can bring down your cholesterol, but are not likely to eliminate calcium. Zocor ...
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| A-Fib & Intimacy | 12/11/2008 |
Q: Dr. Richardson - First I want to thank you for taking the time on this forum. I can't tell you how ... A: I think it was coincidence that your afib occurred during climax. It's a remote possibility that ...
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| Hypertrophic Cardiomyopathy et al. | 12/11/2008 |
Q: I am a 48 year old male, 275 lbs., 6'0". I have a history of Rheumatic Fever and have had a heart ... A: No, not terminal. Tho of course if you don't have an internal cardiac defibrillator, you're still ...
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| coronary artery calcification | 12/10/2008 |
Q: Will Zocor help contain coronary calcification so that it does not separate and possibly cause a ... A: Calcification is not the cause of stroke or heart attack. The rupture of plaques that causes stroke ...
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| high resting pulse after heart attacks and stents | 12/10/2008 |
Q: am a 49 yr.old female that had 3 heart attacks in nov. 4004 and 3 stents put in LAD,one in a bad ... A: I think you need not call your cardiologist. Just report your pulse rate next time you see him. ...
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| left side chest pain, palpatations | 12/10/2008 |
Q: I have written to you before but incase you don't remember since you see alot of emails, I'm a 23 yr ... A: Your chest pain probably IS cramping of the muscles around your ribs. You can test this probability ...
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| Heart beating strange | 12/9/2008 |
Q: My husband is a 34 year old white male who weighs around 315 lbs. and is 6'5" tall. He has been on ... A: Several problems. For the racing heart, count his pulse when it's not racing and when it is. If ...
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| 2nd Ablation??? | 12/9/2008 |
Q: in August at age 29 I had a heart Ablation. I went in for PVC's that were really making me crazy...I ... A: Seems to me you should try meds first. Flecainide is pretty effective in reducing PVC's, safe in ...
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| Poor ozygen supply related to Ischemic cardiomyopathy | 12/9/2008 |
Q: I am a fifteen-year-old male and for about a year now, I have not been able to breathe through my ... A: No, you have not developed ischemic heart disease. The pain is probably cramping of muscles around ...
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| 25-yr-old with palpitations and slight chest pain | 12/9/2008 |
Q: I've been having trouble posting this message. Hopefully this time it works. About a month ago, I ... A: The palpitations are probably skipped heart beats, which are no threat to life or health in someone ...
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| NSAID's and increased risk of heart attack | 12/8/2008 |
Q: I read that studies have shown that here is a link between taking NSAID's like Ibuprofen (advil, ... A: Not at all risky if you take ibuprofen only now and then. Taken every day, ibuprofen and other ...
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| pause heart beat | 12/8/2008 |
Q: iam 38 male about 2 half mounts ago i started working out tring to lose weight and get in shape ... A: Skipped heart beats are normal heart activity, no threat to life or health in one with normal heart ...
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| skipped beats | 12/7/2008 |
Q: I've asked you a question before and you were kind enough to respond...i'm 62, male, 185lbs, ... A: Your cardiologist is correct in saying skipped beats are no threat to life or any catastrophe. But ...
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| Heart Matters | 12/7/2008 |
Q: Hey Dr Richardson, I recently had an echo and it showed what the cardiologist described as less ... A: Trivial mitral and tricuspid leaks would not cause any symptoms, but might cause worry about your ...
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| Perplexing HR variations | 12/7/2008 |
Q: I'm a 22 year old girl, no smoking and very fit (I work out 3 hours twice a week and I'm on a low GI ... A: The skipped heart beats and awareness of your heart beat are normal, but the rapid heart rate and ...
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| abnormal ecg | 12/7/2008 |
Q: how kind of you to offer this service. I have been experiencing sinus tachycardia for several ... A: The ECG is no cause for concern. Probably slight difference in the positions of the chest ...
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| heart rhythm/breathlessness | 12/6/2008 |
Q: I have ectopic heartbeats and irregular heartbeat,just lately i have been so breathless, ive had 2 ... A: Frequent ectopic beats can cause breathlessness and chest pain and even atrial fib, tho that's rare. ...
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| SVT | 12/6/2008 |
Q: I am a 26yo, 5'10", 140lb - usually very fit with no medical history, normotensive, and run ... A: Dave, the R' in V1 indicates partial block of the right bundle branch caused by the fast rate. The ...
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| SVT | 12/6/2008 |
Q: I am a 26yo, 5'10", 140lb - usually very fit with no medical history, normotensive, and run ... A: I've not seen such a rhythm. It's not AF if you can see P waves. Doesn't sound dangerous. Probably ...
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| pvc's | 12/5/2008 |
Q: I am a 38 year old female and have been having pvcs for nine years but lately I have been having ... A: With a normal echo and EKG, PVC's are not a threat to life, but they seem to bother your health, ...
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| heart & headaches | 12/5/2008 |
Q: I am 28 yrs old. std bp 140/85..pulse all over.I also have an abnormal fast heart rate ... A: I'm not aware of any relation between PSVT and headache, but that doesn't mean there is no ...
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| Continous crushing/squeezing senation around heart | 12/5/2008 |
Q: For three years, I had a continuous crushing/squeezing sensation around my visceral heart, and I ... A: Yes, endocarditis would show as vegetations on echo. Usual nitroglycerine tablets are 0.4 mg. A ...
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| metropolol side effects | 12/4/2008 |
Q: I USED TO BE A SINGER BEFORE,I HAVE BEEN TAKEN METROPOLOL FOR LAST 3 YEARS, I HAVE BEEN LOOSING MY ... A: Haven't heard about metoprolol interfering with singing,but it is possible. Can you stop the ...
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| Continous crushing/squeezing senation around heart | 12/4/2008 |
Q: For three years, I had a continuous crushing/squeezing sensation around my visceral heart, and I ... A: Yes, I think you had myocarditis when you were very sick. The recent echo shows your heart to be ...
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| Heart Matters | 12/4/2008 |
Q: Hey Dr Richardson, I recently had an echo and it showed what the cardiologist described as less ... A: Yes, it means almost nothing. No, exercise will not increase the regurgitation or cause it to ...
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| 24 hr breathlessness, palps | 12/3/2008 |
Q: im a 23 yr old girl, i am a bit overweight. i used to be a heavy drinker and my palps started then ... A: Skipped heart beats are normal heart activity, no threat to life for someone with normal EKG and ...
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| Chest Pain | 12/3/2008 |
Q: I'm a 24 year old female. For about 6 months now I have had frequent chest pain. I occasionally have ... A: Chest pain in a 24-year-old woman with a normal echo and EKG is almost certainly cramping of muscles ...
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| age and chest pains | 12/3/2008 |
Q: I don't understand why it is that you say to some who ask heart-related questions that they are too ... A: Chest pain from clogging of the coronary arteries that supply blood to the heart is unusual before ...
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| could i have heart disese | 12/2/2008 |
Q: i have been getting pain in my chest for over a month now it is normally in two places and is ... A: The pressure on the breast bone that gets worse with walking or running is probably angina caused by ...
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| re chest pains | 12/2/2008 |
Q: i have the foll question. i have chest pains which are a puzzle to me. they come and go, ... A: The most likely cause of chest pain like yours is cramping of muscles around ribs, a nuisance but no ...
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| Effects of alcohol on my body | 12/2/2008 |
Q: . I am a 27 year old 130lb female. When i consume an alcoholic beverage even a wine cooler, my arm, ... A: Alcohol dilates blood vessels everywhere, which might make arms ache, but I don't know why just the ...
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| PAUL FITTON AGED 21 DIED SEPT 08 UNDIAGNOSED HEART PROBLEMS | 12/1/2008 |
Q: MY NEPHEW PAUL HAS BECKER MUSCULAR DYSTROPHY - HAD ABNROMAL LIVER FUNCTION RESULTS, INTERMITTENDENT ... A: Pitton, Cough might be a sign of dilated cardiomyopathy, but the rest aren't. Well, abnormal liver ...
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| Inverted t-wave & delay of QRS anteriorly | 12/1/2008 |
Q: My dad (52yrs old) was recently diagnosed with ARVD after an episode of ventricular tachycardia, ECG ... A: Inverted T in V1 is normal if the QRS is mostly downward. Minor delay of QRS anteriorly defeats me, ...
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| toxic nodular goiter/rapid heartbeat/internal tremors | 12/1/2008 |
Q: I have a toxic nodular goiter. My Dr. tells me that it is not active at this time however my blood ... A: If your heart rate was rapid, over 100, when your BP was 200, overactivity of your thyroid may be ...
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| chronic fatigue | 11/30/2008 |
Q: I am 36, female and suffering from chronic fatigue that has gotten worse in recent years. ... A: You need an echocardiogram to see if your heart is performing well. A stress test would probably ...
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| Echo....psvt | 11/29/2008 |
Q: I asked this same question to you about 2 weeks ago but never received a reply. I will give it ... A: Very sorry you didn't receive my reply. Another echo is not needed, unless some new symptoms ...
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| Heart attack and emergency room care | 11/29/2008 |
Q: A 5'-10", 249lb 47 year old male enters emergency room of large hospital by ambulance with lower ... A: It's been decades since I worked in an ER. I'm 83. Go to medscape.com and see what you can find ...
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| re mild mvp -mitral regurg | 11/28/2008 |
Q: dr richardson, i've written to you before regarding palpitations and you've been very reassuring. ... A: The cardiologist may have thought it too mild to mention. Ask him or her. Repeat echo every 5 ...
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| Constant severe faintness | 11/28/2008 |
Q: Greetings, first I thank you for your time and any advice you can provide. It is deeply appreciated. ... A: Your blood pressure and its variability are okay. BP is not the cause of your faintness. Your ...
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| Heart attack and emergency room care | 11/27/2008 |
Q: A 5'-10", 249lb 47 year old male enters emergency room of large hospital by ambulance with lower ... A: An ER should have a doctor or nurse see a patient within minutes of arrival if the ER knows heart ...
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| Constant severe faintness | 11/27/2008 |
Q: Greetings, first I thank you for your time and any advice you can provide. It is deeply appreciated. ... A: Take your blood pressure. If it's above 90 sitting and standing, low blood pressure is not the ...
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| Chest Discomfort | 11/27/2008 |
Q: I've recently had some issues with minor chest discomfort and am curious if you might offer me some ... A: Coronary disease is certainly rare in a 32-year-old athlete with, but not impossible. Next test ...
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| Cholesterol | 11/27/2008 |
Q: Greetings! I am a female, 69 and my latest cholesterol results are: Total 270 HDL 79 LDL 151 Sugar ... A: Statin medicine is the obvious answer. Safe and very effective in lowering LDL. Exercise and ...
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| Zocor and Tricor combo therapy | 11/26/2008 |
Q: Richardson, I am 45 yrs. old female.non smoker. non drinker. My doctor put me on Zocor and Tricor ... A: There is a tiny increase in muscle and liver trouble when taking both, but less than the risk of ...
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| blood pressure | 11/26/2008 |
Q: My husband's age is 38yrs & for the past 2 years he has been having blood pressure around 140/88.we ... A: Best treatment would be to lose 65 pounds, which would get his blood pressure lower and remove the ...
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| inverted t wave repolarization - abnormal EKG | 11/25/2008 |
Q: I will be sixty next year but am a licensed professional in a stressful field albeit with no real ... A: T inversion can come and go, especially in leads where the QRS is about equally up and down. And ...
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| Aneurysm | 11/25/2008 |
Q: Richardson, Last year a CT scan showed an ascending aortic aneurysm measuring 4.5 cm. A couple of ... A: It's hard for a trans-thoracic echo to see the upper aorta, tho maybe not in a small person. A ...
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| False results on EKG? | 11/25/2008 |
Q: Good evening Dr. Richardson, My husband is a 44 year old man in a high-stress job. Ironically, one ... A: Yes, an EKG can be false positive, especially if the chest leads are placed too high on his chest. ...
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| Hello! | 11/24/2008 |
Q: I'm 18, and weigh around 290-300 pounds. I eat alot of candy, and I drink alot of Vault, the ... A: High BP doesn't cause pain. The usual cause of chest pain in an 18-year-old is cramping of pectoral ...
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| PVC's and more | 11/24/2008 |
Q: First thing first David you have answered a few questions of mine in the past and i cant express my ... A: Deaar Mr. Free, Note that the article was about recovery from a stress test. If you had more PVC's ...
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| Chest/Arm Pain | 11/23/2008 |
Q: I am a 24 y/o 6-foot 1-inch 220-pound male with no medication. I have not seen a doctor in almost a ... A: In a 24-year-old man the most likely cause of chest pain is cramping of muscles around the ribs. ...
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| heart rate = high BP? | 11/23/2008 |
Q: Dr. Richardson: I have noticed when my heart rate is low (54-60) in response to beta blockers or ... A: The low heart rate is probably caused by the high BP, not the other way around. Rise in BP ...
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| heart arrhythmia's | 11/22/2008 |
Q: I have severe high blood pressure,i was sent to Vanderbilt Hypertension clinic,i don't go back until ... A: Nifedipine certainly causes swollen ankles, and arrhythmia is listed among it's bad effects. If ...
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| left side chest pain | 11/22/2008 |
Q: I am a 35 year old for a few days now my chest has been very heavy lungs thru to my back and the ... A: Chest pain in a 35-year-old woman is probably cramping of muscles around ribs and is no threat to ...
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| blood test | 11/21/2008 |
Q: and would a blood test for blood count, kidney and liver function remove possibility of a blood ... A: Joel, the blood tests you had wouldn't help about clots in veins, though the ultrasound seems to ...
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| Heart Issues | 11/21/2008 |
Q: My name is Dana Cooper. I'm a 25 year old women. I am five feet tall and weigh 90lbs. I do not smoke ... A: Cooper. You're having bout of supraventricular tachycardia probably. You need help from a ...
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| abnormal ekg | 11/21/2008 |
Q: I am a 74 year old male. My cholesterol is 134. My doctor said my latest EKG was abnormal. "The ... A: The information given you is not adequate to make a good recommendation. If the doctor means new ...
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| Cardiac Surgeon | 11/21/2008 |
Q: I'm doing a project for school and i was wondering if i could ask you a few questions. 1) What are ... A: 1. Training takes a long time. 4 years of med school, 3 or 4 years of general surgery postgraduate ...
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| blood test | 11/20/2008 |
Q: and would a blood test for blood count, kidney and liver function remove possibility of a blood ... A: Blood clots are very unlikely to cause pain in hip, unless by hip you mean groin, where the front of ...
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| Heart Skipping Beats | 11/20/2008 |
Q: Tonight after having sex, I was laying in bed trying to go to sleep, but I kept having a funny ... A: No, you need not see your doctor. You'll be okay. Loss of appetite is not related to the skipped ...
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| NSVT | 11/20/2008 |
Q: Ty in advance for taking my question...u have been so helpful to me in the past. My concern is ... A: Not unless they become frequent or prolonged or make you dizzy. But why not make an appointment ...
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| bigeminy and pvcs | 11/20/2008 |
Q: Richardson, I want to thank you in advance for your expertise and I appreciate your input. I am a 52 ... A: Accept the opinion of the doctors and ignore the bigeminy unless the worry is interfering with your ...
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| Heart | 11/19/2008 |
Q: I am 58 yrs. old.5`5" 165 lbs.BP,130/90 Was admitted to hospital 3 wks. ago with chest pain.They did ... A: Your blood pressure is probably too low. If possible get your BP measured sitting and while you're ...
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| Elevated heart rate | 11/19/2008 |
Q: I'm a 24 year old female, 5'10 150lbs who is consistently mildly active (walk 30 minute/day 5 ... A: Target heart rate for exercise is 270 minus age in years, if I remember correctly. For you that ...
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| PFO and Pseudo Tumor Cerebri | 11/19/2008 |
Q: I am a 36 year old female. I was diagnosed with a PFO almost 7 years ago. The first cardiologist I ... A: There is no connection between PFO and pseudo-tumor cerebri that I know of. PFO does not cause ...
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| heart murmur | 11/18/2008 |
Q: i was born with a heart murmur.from what ive been told most people grow out of it.i didnt as far as ... A: Single skipped or premature heart beats are normal heart activity and no threat to life or health in ...
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| Prosthetic Aortic Valve Leakage | 11/18/2008 |
Q: I have a St. Jude aortic valve which was implanted in 2001. At my last visit with my cardiologist ... A: 1. Yes, a little leakage is normal, and your leakage must be small since it didn't show up last ...
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| PVC | 11/18/2008 |
Q: I am a 37 year old white male, with no previous significant medical problems. I had blood pressure ... A: 1. PVC's are normal heart activity, no threat to life or health. They usually appear at age twenty ...
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| high pulse rate | 11/17/2008 |
Q: I am on Co-Diovan blood pressure medication, my blood pressure is not high (116/70) but my pulse ... A: Probably the Co-Diovan. Diovan is well known to me but I don't know what Co-Diovan is. Diovan plus ...
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| inverted t waves | 11/17/2008 |
Q: Last week I felt upper chest (inch below my adams apple) pressure. It wasn't debilitating, but it's ... A: Inverted T waves are normal in leads with inverted QRS, but are suspicious in leads where the QRS is ...
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| 3-4 heart block? | 11/17/2008 |
Q: Husband will be drenched in perspiration, low b/p,hr 190, some chest pain.Had echo and ... A: Yes, though hr 190 is very unusual. If his heart slows down gradually over several minutes, 190 is ...
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| Chest pain for 6 days | 11/16/2008 |
Q: I'm a 24 year old female and I've been having chest pains for about 6 days now. I've been having a ... A: In a young person, the pains are probably cramping of muscles around ribs. If pressing on a painful ...
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| chest pain | 11/16/2008 |
Q: healthy and no recent injuries. i had chest pains a year ago where i completed a ECG and Xray both ... A: In a young person, the pains are probably cramping of muscles around ribs. If pressing on a painful ...
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| low oxygen level upon exertion | 11/15/2008 |
Q: I am not sure I am asking the right kind of Dr., but,I am out of breath and my oxygen level drops to ... A: Heart failure? An echocardiogram would answer that question. Breathlessness is caused by heart, ...
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| About LVEF = 26% | 11/15/2008 |
Q: My father has recently hospitalized because of breathing problem. doctor has tested him and told ... A: At times does he have tiredness and shortness of breath? These are the symptoms produced by LVEF of ...
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| blood vessels | 11/15/2008 |
Q: is it possible when i use vaso in general that maybe only artery dilated without vein for example or ... A: Dilated arteries don't increase blood flow. It's dilation of arterioles that leads to increased ...
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| Results of an echo | 11/15/2008 |
Q: Should I be concerned if I am 36 yrs old female, 67 inches tall and weigh 120lbs, have a history of ... A: You shouldn't have dilated IVC & hepatic veins unless you're in severe heart failure or have ...
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| Heart skipping beats after sex | 11/14/2008 |
Q: Tonight after having sex, I was laying in bed trying to go to sleep, but I kept having a funny ... A: Skipped heart beats are normal heart activity, no threat to life or health. They don't mean you ...
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| Which Exercise Type Is Better For Heart? | 11/14/2008 |
Q: David, I like to know whether aerobic or anaerobic type exercise is better for the heart in terms ... A: Aerobic exercise is better for heart. Coenczyme Q does seem to have no benefit. Best diet ...
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| Gurgling sounds in heart | 11/13/2008 |
Q: Iam a 23 year old male, weight 63, height 6 feet 2 inches, I have had a history of TB, dengue and ... A: Mild MR would not make a gurgling sound, or cause any symptoms. The gurgling sound when you wake up ...
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| heart disease and peridontal disease | 11/13/2008 |
Q: I have had periodontal disease for over 20 years. I am a 52 year old, female, 136 lbs. no smoking, ... A: Periodontal infection might lead to infection on a heart valve. Borrow a stethoscope from someone, ...
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| sss | 11/11/2008 |
Q: I am 44 I have tacky and bradycardia my Dr. did a loop monitor at one time my heart rate was 138 ... A: Sorry to be slow. My email program broke yesterday. Tilt test will see if your blood pressure ...
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| heart pain/pressure | 11/11/2008 |
Q: First off, the basics: 23 year old physically active female (varsity athlete in both high school and ... A: Sorry to be slow. My email software broke. At your age and with your excellent athletic ...
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| blood vessels | 11/10/2008 |
Q: is it possible when i use vaso in general that maybe only artery dilated without vein for example or ... A: You're correct, vasodilation means dilation of any vessel. It's usually restricted to blood vessels ...
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| Stress test for heart | 11/10/2008 |
Q: can a stress test be done in one day or will it take several days to do it? Also what is it done for ... A: Stress tests can be done in one day. You walk on a treadmill while your heart is watched by EKG and ...
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| Bigeminy, electrolytes imbalance, Echo | 11/9/2008 |
Q: Dr. Richardson, I had my echo and stress last year and both were ok. Recently, my PVCs have been ... A: Another Stress test and echo are not needed unless you're over 45 years of age, in which case ...
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| Possible endocarditis/myocarditis | 11/9/2008 |
Q: For the past 2 weeks I have been having a subfebril temperature (37.5-38.5). Before I started with ... A: Risteska, Thyroiditis seems most likely with your very low TSH. A thyroid scan may help. An ...
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| Mitral valve Prolapse | 11/8/2008 |
Q: I was idagnosed with having a minor Mitral Valve Prolapse last Marcy (2007). I have a slight murmur ... A: When you press where the pain is, does the pain go away, or is it not modified at all? Pain with a ...
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| strange sensations. | 11/8/2008 |
Q: im a 20 year old male, fit, dont smoke or drink and i do not take drugs. awhile ago i was ... A: To find out what's going on with your heart rhythm, ask your doctor for an event monitor, a little ...
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| strange sensations. | 11/8/2008 |
Q: im a 20 year old male, fit, dont smoke or drink and i do not take drugs. awhile ago i was ... A: The thuds you feel are premature heart beats followed by a pause so the heart gets extra full of ...
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| Question about ECG findings | 11/7/2008 |
Q: I am a 24 year old girl. My Cholestrol level is - HDL-35 and LDL-108. My ECG findigs show Q,S in III ... A: QS in III but not aVF is normal, as is downward T in III, V2 and V3. Correlate clinically means see ...
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| av block/palpitations | 11/7/2008 |
Q: I am a 48 yr old female, overweight but normal BP. Non smoker and otherwise healthy. For several yrs ... A: You're probably feeling premature heart beats, which are normal heart activity and no threat to life ...
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| Mitral valve Prolapse | 11/7/2008 |
Q: I was idagnosed with having a minor Mitral Valve Prolapse last Marcy (2007). I have a slight murmur ... A: Coutts, Sharp chest pain is not likely to be from heart and is probably cramping of muscles around ...
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| PVC or NSVT? | 11/6/2008 |
Q: I am 34 y/o male with 17 years history of PVCs. They firstly diagnosed as a consequence of viral ... A: 1. Yes, anxiety can trigger a greater number of PVC's. 2. 100 mg of amio can reduce PVC's, and it is ...
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| frequent beat missing | 11/6/2008 |
Q: i get attacks of beat missing.first of all when started counting it,the 60th beat is missed.then ... A: All the doctors said skipped heart beats are normal heart events and no threat to life or health, I ...
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| weird heart sensation | 11/5/2008 |
Q: i;ve written to you before and you've always been very helpful. pls answer me this. last night as i ... A: No need to be scared. What you felt was an extra beat so soon after the preceding normal beat that ...
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| PVCs and PACs | 11/2/2008 |
Q: Im 22 yrs old, and Im 5 months pregnant. For the past 2 weeks I have been feeling my heart stop, for ... A: If it really stops for FIVE seconds, something is not right. The pause after a PVC doesn't exceed a ...
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| rvh or cvd is it serious | 11/1/2008 |
Q: i am 43 non smoker, non drinker,non drug user, i have gerd and other issues with my stomach i have ... A: What symptoms? Heart pain is usually pressure in the center of the front of the chest brought on ...
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| Repetive fluttering and skips in heart | 10/31/2008 |
Q: I have had an echo test done and pressure test, both were fine... i was having heart flutters maybe ... A: Skipped heart beats are normal heart activity, no threat to life or health for someone with a normal ...
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| SVT? | 10/30/2008 |
Q: I have PAC's and PVC's almost every day. I am 47 year old female with no other ailments except this ... A: Yes, it all sounds normal. Two or three PVC's in a row can cause light headedness in anyone. You ...
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| heart pain | 10/30/2008 |
Q: however i am most bothered over the CONSTANT chest fluttering sensation in my heart. can this be ... A: The most likely cause of sharp chest pain in a young person is cramping of the muscles around the ...
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| Pain in Pectorial region | 10/29/2008 |
Q: I'm post BMV and getting treatment for last 2 month for AF .I'm on metolar 50 BD, lanoxin ... A: A heart with normal large coronary arteries, as shown on your angiogram, can cause chest pain ...
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| heart pain | 10/29/2008 |
Q: I HAD SIMILIAR PAIN LAST YEAR WHERE I COMPLETED A X-RAY AND ECG WHICH WERE FINE. HOWEVER IN THE LAST ... A: In a quite young man, the most likely cause of chest and back pain is cramping of muscles around the ...
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| WPW, LBBB, MVP | 10/28/2008 |
Q: I'm a 24yrs old male. I am scheduled for doppler heart examination in 2 weeks time (which I've been ... A: I can see what your doctor is talking about, but I'm not a good enough echocardiographer to know ...
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| Fast heart rate and pounding after a meal | 10/28/2008 |
Q: I have been noticing lately right after a meal, my heart beats much quicker. I can feel in outside ... A: If your heart speeds up and slows down gradually, over a few minutes, and its rhythm remains ...
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| High frequency pvc's. | 10/28/2008 |
Q: Richardson, I have posted before awhile back. And I firstly thank you for your services. I am a ... A: No matter how frequent, even every other beat, PVC's are benign for someone with normal echo and ...
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| question..... | 10/27/2008 |
Q: im 19 years old, but for the past year or 2 i would get these random pains in my chest by my heart. ... A: At age 19, chest pain is most likely cramping of muscles around ribs. Some congenital heart trouble ...
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| Taurine | 10/27/2008 |
Q: There have been talks about the effects of oral taurine and arginine on helping to alleviate PVC's, ... A: I didn't know anything about taurine and arginine helping arrhythmias, and find this interesting and ...
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| PVCs double checked? | 10/27/2008 |
Q: I've noticed PVCs for about a year. I've had an echo, two holter monitors, a few EKGs, chest xray, ... A: You may be having two PVC's in a row (pause, pause, thud) A run of PVC's would feel like three or ...
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| atrial enlargement | 10/27/2008 |
Q: I am a 54 yr old woman, and had an ekg in Mar 08 that was "borderline," (done as routine) with ... A: EKG is not very accurate in diagnosing atrial enlargement. The interpretations are probably false ...
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| Catheter Ablation | 10/26/2008 |
Q: I have dilated cardiomyopathy and Vtach. I had MBP all my life. Finally 2 1/2 years ago they had ... A: Ablation is very difficult. Ask the electrophysiologist how many successful and failed ablations he ...
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| palpitation | 10/26/2008 |
Q: i have been experiencing problem to my heart beat i feel like my hear stop for micro second and then ... A: Skipped beats are normal heart activity, no threat to life or health if you have a normal ...
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| ASD Closure | 10/25/2008 |
Q: next month, I'm undergoing Cardiac catheterization to close an ASD. I never went through anything ... A: You should feel normal afterwards and you will feel nothing at all during the procedure. The vein ...
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| Continuous MVP Symptoms at Night | 10/25/2008 |
Q: I was diagnosed with Mitral Valve Prolapse when I was 18. I am 43 now, and for the most part have ... A: MVP doesn't cause symptoms. If your fluttering is skipped beats, they are normal cardiac activity ...
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| exercise, diet and heart problems | 10/25/2008 |
Q: I have a question about excessive exercise and heart problems. Do you know of any conditions ... A: Heart pain is usually brought on by exercise or strong negative feelings like fear or anger, and ...
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| Heart movement inside chest | 10/25/2008 |
Q: I have a question that I hope you can answer. I am 44 about 5' 5" and 165. At times whenever I move ... A: The heart is just suspended from the aorta at its top, so it's free to swing back and forth in the ...
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| PACs and rapid heart rate | 10/12/2008 |
Q: I am a 33yo male, 250 pounds. I am moderately overweight and have become very inactive. I was a ... A: The episodes may become more frequent, but just as likely they will not be frequent. I'd wait until ...
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| 15 second electrocardiogram | 10/12/2008 |
Q: I recently went to a new primary care physican who told me that he gives all of his new patients an ... A: Electrocardiograms were invented in the late 1800's by a doctor named Einthoven. They're pretty ...
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| WPW, LBBB, MVP | 10/12/2008 |
Q: I'm a 24yrs old male. I am scheduled for doppler heart examination in 2 weeks time (which I've been ... A: Sleepiness may be apnea, especially if you're overweight. You need to spend a night in a sleep lab ...
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| spasms in sternum area | 10/12/2008 |
Q: I am a 33 year old female 5'4" and 215#. About 3 months ago I woke up with acid in my throat. I ... A: Probably cramps of the muscles around ribs, a big nuisance but no threat to life or health. Hearts ...
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| High blood pressure and low heart pulse | 10/11/2008 |
Q: David Richardson! I am writing this message on behalf of my mum. She is 70 years old woman who ... A: Tactoprillum is not available in USA, so I don't know what it is. Usual next step is to add ...
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| flutters in chest | 10/11/2008 |
Q: can you pls tell me the difference between benign palpitations and atrial fibrillation. what are a. ... A: 1) Not many. Even every other heart beat is not too many. 2) No, a Holter will only count the ...
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| palpitations | 10/11/2008 |
Q: I am a 30 yr old female. Have been diagnosed with Mitral Valve Prolapse, with mild leakage, no ... A: You need have no fear of dropping dead. Atrial fib is not life-threatening. Atrial fib makes ...
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| irregular ekg | 10/10/2008 |
Q: my husband has been having right sided chest pains for about a week, they were getting worse and ... A: Tiffany, You need not worry about chest pain in a 24-year-old man. The heart almost never causes ...
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| flutters in chest | 10/10/2008 |
Q: can you pls tell me the difference between benign palpitations and atrial fibrillation. what are a. ... A: Benign palpitations are single skipped heart beats. or pairs or triplets of skipped beats. Atrial ...
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| PACs and rapid heart rate | 10/10/2008 |
Q: I am a 33yo male, 250 pounds. I am moderately overweight and have become very inactive. I was a ... A: As you know, premature beats are no threat to life or health in someone with a normal echo and need ...
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| heart palpitations | 10/9/2008 |
Q: I have MVP, and have skipped beats sometimes and rapid beats sometimes, I have had holters and ... A: As you know, skipped and rapid beats are normal heart activity, no threat to life or health for ...
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| Heart Rate | 10/9/2008 |
Q: I do cardiovascular exercise fairly regularly and my resting heart rate is around 50. I have a blood ... A: Heart rate and BP bounce up the minute we wake up and rise a bit more as we get out of bed, then ...
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| heart bypass | 10/9/2008 |
Q: I had triple bypass in July of 2008 and gone back to work on october 7th of 2008. On Tuesday I got ... A: Please worry. Your heart should not cause pain after a bypass. Please report to your doctor in the ...
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| abnormal EKG | 10/8/2008 |
Q: I had an EKG today which came back abnormal. Rate 69 BPM PR: 288 Qt/QTc 434/451 QRSD: 131 P Axis: ... A: Probably no need for worry. The reading sounds very minor to me. If you wish, send me your email ...
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| ectopic heart beats | 10/8/2008 |
Q: I am a 54 year old female, I experienced my first irregular heart beat when I was 17 years old,and ... A: As you know, skipped heart beats are normal cardiac activity, no threat to life or health in a ...
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| D.O.T. physical | 10/7/2008 |
Q: I was diagnosed with Wolff Parkinson White syndrome at a young age and i thought i understood the ... A: Sorry, but I just don't know. Nor do I know how to find out. Cardiology textbooks don't include ...
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| tachycardia | 10/6/2008 |
Q: i am 48 years old. i had an mi last year which resulted in one stent. i have been on a low dose beta ... A: Do nothing. Or try another beta blocker. The tachycardia won't lead to another heart attack. If ...
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| Skipped beat frequency | 10/6/2008 |
Q: In regards to the phenomenon of "skipped heartbeats," the evidence seems pretty clear that they are ... A: In someone with normal heart structure and function, skipped beats even every other beat are no ...
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| Seasonal Tachycardia? | 10/5/2008 |
Q: While going through the internet trying to find some answers, I've found most of my symptoms are ... A: SVT starts and stops abruptly, in one beat. There's lots you can do. Lie down for a minute and ...
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| PVCs | 10/5/2008 |
Q: I am a 44 yr. old female & was diagosed, this past May, with PVCs. I wore a Holter Monitor in July, ... A: About half of us have PVC's or PAC's. The heart's electrical system is built so that they are ...
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| SVT,A-Fib,NSVT,Dysautonomia | 10/4/2008 |
Q: I am a 35 yr old female with a five year history of pvc's and sinus tachy. I don't smoke, drink or ... A: Dysautonomia means the sympathetic and parasympathetic nerves to your heart are not working ...
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| racing heart skipped beats | 10/4/2008 |
Q: I train alot say about 4 to 5 times a week I have a history of panic attacks and anxiety I am ... A: Skipped beats are normal heart activity, no threat to life or health, easy to understand as normal ...
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| SVT? | 10/3/2008 |
Q: I sffer really bad from panic idsorder for about 2 years now, however i have had palpitations for ... A: SVT starts and stops abruptly in one heart beat. Normal sinus tachycardia starts and stops slowly, ...
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| Long QT Wave & High Level Teen Athletes | 10/3/2008 |
Q: My daughter is a college freshman basketball player for a major midwest college. This past week ... A: Here is some info about risk and possible benefits of genetic testing "In adults aged 18 to 40, the ...
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| Pregnancy and Pvc's | 10/2/2008 |
Q: I am a 25 year old female with no significant health history, normal weight, non-smoker with no ... A: No, your echo will still be normal. PVC's are normal heart activity, normal in the senses that ...
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| heart skipping beats | 10/2/2008 |
Q: I have recently been to see my doctor about my heart skipping a beat. He felt my pulse and said that ... A: Premature heart beats are normal heart activity, no threat to life or health. About half of us have ...
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| Long QT Wave & High Level Teen Athletes | 10/2/2008 |
Q: My daughter is a college freshman basketball player for a major midwest college. This past week ... A: With no fainting spells behind her, I think it's o.k. to play basketball, especially if there is no ...
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| takeing a beta blocker at 23 years old ? | 10/2/2008 |
Q: i was wondering if they can tell if you have heart valve problem with ekg and with a ultrasound of ... A: Beta blockers have almost no ill effects and have been taken for at least 30 years. Need to know ...
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| Heartbeat skipped of stopped with urge to cough | 10/1/2008 |
Q: Yesterday while driving I experienced a sensation that felt as though my heart had stopped for ... A: Single or double skipped beats are of course normal heart activity. They may well induce a cough, ...
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| angina, aortic insufficiency, high/low risk Heart Attack? | 10/1/2008 |
Q: You've answered a previous question on this topic for me. Thank you. I have another: If angina can ... A: Angina can be caused by SEVERE aortic insufficiency, which should not occur in someone whose valve ...
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| panic attacks and chest pain | 10/1/2008 |
Q: In June of this year I had a normal cardiolite stress test, echo and holter monitor. I have panic ... A: Your pains are not cardiac, not with a normal stress test, echo and Holter. Cramping of muscles ...
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| RBBB shown on EKG | 9/30/2008 |
Q: Good morning, I am a 38 yr old female, smoker, and about 12 lbs overweight. I have reoccurrent ... A: Rybak, RBBB is no problem at all. Pericarditis usually causes pain worse with deep breath in. An ...
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| Chest apin | 9/30/2008 |
Q: I'm 29 years old, nearly 30 and I have been having chest for about the last 6 months. I am a smoker, ... A: Tess, ask the doctor about an echo to be sure your don't have cardiomyopathy. which should be ...
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| pains in left chest area | 9/30/2008 |
Q: last night i was woken up by pains in my left chest area. the pains were sharp but i managed to ... A: The most likely cause of sharp pain in left chest is cramping of muscles around the ribs. There are ...
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| Why do I have a rapid heart rate after my ablation procedure?? | 9/30/2008 |
Q: Doctor- I recently had an ablation procedure done for afib. I have had periodic episodes of afib ... A: In about two months after the first procedure. Maybe the sinus node was stunned by the ablation or ...
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| Frequent Skipped Beats | 9/29/2008 |
Q: Richardson, Thanks a lot for your wonderful volunteering service here, through All Experts – It’s a ... A: Cruz, No need to worry. PVC's are normal heart activity, no threat to life or health, no matter ...
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| PVC's when to be concerned? | 9/29/2008 |
Q: Dr. Richardson, I am a 50 year old male, 6'1", 260 pounds (have lost 70 pounds since January 1st, ... A: No need to worry. PVC's are normal heart activity, no threat to life or health for someone with a ...
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| echo-stress test for aortic insufficiency | 9/28/2008 |
Q: I was diagnosed last month with moderate Aortic Insufficiency. This was based on "resting" ... A: Aortic insufficiency doesn't cause chest pain unless it's very severe. Presumably your pain is in ...
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| Chest apin | 9/28/2008 |
Q: I'm 29 years old, nearly 30 and I have been having chest for about the last 6 months. I am a smoker, ... A: The most common cause of pain like yours is cramping of the muscles around the ribs, and the fact ...
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| AVR and PVCs | 9/27/2008 |
Q: 55 years old, warfarin, atenolo, HCTZ, diovan, 125/70 Dr. Richardson I have really enjoyed reading ... A: PVC's are normal cardiac activity, no threat to life or health in someone with a normal echo, no ...
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| Pinching Pain in Heart side | 9/27/2008 |
Q: I am 24 years old, 68 kg weighted and 5 feet 6 inches tall man. I am having pinching pain in my ... A: Pressure on the painful spot may help, and stretching the muscle by bending your body away from the ...
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| Heart catheterization hemitoma | 9/27/2008 |
Q: Three weeks ago my wife underwent a heart catheterization, the doctor used a protein plug to seal ... A: There is nothing you could have done better. Protein plugs are supposed to be better than just ...
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| mitral valve prolaspe | 9/27/2008 |
Q: My question is about Mitral valve prolaspe. I had gotten a TEE and it showed that I had Mitral Valve ... A: None of your symptoms come from the mitral prolapse, which just means the mitral leaflets bulge a ...
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| ectopic beats | 9/25/2008 |
Q: Im writing you from Mexico, Im 45, 6', 190 lbs, 120/80 BP, 60 resting HR, I have been doing gym and ... A: Your normal echo proves that there was no damage to any heart valve. PAC's, no matter how frequent, ...
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| prolonged QT interval | 9/25/2008 |
Q: I am 36 yoa, female. I weigh 163 lbs and 5'8 in height. I am healthy and active. I take Omeprazole ... A: In adults aged 18 to 40, the odds ratio for life-threatening cardiac events is 2.68 for female ...
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| chest tightness on left side | 9/25/2008 |
Q: I have a tightness on the left side beginning about mid-breast radiating around the left side to the ... A: Cramping of muscles around ribs is most likely. You can prove that it's chest wall pain if pressure ...
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| MVP | 9/24/2008 |
Q: "One week ago I was diagnosised as Mitral Valve Prolapsed by my cardiologist. I was feeling some ... A: Those symptoms are not caused by MVP. Lightheadesness, stiffness and tremor. If these only occur ...
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| holter monitor report | 9/24/2008 |
Q: You answered a question about PVCs for me before, and I can't thank you enough. I recently had a ... A: Katrina, PVC's can occur soon after the QRS, early in the relaxation period that's called diastole, ...
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| heart seems to flip/flop | 9/23/2008 |
Q: I am 36 years old. I have menieres disease which I take dyazide to help. I also take lexapro 20mg ... A: If by flip-flops you are describing single skipped beats followed by an extra large beat, these are ...
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| Rapid Heart Rate, But Then... | 9/22/2008 |
Q: I have bouts with terrible rapid heart rate, with POTS symptoms. I'm on 75 mg/day of Atenolol as ... A: Matt, I don't think you're being snotty. You're in trouble. I wish I could help. Almost any ...
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| Rapid Heart Rate, But Then... | 9/21/2008 |
Q: I have bouts with terrible rapid heart rate, with POTS symptoms. I'm on 75 mg/day of Atenolol as ... A: Anxiety, I think, not a life-threatening problem but a big nuisance. Anxiety is especially likely ...
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| Blood pressure,different readings in each arm | 9/21/2008 |
Q: I been taking lisinopril for my high blood pressure for a couple years now.The doctor,(a free ... A: Persistently lower BP in one arm than the other suggests partial obstruction of the arteries to the ...
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| Pinching Pain in Heart side | 9/20/2008 |
Q: I am 24 years old, 68 kg weighted and 5 feet 6 inches tall man. I am having pinching pain in my ... A: Probably cramping of muscles, a nuisance but no threat to life or health. If rubbing the painful ...
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| Increasing list of symptoms | 9/20/2008 |
Q: At the age of 18 I was diagnosed with Hypertension with no primary cause. I have always been within ... A: About 95% of hypertension has no discernible cause. It's called essential hypertension in doctors' ...
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| AORTIC VALVE | 9/20/2008 |
Q: MY BABY AGE IS FIVE MONTH AORTIC VOLVE BLOCK PLEASE GUIDE ME FOR THE SOLUTION what is the sollutions A: If the block is severe, the only solution is operation on the valve soon. If the block is not too ...
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| Chest pain, high pulse and distorted vision? | 9/19/2008 |
Q: Richarson, I am twenty years old, female, 5'7", 190 lbs with no history of high blood pressure. ... A: I don't know what's causing your chest pain. It might possibly be heart, tho I doubt it. You need ...
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| enlarged left atrium | 9/19/2008 |
Q: My fiance has been taking Strattera for ADHD for about 5 months as part of a study in Cleveland. ... A: There are a lot of adverse reactions to Strattera, but none include irregular heart rate and ...
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| possible arrhythmias or palpitation/flutter | 9/19/2008 |
Q: First off, thank you for being so generous in providing such insightful information to those ... A: Ricci, Yes, consult your physician. It was probably just a skipped beat making a long pause ...
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| Ectopic heartbeats | 9/18/2008 |
Q: I am delighted to have found your site and hope you can help me. I have been having skipped or ... A: Skipped beats are normal heart activity, no threat to life in someone with normal heart structure ...
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| wpw and some thing unidetify | 9/18/2008 |
Q: I m 30 year old male One month ago I feel some uncomfortablness on right side of my chest, I go to ... A: Chest pain almost never comes from heart in a 30 year old with a normal echo. Try pressing firmly ...
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| increased size of veines on temple | 9/18/2008 |
Q: For the last month i've noticed that the veines on my left temple have become more prominant, ... A: Probably normal, but a connection between the arteries running up to the left side of your head and ...
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| PVC as a side effect of PPI | 9/17/2008 |
Q: Dr. Richardson, After reading many of your answers to the multitude of arrhythmia sufferers, I ... A: They are still benign even when frequent for people with normal hearts on echo. You need not worry. ...
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| Recent HBP & Chest Pain | 9/17/2008 |
Q: Please help, as I am very confused and scared. I am a 31 year old white male, 6'1, 215. A few ... A: Might be anxiety, but angina, caused by clogging of the coronary arteries that supply blood to the ...
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| Heart or anxiety | 9/16/2008 |
Q: Dr. Richardson.....I have been waking up to racing heart for several years along with anxiety ... A: Bouts of rapid heart beat and very high BP can occur from anxiety of course, but there is a rare ...
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| 15 year old daughter with chest pain | 9/16/2008 |
Q: for almost 2 years my daughter 15 has had symptoms of headaches dizziness fainting and chest pain ... A: Bowman, You need not worry. Irregular heart beat will turn out to be skipped heart beats, known in ...
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| Heart or anxiety | 9/16/2008 |
Q: Dr. Richardson.....I have been waking up to racing heart for several years along with anxiety ... A: Doesn't sound like clogged artery at all. A racing heart would cause chest pain and shortness of ...
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| upper left chest pain, under pecs | 9/14/2008 |
Q: I am a fit, active 70 year old (liveaboard sailor, cruising Baltic and Med since early retirement 14 ... A: Chest pain at rest is most likely cramping of muscles in the chest wall, a nuisance but no threat to ...
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| heart problem | 9/14/2008 |
Q: i am 32 years old. i am observing very mild pain on left side of my chest from last 2-3 months. I ... A: The left chest pain is probably cramping of muscles around ribs, a nuisance but no threat to life or ...
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| PVC's, Anxiety, and chest pain | 9/13/2008 |
Q: I'm a 21 year old female who does not smoke, doesn't drink, and has recently adopted a more healthy ... A: Skipped beats are of course normal cardiac activity, no threat to life or health. Your chest pain ...
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| LVEF Normal on ECHO 43% on Cardiolite | 9/13/2008 |
Q: I am 33 yr old male with prior history of mild but controlled asthma, I am 6'4 325 lbs, 44 inch ... A: You probably couldn't exercise strenuously if your EF were 43, and the echo is better at estimating ...
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| what is wrong with my heart? | 9/12/2008 |
Q: i am 22 year old mother and i have been having problems with my heart. i have a fast pulse rate, ... A: The missed beats followed by a hard beat are normal heart activity and no threat to life or health ...
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| MVP | 9/12/2008 |
Q: "One week ago I was diagnosised as Mitral Valve Prolapsed by my cardiologist. I was feeling some ... A: The report signifies that you have MVP, which is no problem, just slight bulging of the mitral valve ...
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| early heartbeat , not relaxing | 9/12/2008 |
Q: I have had a funny heartbeat all my life I am 55 now and last year had several days where this beat ... A: Jones, Hmmm. The two are related in the sense that your heart's difficulty with relaxation means ...
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| Digoxin | 9/11/2008 |
Q: To Dr. David Richardson, Does digoxin help control a-fib? I used to have a-fib and took digoxin ... A: Digoxin strengthens the force of contraction of the heart muscle and is often used to treat heart ...
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| LBBB and irregular heart beat | 9/11/2008 |
Q: I am a young 66 yr old female, 5'6", 153 lbs. I've had Rheumatic Fever as a child and left me with a ... A: With only 20% blockage, LBBB is not serious and you have not had a previous myocardial infarct. If ...
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| Bypass | 9/11/2008 |
Q: my father-in-law had a heart attack 3 weeks ago and didn't feel the symptoms due to his diabetes. ... A: Treatment of heart failure is pretty good, and he can probably survive without surgery. If the ...
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| Chronic right coronary occlusion | 9/10/2008 |
Q: I am 70 years old. Blood pressure historically 120/80, pulse in the 50's. Beta blockers slowed me ... A: A pacemaker would probably lessen your fatigue if your heart rate now is below 45, not otherwise. ...
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| Aspirin | 9/9/2008 |
Q: I take a baby aspirin a day, but how long does it take for a baby aspirin to get into the blood ... A: It takes an hour or two for a baby aspirin to get into the blood stream, but the ant-clotting ...
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| flutters?, Raynards?(bad circulationProbs), upper muscular probs | 9/9/2008 |
Q: Are these all related, does it mean i have a heart problem? I have a neck injury, which these all ... A: No, they don't mean you have a heart problem. If the flutters are skipped heart beats, that's ...
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| Rheumatic Fever/ MVR? | 9/8/2008 |
Q: I've been talking to you for quite some time now on here.. and after I've done a ton of research.. ... A: If you've had a recent echo, it would show how much mitral regurg you have and if any other valves ...
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| ischemia | 9/8/2008 |
Q: I had a TEE test 6/08 indicating there is a strong evidence of a "heart ischemia" I also have a few ... A: Small TIA's may be tiny clots from leg veins (almost everyone has tiny clots in leg veins) slipping ...
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| early heartbeat , not relaxing | 9/8/2008 |
Q: I have had a funny heartbeat all my life I am 55 now and last year had several days where this beat ... A: Jones, If the heart doesn't relax well, pressure builds up in the left ventricle because it's not ...
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| Rheumatic Fever/ MVR? | 9/8/2008 |
Q: I've been talking to you for quite some time now on here.. and after I've done a ton of research.. ... A: Bounding pulse is not common with mitral regurg, where the ventricle ejects extra blood back into ...
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| heart health/diets | 9/7/2008 |
Q: My husband just had a heart attack..he is on a low sodium low cholesteral and low fat ... A: Pearce, Low sodium is less than 5 grams of salt a day. That means no salt added in preparation or ...
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| Anxiety that feels Physical | 9/7/2008 |
Q: I have been having issues with an anxiety for a few months now. I have been having heart palpations, ... A: PVC's, no matter how frequent, even one every other heartbeat, are normal heart activity, normal in ...
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| Chronic right coronary occlusion | 9/6/2008 |
Q: I am 70 years old. Blood pressure historically 120/80, pulse in the 50's. Beta blockers slowed me ... A: Appropriate medicines are a baby aspirin (81 mg.) daily, a statin and a beta blocker if they don't ...
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| Hypertension | 9/6/2008 |
Q: I have had hard to control High blood pressure for 6 years now. Recently my blood pressure spiked ... A: Your family doc probably wants help in controlling your BP, and nephrologists are the current ...
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| Abnormal ECG | 9/5/2008 |
Q: I am a 41-year-old female who has had abnormal ECG readings since I was in college. I am 5'7", ... A: It's midnight and looking up the normal ranges will take a long time. I'll answer tomorrow. David. ...
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| abnormal heart rate and chest buring | 9/5/2008 |
Q: to fix it in tx. Now has chest pain and buring in the chest with a little fast heart rate when her ... A: Watterson, She needs an echocardiogram to be sure there's nothing wrong with her heart structure, ...
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| Echo results and some thoughts. | 9/4/2008 |
Q: I am an active 22-year-old male with PVC's and PAC's. I weight 163 lbs, and am 6 feet in height. I ... A: Trace regurgitation is normal. A little blood slips backward through a valve when the ventricle ...
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| coxsackie virus and palpitations | 9/4/2008 |
Q: Last year I suffered for several weeks from an awful ache in my chest and fatigue. My GP said it ... A: Yes, Ma'am. If the palpitations are skipped beats, these are normal cardiac activity, no threat to ...
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| heart flutters | 9/3/2008 |
Q: and you would be the perfect person to ask my heart flutter question to. I just turned 40 female, ... A: PVC's are normal heart activity, normal in the senses that 1) at least half of us have them, (2) ...
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| abnormal cardiolite stress test | 9/2/2008 |
Q: 47 yr. old female, 5'3", 175 lb., regularly taking 75 mcg. synthroid, 250/50 advair, 10 mg. ... A: The only chest pain you've had was on the treadmill or with exercise, and was in the center of the ...
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| Emotional Distress& Prolonged QT | 9/2/2008 |
Q: Our daughter was emotionally and verbally abused over a period of time in high school by her field ... A: The long QT is not congenital, which means present at birth. Long QT is often hereditary but may ...
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| Heart or anxiety | 9/2/2008 |
Q: Can you give any advice on how to get past the fact that the symptoms I feel are anxiety and not ... A: A normal cardiolite stress test gives you 95% probability of no heart attack or cardiac death for 7 ...
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| Changes in lab results | 9/2/2008 |
Q: I just got home from a doctor appointment and I don't understand the changes: 4/5/08 Triglycerides ... A: Triglycerides, and HDL which varies inversely with TG (when TG are high, HDL is low) are quite ...
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| Difference between PVC's & PAC's | 9/1/2008 |
Q: Richardson. You have been so helpful in the past and now another couple of questions. I would like ... A: PAC's precede episodes of SVT. Both PAC's and PVC's are more likely to occur when the heart rate is ...
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| teeth and heart | 9/1/2008 |
Q: I have posted before. I have major panic disorder. I have TMJ with my PD. I had an echo, holter and ... A: Yes, antibiotics are needed before dental work only in people with severe valve disease or some ...
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| Emotional Distress& Prolonged QT | 9/1/2008 |
Q: Our daughter was emotionally and verbally abused over a period of time in high school by her field ... A: Her long QT must not be congenital, since previous EKG's were normal. Stress does not cause long ...
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| skipped heart beats driving me mad! | 8/31/2008 |
Q: i wrote to you a few weeks ago and you gave me some re-assuring advice, i seem to get these skipped ... A: Skipped beats are normal heart activity, no threat to life or health. It would have been unlikely ...
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| heart failure?? | 8/30/2008 |
Q: Back in March I had a feeling of flutters in my chest.. I was scared out of my mind thinking I was ... A: A normal white count is pretty good evidence against infection on the valve. The hsCreactive ...
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| What happens when heart "skips a beat"? | 8/30/2008 |
Q: I'm 32 yrs old and I'm on verapamil 120mg(1 pill per day) for SVT. I also suffer from "skipped ... A: During the long pause of a skipped beat, extra blood flows into the heart, so the beat after the ...
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| irregular ECG | 8/30/2008 |
Q: I just had my yearly physical and the ECG indicated that I had a long QTc interval. my vent. rate ... A: Debra, QTc corrects for the slow heart rate. For adult women, a QTc of 456 is borderline long. ...
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| heart failure?? | 8/29/2008 |
Q: Back in March I had a feeling of flutters in my chest.. I was scared out of my mind thinking I was ... A: Purple fingers and splinter hemorrhages raise the question of bacteria growing on your mitral valve. ...
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| Abnormal EKG | 8/29/2008 |
Q: I am 41, overweight with 120/70 BP. I was given and EKG that showed conduction system disease, 1 av ... A: I see lowish QRS voltage in all leads, and Qr in V1-V3. The latter could be old anterior myocardial ...
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| skipped heart beats | 8/29/2008 |
Q: i wrote to you a couple of weeks ago regarding my skipped heart beats, im 28 and apart from being a ... A: Skipped heart beats are normal cardiac activity, no threat to life or health now or in the future. ...
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| irregular ECG | 8/29/2008 |
Q: I just had my yearly physical and the ECG indicated that I had a long QTc interval. my vent. rate ... A: You didn't ask a question. You should consult a cardiac electrophysiologist, the experts on QT. ...
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| heart failure?? | 8/27/2008 |
Q: Back in March I had a feeling of flutters in my chest.. I was scared out of my mind thinking I was ... A: The first signs of heart failure are breathlessness on mild exertion like walking three blocks or ...
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| Rapid Heart rate | 8/27/2008 |
Q: I have had a condition where I have a rapid heart rate when moving around a bit and especially a ... A: Increased heart rate after vomiting is not unusual, especially in someone with POTS. I don't know ...
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| Pulse Pressure | 8/27/2008 |
Q: Richardson, You were kind enough to help me back in 2005 and I look forward to hearing your opinion ... A: Campbell, Pulse pressure of 60 is close to normal, for example 140/80. Pulse pressure nearly 80 is ...
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| Blood Pressure | 8/26/2008 |
Q: If someone's blood pressure profile changes, does that mean the condition has changed? This is for ... A: Chris, Try to time the medicines that may lower BP (ACE,Coreg and patch) to avoid the hours when his ...
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| Left side pain | 8/25/2008 |
Q: Richardson, Recently, I have been feeling some pain on my upper left side, from just underneath my ... A: The most common cause of pain like yours is cramping of muscles around the ribs and under the collar ...
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| Persantine MIBI Stress Test | 8/18/2008 |
Q: How are the results calculated when the Arteries in the heart are smaller than normal A: Sorry, I don't know what you mean. If the test is negative, no abnormal distribution of the MIBI in ...
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| pacemaker | 8/18/2008 |
Q: I have been here before. 76 yr old male with congestive heart failure for 40 years. All sorts of ... A: The third lead is to pace the other side (left ventricle if the current lead is in the right ...
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| PVC's back to back.. | 8/10/2008 |
Q: I just wrote to you Dr. Richardson and I thank you for taking the time to answer our questions. I ... A: 3 or 4 PVC's in a row is not a threat to life or health, so long as your heart's structure and ...
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| Bystolic | 8/9/2008 |
Q: I am on 5 mg of Bystolic and since I have started it I have a strained sensation in my esophagus. ... A: In the empty space in the middle where the clavicle starts below the adam's apple. Do you know how ...
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| Bystolic | 8/9/2008 |
Q: I am on 5 mg of Bystolic and since I have started it I have a strained sensation in my esophagus. ... A: Your symptoms don't appear in the list of adverse reactions to Bystolic, so the beta blocker is not ...
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| Stress test results | 8/7/2008 |
Q: I had a stress test because of abnormal ecg and high blood pressure. The cardiologist sent my test ... A: Yes other than the mild concentric LVH, the report is normal. Inducible ischemia means not enough ...
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| tachycardia | 8/7/2008 |
Q: I am a woman of 74 years of age, height 5'3" and weight 170 lbs. Blood pressure around 140/75, pulse ... A: Darline, it all seems normal. 107 is certainly a normal heart rate for someone going to an ER. Any ...
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| Palpitations and Lower Blood Pressure | 8/7/2008 |
Q: Can you please tell me if low blood pressure has anything to do with skips in the heart? I know my ... A: On Holter, about 25% of us have PVC's and 25% have PAC's, so about half of have neither on one 24 ...
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| Aorta vascular calcification | 8/6/2008 |
Q: Dr. Richards, I just got results back from a CT scan I had done of my abdomen. In the summary it ... A: Some aortic calcification is present in most people. It will probably never cause any trouble. ...
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| Constant PVC's.. | 8/6/2008 |
Q: I am new here and just in need of some advice. I am a 31 year old female. I am 5'4, weigh 131 lbs. ... A: PVC's, no matter how frequent, are normal cardiac activity and no threat to life or health. They do ...
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| tachycardia | 8/6/2008 |
Q: I am a woman of 74 years of age, height 5'3" and weight 170 lbs. Blood pressure around 140/75, pulse ... A: How fast does your heart race? Does it start to race gradually and subside gradually: if so it is ...
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| PVCs- Bigeminies/trigemies/SVEs | 8/6/2008 |
Q: Richardson: I am a 77 year old man with long history of CAD. Last summer, I had sought your advice ... A: I think you should do nothing. With your good EF and exercise ability, PVC's, no matter how ...
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| Skipped beats | 8/5/2008 |
Q: I'm an american living abroad. I have had panic disorder for many years, with different ... A: Your doctor is correct. Extrasystole means a very premature heart beat, so early that the heart ...
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| Heart Catherization | 8/5/2008 |
Q: I am 46 years old. I have had Atrial Fibrillation for at least 15 years. It stays this way ... A: The catheter is usually inserted where your leg joins your body because there is a great big blood ...
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| hypertension dizzy and hypotension | 8/4/2008 |
Q: I am a 61 year old male. 7X bypass 5 years ago. I have been on 50mg Metoprolol since surgery; ... A: BP above 90 is o.k. If you think you have orthostatic hypotension, get someone to measure your ...
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| Fear | 8/3/2008 |
Q: I have a big fear of a sudden cardiac arrest but don't know if it is a real fear? 8 years ago I had ... A: Sudden cardiac arrest strikes people with plaques in the coronary arteries that supply blood to the ...
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| problem with high blood pressure | 8/3/2008 |
Q: Richardson. I have a very dear friend who is in her late sixties and is under a lot of stress due ... A: Tranquilizers are not much help in lowering BP. Talking with a counselor would help her deal with ...
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| Enlarged Left Atrium | 8/3/2008 |
Q: An echocardiogram indicated essentially normal results except indexed left atrial volume 40 cc per ... A: Possible left atrial enlargement, wheezing, BP 135/90 and fatigue as main symptom. The BP is ...
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| Abnormal EKG | 8/3/2008 |
Q: David, I am 41 right now. In 2006 I had an abnormal EKG reading during a routing physical. I went ... A: With a negative cath, the EKG is normal for you, that is, the EKG is a false positive. Get a copy ...
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| Mitral Regurgatation | 8/2/2008 |
Q: I've been suffering from this visible pulse (bounding pulse?) in my abdomen, wrist and temple.. My ... A: Very slight mitral regurgitation causes no problems, is probably normal. The mitral valve ...
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| PVC | 8/2/2008 |
Q: Doctor I am a 32 year old female with normal blood pressure. I am fit and well and have played ... A: PVC's are normal cardiac activity, no matter how frequent. Normal in the senses that about half of ...
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| Enlarged Left Atrium | 8/2/2008 |
Q: An echocardiogram indicated essentially normal results except indexed left atrial volume 40 cc per ... A: 2 standard deviations above the mean includes only 90% of the normals, so 10 % of those above 2 SD's ...
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| ANXIETY OR HEART SYMPTOM | 8/1/2008 |
Q: could this be stress or anxiety related.. im 32 yr old male , over the past year i have had a high ... A: Sounds like anxiety. Dizziness and blurred vision may be caused by breathing too fast and too deep. ...
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| Heart palpitations | 8/1/2008 |
Q: "Hi, I am a 31 year old female, in pretty good health. For the past 2 weeks I have been feeling my ... A: Skipped and extra heart beats are normal cardiac activity. Normal in the senses that (1) about half ...
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| Wellbutrin XL 300mg and occasional skipped heartbeat with urge to cough | 7/31/2008 |
Q: Two weeks ago I increased my Wellbutrin (Buproprion) dosage from 150 to 300mg. I suffer from ... A: Skipped heart beats are normal cardiac activity, no threat to life or health so long as the heart's ...
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| aortic valce sclerosis | 7/31/2008 |
Q: When I was 29 years old (I am 32 now) I had an echo done that my cardiologist insisted was normal ... A: Yes, it should have been discussed with you. Mild aortic sclerosis almost never causes trouble, but ...
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| SVT | 7/31/2008 |
Q: What are the five types of SVT and how can you distinguish them? second ? Describe the management of ... A: Wilson, I didn't know there were 5 types of SVT. Please send me the reference to where you read ...
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| Anxiety - Heart Related? | 7/30/2008 |
Q: For a few years I've been waking up during the night with racing heart accompanied by ... A: Yes, anxiety raises heart rate and BP, and can make a person with clogged coronary arteries a little ...
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| PVC's after cardiac ablation | 7/30/2008 |
Q: First thank you for being here for all who inquire with you...it is a wonderful service you are ... A: I'm very sorry, but I don't know the answer to most of your questions. Sounds to me as if the ...
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| Niddle prick heart | 7/29/2008 |
Q: I am 17 and weigh 131. Sometimes when I forget to eat (oddly it happens often) I get a sharp almost ... A: It's not heart. Hearts don't cause pin prick pain. It's probably cramping of muscles between ribs. ...
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| All over Edema with loww blood pressure and a high resting heart rate | 7/29/2008 |
Q: I am going to see a cardiologist only because I asked to see one. I have had low blood pressure with ... A: More details are needed. Heart, liver, thyroid, kidneys edema can cause edema. Do thyroid lab ...
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| cardiology | 7/29/2008 |
Q: I was recently diagnosed with Pure Autonomic Failure following autonomic function testing/nerve ... A: The first common ill effect listed for Florinef is nausea. Edema (swelling) and headache are ...
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| Irregular Heartbeat Symbol on Omron Blood Pressure Monitor | 7/28/2008 |
Q: I recently on a few occasions have had the irregular heartbeat symbol show up on my blood pressure ... A: Probably your monitor detected the skip as 25% lower than the average rhythm, since the monitor ...
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| svt and pregnancy | 7/27/2008 |
Q: Also they can not put me on treatment then take me off to have children as it could make it worse?, ... A: Ask about flecainide. It has no contraindication for pregnancy like beta blockers do. Another ...
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| Oxygen dependency | 7/27/2008 |
Q: Mom had a quadruple bypass 7 years ago, now 3 our ot 4 are blocked, Type 2 diabetes with ... A: The only way she can get off oxygen is to fix her heart. She'll need oxygen for the rest of her ...
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| test results | 7/26/2008 |
Q: I had an echocardiogram done back in december. I was wondering if you could explain the results I ... A: Hypertrophic cardiomyopathy is the most common cause of chest pain in a young person. Skipped heart ...
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| Cardiologist said I am OK but still a bit worried | 7/26/2008 |
Q: Dr Richardson, One afternoon I was in my kitchen, not stressed, and I felt a pain in my left ... A: If the treadmill test was monitored by radioisotopes or echocardiogram, then infarct is ruled out. ...
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| recurring sinus tachycardia | 7/26/2008 |
Q: I am 20 years old and have been experiencing repetitive tachycardia and palpitations in the past ... A: Persistently elevated heart rate is called inappropriate sinus tachycardia unless it occurs only ...
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| heartbeat in head | 7/25/2008 |
Q: my heart beating in my head sometimes all day long. I lost my husband in January 08 and my father ... A: I doubt if anything is seriously wrong inside your head. Anxiety is a possibility, and the ...
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| test results | 7/25/2008 |
Q: I had an echocardiogram done back in december. I was wondering if you could explain the results I ... A: Yes, the echo results are fine. They are good for at least 10 years, probably 20. No need to worry ...
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| Re: Afib | 7/24/2008 |
Q: I am not able to get the link in the answer to work? It is this one (I tried with the %20s taken ... A: Maybe the link works only on a Mac computer, which is what I use. The link describes various ...
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| Elevated Blood Pressure | 7/24/2008 |
Q: My question is sometimes my blood pressure elevates from a normal reading to extremely high numbers ... A: Marge, I'm unclear about what heart-related means. If you mean, "Can the heart cause such ...
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| Elevated Blood Pressure | 7/24/2008 |
Q: My question is sometimes my blood pressure elevates from a normal reading to extremely high numbers ... A: Heart-related only in that sustained peaks of blood pressure may strain the heart, but peaks lasting ...
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| pain behind left ear | 7/24/2008 |
Q: Dr. Richardson, I am a 58 year old female and have atrial fibrillation and recently developed ... A: It seems insignificant to me, too. It's not coronary blockage; coronary pain is brought on by ...
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| ectopics | 7/23/2008 |
Q: I have had occasional afib for 8 years, and 2-3 episodes of SVT in the first year but apparently not ... A: Yes. See ...
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| EKG results: 1st degree, septal infarct | 7/23/2008 |
Q: Dr Richardson, I found your answer to a question about 'Septal Infarct' on an EKG. ... A: Elaine, Q in V1 and V2 is normal, 90 %, i think, because often the chest leads are placed too high ...
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| tachy arrythmia | 7/23/2008 |
Q: i am 44 and had a sincope episode twice. was out for over 20 mins. I had a hard time getting ... A: Totally unconscious for 20 minutes doesn't sound like heart. Did he perchance feel your pulse or ...
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| Why are PVC's and PAC's Normal? Can potassium supplements block PVC's and PAC's | 7/22/2008 |
Q: Dr. Richardson: I have read a multitude of your answers about PVC's and PAC's being normal cardiac ... A: There's no good explanation of why half of have PVC's or PAC's and the other half don't. There's no ...
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| Abnormal EKG/T wave inversion V1,V2,V3 | 7/22/2008 |
Q: Richardson... I've had an abnormal EKG since I was 25...am now 45. I was diagnosed at 15 with MVP ... A: Pam, it's perfectly possible that the technician always puts the leads too high. Mitral prolapse ...
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| Afib | 7/21/2008 |
Q: Our last communication we discussed that I take flecainide before being cardioconverted. Did not ... A: Sorry about the recurrence. Ask about propafenone, which isn't associated with arrhythmia. ...
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| Very labile blood pressure | 7/21/2008 |
Q: I have had labile blood pressure for about 3 years, driven mainly by anxiety according to my doctor ... A: Please consider adding hydrochlorothiazide 12.5 mg a day and an angiotensin receptor blocker like ...
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| Slow Heart Rate? | 7/20/2008 |
Q: I am a 43 year old female, 5'5", 150 lbs and have noticed the last two weeks that my heart rate has ... A: Low levels of potassium can also cause fatigue. But your fatigue is not likely to come from ...
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| Chest Pains | 7/20/2008 |
Q: I have had pains on the left side of my chest for about 6 days. The pain is constant throughout the ... A: The most common cause of chest pain in a young woman is cramping of muscles between and around ribs. ...
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| Feeling of Skipped Hearteat then a double beat. | 7/19/2008 |
Q: I am a 45 year old male who is 6 foot and 225 pounds with a BMI of 24. I quit smoking in March. In ... A: Skipped beats tend to slowly subside, usually in 10 years or so. There are medicines more effective ...
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| Echocardiogram: biatrial dilation and normal ventricles | 7/19/2008 |
Q: I had an echo on Jun 8 the with these results and the following: "Echo cardiogram also shows ... A: The echo shows no significant problems. Near syncope is a problem, which the Holter didn't clarify. ...
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| Feeling of Skipped Hearteat then a double beat. | 7/19/2008 |
Q: I am a 45 year old male who is 6 foot and 225 pounds with a BMI of 24. I quit smoking in March. In ... A: Skipped heart beats are normal cardiac activity, normal in the senses that about half of us have ...
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| Nitro pills | 7/19/2008 |
Q: I had a heart attack April 23, 2008. I have 3 stents - main artery, left and right. I take Zocor ... A: Heart-related pain is usually brought on by exercise or strong unpleasant emotion and relieved ...
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| skipped beats | 7/18/2008 |
Q: First of all, thank you for this service. I've read your comments many times about how PAC's, PVC's ... A: Sure, mention it to your cardiologist. If your LVEF is over 50%, PVC's are no threat even with a ...
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| HEART PAIN | 7/18/2008 |
Q: I HAD A FULL CARDIO WORK UP BETWEEN SEPT 07 AND FEB 08 INCLUDING NUCLEAR STRESS TEST , 24 HOUR ... A: Matt, If the dizziness is vertigo, that is you feel like you're spinning round and round or the room ...
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| HEART PAIN | 7/17/2008 |
Q: I HAD A FULL CARDIO WORK UP BETWEEN SEPT 07 AND FEB 08 INCLUDING NUCLEAR STRESS TEST , 24 HOUR ... A: The most common cause of sharp chest pains is cramping of muscles between and around ribs. You can ...
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| curing heart blockage without angioplasty | 7/16/2008 |
Q: My mom recently had Angiography and results showed that she is having 60% and 95 % blockage in the ... A: The only indication for angioplasty is heart pain she doesn't want to put up with. Treatment with ...
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| heart beat | 7/16/2008 |
Q: im a 15 year old 145 pound swimmer, a few weeks ago i was laying on my couch and i had these two or ... A: Not serious. Heavy heart beats are the beats after a skipped beat, which are no threat to life or ...
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| Angina Symptoms in 22 year old | 7/15/2008 |
Q: I am a 22 year old male (5'11, 175 lbs) who for the past four months has been experiencing chest ... A: Angina at rest in a 22 year old man can be spasm of a coronary artery. I hope the event monitor ...
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| 64-slice CT scan | 7/15/2008 |
Q: My dr. wants me to have an angiogram although a regular (not 64-slice) CT scan showed zero plaque. ... A: Neither a CT scan or an angiogram show the mitral valve condition well. Echocardiogram is best for ...
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| missing heart beat | 7/14/2008 |
Q: i am 71yrs. undergone bypass12years back. doctors after echo told me pumping 30%blood only. diabetic ... A: Your note indicates that you are doing well. Please continue unless your cholesterol is above 190, ...
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| Irregular heartbeat | 7/14/2008 |
Q: I have noted that I have an irregular heartbeat. As a Firefighter/EMT, I have always been aware of ... A: None of what you describe sounds bad. I see no reason to be concerned unless you should faint ...
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| heart palpitations | 7/13/2008 |
Q: I'm a 22 year old female and have been having heart palpitations since i was about 16. They usually ... A: No, it's not possible that you had a heart attack. The usual cause of QS in V1 and V2 is placement ...
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| tachy arrythmia | 7/13/2008 |
Q: i am 44 and had a sincope episode twice. was out for over 20 mins. I had a hard time getting ... A: Resch, Not enough info. Were you standing, sitting or lying? Did anyone observe you while you ...
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| Abnormal EKG/T wave inversion V1,V2,V3 | 7/13/2008 |
Q: Richardson... I've had an abnormal EKG since I was 25...am now 45. I was diagnosed at 15 with MVP ... A: Sure, your EKG is probably normal for you. Maybe it's read as abnormal because the leads were ...
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| breathless when lying down | 7/12/2008 |
Q: My husband is breathless when lying down but only for about 30 seconds. He walks to the kitchen and ... A: Dragt, Heart is much more likely. He should tell a doctor about this. If you can't afford a ...
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| Chest discomfort | 7/12/2008 |
Q: I weight 165, I am 5’11 and my blood pressure is good I had it tested two weeks ago. For years now I ... A: The most common cause of chest pain like yours is cramping of the muscles between the ribs, a normal ...
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| chest pain | 7/11/2008 |
Q: About 4 months ago I moved to a new area, living in a basement apartment. After about a week I ... A: The most common cause of chest pain is cramping of muscles between ribs, a big nuisance but not a ...
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| test | 7/11/2008 |
Q: i was wondering if they can tell if you have heart valve problem with ekg and with a ultrasound of ... A: Chris, some afib runs in families that have one or more base pairs in their genes altered, a ...
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| test | 7/11/2008 |
Q: i was wondering if they can tell if you have heart valve problem with ekg and with a ultrasound of ... A: Echo is best for valves. It shows the structure and function of each of the 4 valves in great ...
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| heart question | 7/11/2008 |
Q: I'm 25 years-old, 5'5", 100 lbs., blod pressure always around 102-120/70. I have been having pain ... A: Heart trouble at age 25 with normal echo and EKG is EXTREMELY unlikely, practically impossible. ...
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| heart Cath | 7/10/2008 |
Q: I just turned 36 yrs old and had a nuclear stress test today due waking up at night with the feeling ... A: Miller, Yes, false positive pictures are very common, more than 50% at your age and with no chest ...
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| Palpitations | 7/9/2008 |
Q: You have answered a PVC question for me already and thanks for that. I have a new situation the ... A: Yes, please don't worry when PVC's occur. Since you have normal EKG's and echoes, they are no threat ...
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| heart palpitations | 7/9/2008 |
Q: Please help. I am 37, 5'8, 165 lb female with no blood pressure problems. I have had several EKGs ... A: Doesn't sound dangerous, since you have normal EKG's and presumably the stress tests showed normal ...
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| Palpitations | 7/9/2008 |
Q: You have answered a PVC question for me already and thanks for that. I have a new situation the ... A: SVT lasts many minutes to hours and stops very abruptly, in one heart beat. If your heart rate was ...
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| heart question | 7/8/2008 |
Q: I'm 25 years-old, 5'5", 100 lbs., blod pressure always around 102-120/70. I have been having pain ... A: Gall stones or pancreatitis are more likely than heart to cause upper abdominal and back pain. ...
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| Abnormal EKG/T wave inversion V1,V2,V3 | 7/8/2008 |
Q: Richardson... I've had an abnormal EKG since I was 25...am now 45. I was diagnosed at 15 with MVP ... A: T inversion in V1-V3 is normal if there is rS, not QS, in V3. If not, the leads were probably ...
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| conduction delay post cryo-ablation | 7/8/2008 |
Q: Re my 33 year old son, 18 mo post cryo surgery for wpw. 5'10", 170#. Excellent BP, history of & ... A: No worries. Premature heart beats are normal heart activity, don't lead to WPW tachycardia. RSR' ...
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| MVP and heart palpitations | 7/8/2008 |
Q: I have MVP, with now leakage. However, when I exercise, I get skipped beat and fluttery feelings ... A: Skipped beats are normal in anybody, MVP or not. They are normal heart activity, no threat to life ...
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| presyncope | 7/7/2008 |
Q: Dr. Richardson: I am a 50 years old male with hypertension under control (low dose of CCB and beta ... A: Ask someone to observe you during one or more episodes. Do you get pale? Do you sweat? What ...
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| BP readings | 7/6/2008 |
Q: The information booklet for my BP machine (Omron) says to wait five minutes before taking a second ... A: The machine doesn't care. BP falls when you change from active to sitting, which is why the second ...
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| Heart Questions | 7/6/2008 |
Q: Dr. Richardson, Hi My name is Tyler and I am 17. I have questions regarding my heart. Lately, I've ... A: Maybe your blood pressure gets too low when you stand up. Ask someone to measure your blood ...
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| DD and diuretic (previous posts) | 7/6/2008 |
Q: I am on 50 mg of HCTZ already, but that is for my kidneys. So it does double duty. I couln't get the ... A: If your potassium was low before you took HCTZ and you had high BP, ask your doctors about ...
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| unsustained v-tach in a healthy heart | 7/5/2008 |
Q: I am a 23 year old single mother who has been having pvc's since I was 12 years old. I have ... A: With all your concern and insomnia, you should seek a second opinion for reassurance, though I agree ...
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| heart beats | 7/5/2008 |
Q: Richardson I am an 18year old male and have been suffering from supposed post viral fatigue ... A: Athletes who die young almost always have structural abnormalities that would show up on echo. Your ...
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| Diastolic dysfunction and moderate LVH | 7/5/2008 |
Q: AT 33, I had PPCM in 2000, I also had a stroke.At the time my EF was 20% and they thought I would ... A: With edema and breathlessness, you probably should be on a diuretic like furosemide. Here's a ...
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| atrial fibrillation | 7/4/2008 |
Q: my name is Jessica, Im 24 (5'4" and BP 90/60)and I was diagnosed with atrial fibrillation 6 months ... A: The fast heart rate probably comes from anxiety. The pop around your heart might be a skipped heart ...
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| Diastolic dysfunction and moderate LVH | 7/4/2008 |
Q: AT 33, I had PPCM in 2000, I also had a stroke.At the time my EF was 20% and they thought I would ... A: Why are you listing diastolic dysfunction? Do you still have easy breathlessness and fatigue, i.e. ...
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| Stress Test | 7/3/2008 |
Q: My husband's doctor is scheduling a stress test for him. It is not going to be the thallium kind, ... A: His diet should reduce carbohydrates, because they raise triglycerides. Increase unsaturated fats ...
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| Stress Test | 7/3/2008 |
Q: My husband's doctor is scheduling a stress test for him. It is not going to be the thallium kind, ... A: I hope it's a treadmill test monitored by radioisotopes or echocardiogram. (Tests monitored by EKG ...
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| Aortic question | 7/2/2008 |
Q: Richardson? A couple of general questions. Are valve problems more serious with the aortic valve ... A: Generic drugs are always best, no matter what the drug, statins included. The FDA makes certain ...
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| Clonidine and beta blockers | 7/2/2008 |
Q: Dr. Richardson, I am on beta blocker (bystolic 5mg/d) and norvasc (5mg/d) for hypertension. I also ... A: Should be o.k. Beta blockers may produce a big rise in BP when clonidine is stopped, but one dose ...
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| Skipped heartbeats and exercise | 7/1/2008 |
Q: I have asked you questions before and once again I wanna thank you for your time and advice. I have ... A: Exercise tends to prevent skipped beats, so the more the better. Remember than skipped beats are ...
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| A-fib | 7/1/2008 |
Q: Three months ago I had an episode of a-fib. That day I had been under stress I have gone back to ... A: If you avoid taking motrin and a bunch of tums, your afib may not recur, tho afib tends to recur ...
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| Abnormal EKG/Dysautonomia?? | 6/30/2008 |
Q: Richardson. I am a 34 yo female, smoker for 18 years and pretty sedentary. I take 25 mg Atenolol, ... A: It's not Brugada. EF above 50 is perfectly normal, and increase with exercise is good. Heart ...
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| RIght bundle branch block | 6/30/2008 |
Q: A few days ago I underwent a stress test which produced some abnormal findings. My doctor said he ... A: Probably not. RBBB often causes ST depression. Can you find out which leads had ST depression? ...
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| vasovagal | 6/30/2008 |
Q: I have vasovagal events every morning now between 8 and 10 am. I am going to an ep cardiologist and ... A: Chud, Do your events occur only when you're standing, and does your blood pressure drop below 80 ...
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| 47 yr old woman with vasospasms | 6/29/2008 |
Q: Recently my spasms increased in number and was put on Norvasc. Spasms increased and had angiogram. ... A: Spasm is uncommon during angiogram. The doc was lucky to catch it. Some Italian cardiologists left ...
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| Post-CABG persistent shortness of breath | 6/29/2008 |
Q: My 74 year old father underwent triple bypass surgery 6 months ago. He continues to fail stress ... A: Food stopping at mid sternum sounds like esophageal narrowing, which would certainly cause weight ...
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| high heart rate | 6/29/2008 |
Q: im a 32 male for over a year now i have had a high heart rate at rest it is about 105-120, i have ... A: Your high heart rate, chest pain and tremors are most likely all the result of anxiety, even every ...
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| hypertension | 6/29/2008 |
Q: I have panic disorder and suffer from anxiety often. In 05 I had an abnormal EKG in the ER during a ... A: Karen, I don't know the percent of echo readings of PAH that are false positive, just pretty common. ...
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| hypertension | 6/28/2008 |
Q: I have panic disorder and suffer from anxiety often. In 05 I had an abnormal EKG in the ER during a ... A: Sure, false reading of PA hypertension is common with transthoracic echo. I'd ignore this as false ...
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| new to a-fib | 6/28/2008 |
Q: i have a question about a-fib, i was at work one day, and i experienced flutter in my chest wen tto ... A: If your heart rhythm is regular, it's not afib. Bloating and heart burn will speed up your heart, ...
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| Never Ending PVCs | 6/28/2008 |
Q: I have read other posters talk about runs of 2, 3, or 4 PVCs that occur in a row. Mine seem to never ... A: Pelletier, Congratulations on your good weight, at least. Now that your PVC's are happening all ...
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| High heart rates during nights. | 6/28/2008 |
Q: I am 21 year old male from India.Height - 172 cm.Weight - 74Kg . Recently my heart rates are higher ... A: If your heart rhythm is regular and it's rate is less than 140, that's normal. If irregular, that ...
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| Irregular Heart Beat - hyperparathyroidism? | 6/27/2008 |
Q: I am a 33 yr old male who has been experiencing irregular heartbeats for 10 years now. I have had ... A: Skipped heart beats are so common in all of us (about 50% of us have them) that I doubt that ...
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| fluctuating heartbeat | 6/26/2008 |
Q: I had a rather peculiar question, one that probably will be far less urgent than most you recieve. ... A: Richards, The tachycardia is a normal response to anxiety and panic, even over 160. Numbness comes ...
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| circulation | 6/26/2008 |
Q: Richardson, I'm curious about blood rushes to the head that occur when inverted. In me, they occur ... A: No idea, really. If the whites of your eyes stay red longer than a few minutes, then you're ...
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| NSVT and HCM | 6/25/2008 |
Q: What if you have NSVT from time to time and also have a thickened apex? That being the only ... A: Mitchell, See if this helps: http://www.cardiosmart.org/ManageCondition/Default.aspx?id=814 If ...
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| My Heart | 6/25/2008 |
Q: i am 25 years old, female 165 cm tall and 61 kg,walk regularly, i think i have to tell you these ... A: You're not too young to have paroxysmal supraventricular tachycardia, abbreviated PSVT. It's a ...
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| Heart Hiccups | 6/24/2008 |
Q: I have been to a cardiologist last year about extra hearts beats and I have a normal heart. I get ... A: PVC's are normal cardiac activity, no threat to life if you have a heart with normal structure and ...
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| High BP and low pulse | 6/23/2008 |
Q: I am retired Army, I retired 4 1/2 years ago and haven't had an exercise routine since then, ... A: Exercise more and lose weight are the best steps. But with pressure in the center of the front of ...
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| PVC's | 6/23/2008 |
Q: I have read your answers and many of them have come to help me so thanks for that already! Heres my ... A: PVC's are normal heart activity, no threat to life or health so long as your heart structure and ...
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| Ejection Fraction | 6/22/2008 |
Q: I have read on the internet that a normal ejection fraction is from 55 to 75 percent. The echo ... A: Bill, 69 is far below 75, and the echo would of course have shown any abnormality of heart structure ...
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| Heart Rhythm and Prolonged QT | 6/21/2008 |
Q: This will require a little background, so I apologize for the length. My family history includes ... A: Miller, Look at file:///%20Cardiology%2012:07/%20Cardiology%2011:07/QT/T%20shape%20in%20LQT and ...
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| Aortic question | 6/21/2008 |
Q: Richardson? A couple of general questions. Are valve problems more serious with the aortic valve ... A: Aortic sclerosis is not serious at all, of course. Severe aortic stenosis is quite serious. ...
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| Enlarged heart ride side | 6/21/2008 |
Q: I was just diagnosis with an enlarged heart on my right side. Plus also I have been having severe ... A: More information needed. How was the diagnosis made? Echocardiograph? Can you send me the report? ...
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| Chest pain | 6/20/2008 |
Q: I started having a chest pain like 2 weeks ago. The pain was so bad i thought i was going to die. i ... A: Pain you can modify by touching your chest is in the chest wall, probably cramping of muscles ...
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| heart racing | 6/20/2008 |
Q: I went to the doctor to day to get hook up to a 24 hr holter monitor , I was pancking and shoot my ... A: Heart rate of 170 is o.k. during panic. It will show up on the Holter as sinus tachycardia, ...
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| High pulse rate | 6/20/2008 |
Q: Richardson, I'm 52, female, and had an aortic valve replacement/aneurysm repair nine years ago. I ... A: Systolic blood pressure is what strains the aorta and aortic valve. High diastolic values are easy ...
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| Antibiotics and Dentistry for Heart Patients | 6/19/2008 |
Q: My 85 yr old dad (has a weak heart, defibulator and stents) always is asked to take antibiotics ... A: Deep cleaning of teeth and root canal work may push bacteria into the blood stream, and these may ...
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| skipped beats with dizziness | 6/18/2008 |
Q: I was diagnosed with SVT in 2005 when I had to go to hospital with bad palpitations that lasted more ... A: Skipped heart beats are normal heart activity and no threat to life or health. They are unrelated ...
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| Nuclear Stress Test Results | 6/17/2008 |
Q: Richardson. I am a 48 yo man. My BP went to 200/100 in January. High BP runs in my family. I am ... A: Yes, it's a normal result. Stress tests monitored only by EKG without radioisotope scanning or ...
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| intra-operative MI | 6/17/2008 |
Q: I recently had what was supposed to be out-patient shoulder surgery. When I woke up in the recovery ... A: It's possible to have spasm of a coronary severe enough to cause a myocardial infarction that ...
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| Echo Results | 6/17/2008 |
Q: Richardson: I am a 67-year-old male. Last week my primary care doctor was concerned about a heart ... A: Bill, sclerosis means hardening, stiffening. If the valve leaflets fuse together or get stiffer and ...
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| Echo Results | 6/16/2008 |
Q: Richardson: I am a 67-year-old male. Last week my primary care doctor was concerned about a heart ... A: Yes, Bill, your echo shows no enlargement of the heart. Left ventricle of 4.3 cm is normal and the ...
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| Echo Results | 6/16/2008 |
Q: Richardson: I am a 67-year-old male. Last week my primary care doctor was concerned about a heart ... A: You asked no questions. The diastolic dysfunction is probably the result of your calcified aortic ...
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| Slow pulse | 6/15/2008 |
Q: Age - 54 Meds - Premarin daily Height - 5'4" Weight - 150 Blood Pressure - 108/80 My blood pessure ... A: Slow pulse is good, predicting long life. Skipped heart beats are normal cardiac activity, no ...
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| Baby with VSD | 6/12/2008 |
Q: My baby aged 2 months has been diagnosed with a large VSD and we were told by the paediatrc ... A: A large VSD probably will need surgery and is unlikely to close spontaneously. Over some years, the ...
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| cholesterol | 6/12/2008 |
Q: In Canadian terms, my latest cholesterol readings are: CHOL 5.95, HDL 1.59, LDL 3.72, CHOL/HDL ... A: Your CHOL is high. Less than 4.66 is ideal HDL is very good. Higher than 1.30 is good for women. ...
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| cholestero | 6/12/2008 |
Q: In Canadian terms, my latest cholesterol readings are: CHOL 5.95, HDL 1.59, LDL 3.72, CHOL/HDL ... A: James, Sorry, but my knowledge doesn't include Canadian terms. Have you some reference to how to ...
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| My Mom Heart | 6/11/2008 |
Q: Dr.Richardson the enjection rate is 30 percet. If you of any protcols that might help I would be ... A: Depends on what kind of heart trouble you have. Did you have a heart attack? Do you have coronary ...
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| my ekg results vs my stress | 6/11/2008 |
Q: I have recently lost a 5 wk old grandchild do to my cooperation with cps about my son hurting the ... A: The most common cause of downward spikes in V2-V3 is placement of the electrodes too high on your ...
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| Palpitations? | 6/10/2008 |
Q: I get PVC's and PAC's every day but I was a little worried last night. Does anyone ever get them ... A: No need for worry, no matter how frequent, even every other beat, so long as your heart's structure ...
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| PSVT | 6/10/2008 |
Q: Richardson. I have another question about my PSVT attacks. I was reading an answer you gave to ... A: PSVT won't kill you, no matter how long it lasts. If they frequently last longer than 10 minutes, ...
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| Heart Rate | 6/10/2008 |
Q: I hope you can help. I am a 37 yr old female who had an anterior cervical fusion at C5/C6 a year ... A: Seems logical that the surgery contributes to your heart rhythm attacks. Please ask the GP or ...
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| Skipped beats with urge to cough | 6/9/2008 |
Q: I am on verapamil since 2006 for SVT. Occasionally I have noticed I had skipped heartbeats but it ... A: Probably the extra large beat after the skip rubs against your trachea and makes you cough. It's ...
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| Pulmonary Hypertension | 6/9/2008 |
Q: I am 43 years old, about 6' 2" and 215 pounds. Since I was a teenager, I have been a overweight (on ... A: Mild MR can raise your PA pressure a little, maybe 5 I forgot that your LVIDs was high in the past ...
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| Arrythmia Question | 6/8/2008 |
Q: I have been having the infamous ectopic beats since puberty. I went to a cardiologist for the first ... A: Four or more PAC's in a row is called PSVT. It's no threat to life or health except sometimes makes ...
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| Chemical Stress Test | 6/8/2008 |
Q: I am a male, 80 years old. I have shown no signs of heart disease, except High Blood Pressure, ... A: 80-year-old men with hypertension and diabetes have statistically higher (above 10%) risk of heart ...
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| new to a-fib | 6/8/2008 |
Q: i have a question about a-fib, i was at work one day, and i experienced flutter in my chest wen tto ... A: Afib is totally irregular heart rhythm, varying from beat to beat. If your heart races regularly ...
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| QTC | 6/8/2008 |
Q: My question is for my daughter, who is 8yrs old. Some history about her. She had been diagnosed with ... A: QTC stands for QT interval, Corrected. QT is the time between the beginning of the QRS complex (the ...
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| My Mom Heart | 6/7/2008 |
Q: My mom is going to a hospice Her heart runs fast and the heart is too weak for eltro-shock and ... A: If her heart runs too fast because of atrial fibrillation, medicines called beta blockers can slow ...
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| new to a-fib | 6/7/2008 |
Q: i have a question about a-fib, i was at work one day, and i experienced flutter in my chest wen tto ... A: Afib is no threat to life. If you have frequent episodes, more often than once a month, or an ...
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| heart and anxiety | 6/7/2008 |
Q: Richardson, I decided to get help for my anxiety attacks. An echocardiogram was done to rule out ... A: You have no heart trouble, and need not be anxious. But such reassurance probably won't cure the ...
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| Heart Disease? | 6/7/2008 |
Q: Richardson, I am a 37 year old female, on no medications. I've had borderline cholesterol levels ... A: It may have been blockage of an artery in the brain. CT or MRI of head would show decreased blood ...
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| Supplements | 6/6/2008 |
Q: Dr. David Richardson, What do you recommend, if anything, in terms of suppliemnts spefci to heart ... A: CoQ10 is harmless, tho I doubt that it is helpful. Omega 3 is excellent. Garlic, Cal-Mag, and ...
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| pvcs | 6/6/2008 |
Q: sleeping and whilst bowel movement,well i have been getting pvcs now for about 4 months,they just ... A: PVC's are normal cardiac activity, no threat to life or health unless there is abnormal heart ...
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| PVC'c | 6/6/2008 |
Q: I know about the dangers(blood clots-stroke) when one goes into afib. My afib symptoms were ... A: Atenolol is one of a class of drugs called beta blockers that includes Corgard.. It slows the heart ...
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| Blood pressure readings | 6/5/2008 |
Q: Richardson, So nice to finally put a face to the name. I don't know if you would remember me. You ... A: Parker, I don't know any tricks to avoid rise in BP with anxiety. Most of the big studies that ...
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| swelling and palpitations | 6/5/2008 |
Q: I an 33 and experiencing severe swelling recently of ankles, lower legs, hands and face. We have no ... A: Yes, it's common for PVC's to be more frequent when lying on the left side. Remember that PVC's are ...
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| Pulmonary Hypertension | 6/5/2008 |
Q: I am 43 years old, about 6' 2" and 215 pounds. Since I was a teenager, I have been a overweight (on ... A: 1. Walking and waiting wouldn't affect PA pressure. Nervousness would raise it a little. 2. PA ...
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| LBBB | 6/5/2008 |
Q: My 60-year-old mother was diagnosed as having LBBB...Her ECG was normal 2 years ago..she has no high ... A: Yes, I'd suggest a treadmill stress test monitored by echocardiogram or radioisotopes. Stress tests ...
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| when to see an electrophysiologist? | 5/18/2008 |
Q: I am a 33 year old male with hypertension and a bicuspid aorta. For years I have had a great deal ... A: You're NOT crazy. We only have one heart, and know that arrhythmia can be fatal. Explain to your ...
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| PVC'c | 5/18/2008 |
Q: I know about the dangers(blood clots-stroke) when one goes into afib. My afib symptoms were ... A: Yes, flecainide has good record for converting afib if taken in 48 hours. Probably you will need it ...
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| when to see an electrophysiologist? | 5/18/2008 |
Q: I am a 33 year old male with hypertension and a bicuspid aorta. For years I have had a great deal ... A: Yes, EKG and echo together see almost all those syndromes. EKG is thought to miss Brugada in a few ...
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| abnormal Ekg | 5/18/2008 |
Q: I am a 21 year old female. About 3 years ago I had an Ekg done and i was told it was abnormal and ... A: Most likely the EKG wires were placed too high on your chest, which will make anyone appear to have ...
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| PVCS and Mitral Valve Prolapse | 5/17/2008 |
Q: I am a healthy 28 year old. I was diagnosed with mild MVP about 2 years ago. Recently I have had ... A: No, skipped beats are normal cardiac activity, no threat to life or health now or in the future, and ...
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| reason of pain in left side below solder and side effect of cardiopril/ramipril 2.5 mg | 5/17/2008 |
Q: pl. tel me about reason of pain in left side below solder and side effect of cardiopril/ramipril 2.5 ... A: Pain in left side below shoulder is most likely cramp of muscles between ribs and not a side effect ...
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| extra beats, A-Fib and Ablation | 5/16/2008 |
Q: Sir; When you gave me some info. to look up the link or website did not click to any info. Do you ... A: Try http://atrialfibrillationresourcecenter.com/ and ...
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| heart hurts when running | 5/15/2008 |
Q: when I run my heart starts to beat really fast like 7 beats every 5 seconds. I call this heart ... A: 7 beats every 5 seconds is 84 beats a minute, a perfectly normal heart rate when you're running. ...
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| chest pain | 5/15/2008 |
Q: About an hour after a light dinner of soup and a piece of garlic/cheese bread, while playing ... A: Maybe a little concerned. It was probably not heart, but to be sure you need to see a doctor and ...
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| Blood Pressure | 5/14/2008 |
Q: I have been experiencing my heartbeat loudly pouding in my head for the past two months. A MRI/MRA ... A: Maybe Patulous Eustachian tube. See ...
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| How much can family history be overcome? | 5/14/2008 |
Q: How much people's medical family history can be overcome by minimizing controllable risk factors? ... A: Yes, somewhat increased risk. I'd suggest you get your cholesterol measured and take a statin if ...
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| Flutters and Early Heartbeats | 5/14/2008 |
Q: I get skips and flutters every single day. I am a 47 year old female with no other problems other ... A: Skips and early heart beats are normal cardiac activity. Normal in senses that about half of us ...
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| treatment for a-fib and i now have a extra beat | 5/13/2008 |
Q: I am being treated for A-Fib on and off for seven years. I am a healthy male age forty and I am in ... A: Try file:///%20Cardiology%2012:07/%20Cardiology%2011:07/AFib/AFib%20Guidelines%2008 and ...
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| Ectopic heartbeats and insomnia | 5/13/2008 |
Q: I am 62 and living in the UK. I have recently developed AF and have just had a cardioversion which ... A: Flecainide is effective in reducing ectopic beats and in preventing AF. It's safe for people with ...
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| Afib | 5/13/2008 |
Q: Expert: David Richardson Date: 4/30/2008 Subject: In A-Fib again Question This is my first post. ... A: There is no reaction between flecainide and Corgard. Flecainide can bring you back to normal rhythm ...
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| Angina following Persantine/Thallium stress test | 5/13/2008 |
Q: 86YOWM,Heartattackin"88,angioplasty;angioplastyin'02,attack in ... A: Probably coincidence, Charles. Persantine can lower blood pressure, but in the first minutes after ...
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| treatment for a-fib and i now have a extra beat | 5/12/2008 |
Q: I am being treated for A-Fib on and off for seven years. I am a healthy male age forty and I am in ... A: For lots of people, premature beats in the areas where the pulmonary veins join the left atrium ...
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| Heart Arrhythmia | 5/12/2008 |
Q: I am for the most part, a healthy 24 year old. Over the past six months I have started running on a ... A: Take it fairly seriously. See a cardiologist or internist or family practitioner, describe what ...
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| Pulmonary Hypertension | 5/12/2008 |
Q: My 21 year old daughter was complaining of heart palpations one year ago. I sent her to a ... A: Sure. Echo can overestimate PA pressure, and upper 30's is not high enough to worry about. If the ...
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| painful palpitations | 5/11/2008 |
Q: I'm 23, 5', and 105#. Hx of MVP, heart palpitations with pain, migraines. Was on Toprol XL in 2004 ... A: Among the side effects listed for Imitrex are chest pain/tightness/pressure and dizziness. Imitrex ...
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| strong visible pulse on one side of the neck | 5/11/2008 |
Q: My mum is 63. she has no known disease like HT DM. She has a slightly loss of hear on the right ... A: Visible pulse in right neck is almost always normal. Perhaps she can get ultrasound exam of her ...
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| Low Heart Rate | 5/11/2008 |
Q: Richardson, I am a 57 year old woman, 5' 4", 135 lbs. Blood pressure ranges from 93-165 over 57-97. ... A: Your story is very well detailed and very interesting. Sounds as if amlodipine caused fluid ...
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| my shortness of breath. bare metal stent | 5/10/2008 |
Q: my recent heart attack November 2007. a bare metal stent put in successfully. 3 days after i went ... A: IT WOULDN'T SHOW HEART FAILURE OF THE DIASTOLIC HEART FAILURE, AND THE ANGIOGRAM DID SHOW NOT QUITE ...
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| my shortness of breath. bare metal stent | 5/10/2008 |
Q: my recent heart attack November 2007. a bare metal stent put in successfully. 3 days after i went ... A: Eddie, maybe a sleep lab to see if you have sleep apnea, especially if a room mate reports that you ...
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| EKG results | 5/10/2008 |
Q: I recently went in and got my cholesterol checked and had an EKG done for a cardiac screening done ... A: RSR' stands for RSR prime. R is the first upward swing of the EKG at the time of ventricular firing, ...
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| Pulse irregular pulsating | 5/10/2008 |
Q: I have had this for about a year now and never paid too much attention to it but it is weird. When ... A: It's most likely paroxysmal supraventricular tachycardia, which is no problem unless it occurs much ...
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| my shortness of breath. bare metal stent | 5/9/2008 |
Q: my recent heart attack November 2007. a bare metal stent put in successfully. 3 days after i went ... A: The slight pains and the midsection soreness when you wake up are not heart related and are ...
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| Pregnancy and PVCs | 5/9/2008 |
Q: I'm a 31-year-old female who has been diagnosed by my cardio with PVCs and NSVT. I have had a ... A: PVC's and NSVT are harmless whether you're pregnant or not, so long as your echo and EKG were ...
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| Ectopic question for Dr. Richardson | 5/9/2008 |
Q: Dr. Richardson, I am a 21 year old male. Towards the end of last March I began having palpitations ... A: PVC's are normal cardiac activity; normal in the senses that about half of us have them, that they ...
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| EKG results | 5/9/2008 |
Q: I recently went in and got my cholesterol checked and had an EKG done for a cardiac screening done ... A: All is normal except RSV' in V1 and V2 doesn't make any sense. Could it be RSR' in V1 and V2? If ...
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| understanding my results | 5/8/2008 |
Q: i would like to understand my results a bit holter moniter (vent) ... A: (vent) means ventricular; beats of the lower chambers or the heart. (supr) means supraventricular; ...
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| Raised troponin | 5/8/2008 |
Q: Could you let me know what can cause a raised Troponin, other than cardiac muscle damage? I had ... A: Analytic interferences include fibrin clots, microparticles in sample, hetereophile and human ...
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| Metropolol side effects | 5/8/2008 |
Q: I recently started taking metropolol to help address ejection function issue. My doctor previously ... A: I'm glad the doctor cut the dose in half. What does 60-70% efficiency mean? A normal ejection ...
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| Metropolol side effects | 5/7/2008 |
Q: I recently started taking metropolol to help address ejection function issue. My doctor previously ... A: Kathy, I'm still confused. Did you originally go to the cardiologist because your heart rate was ...
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| Metropolol side effects | 5/7/2008 |
Q: I recently started taking metropolol to help address ejection function issue. My doctor previously ... A: Metoprolol makes some people excessively tired. What is the ejection fraction issue? If too high, ...
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| high blood count, cholesteral and tryglisorites | 5/6/2008 |
Q: My husband has been very moody and cranky and even has black outs and goes into rages. I told him ... A: Anxiety about health can certainly change mood drastically, and I think diabetes itself may cause a ...
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| After catheter ablation | 5/6/2008 |
Q: I was born with a slight heart murmur and have had heart rhythm irregularities for at least twenty ... A: Bruise lasting 3 weeks is o.k. It will heal up in another few weeks. Fleeting pains around heart ...
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| ventricular tachycardia | 5/6/2008 |
Q: I have been having significant episodes of heart palpitations for two months. My primary card ... A: Yes, you should see a cardiologist, preferably a cardiac electrophysiologist because they are the ...
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| In A-Fib again | 4/30/2008 |
Q: This is my first post. At age 26 I had my first PVC. I am now 64. During these past years I have ... A: With a normal echo, the only worry about PVC's is that the long pause after a PVC may let afib ...
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| metropolol | 4/30/2008 |
Q: I am currently being treated with metropolol for an ejection function issue. I am 51 years of age ... A: Duhrkoop. If your ejection fraction is too high, metoprolol is a good suggestion. If EF is too ...
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| SVT and circuit training | 4/29/2008 |
Q: I have had SVT for years. I went to a womens gym and they said weight training (machines with weight ... A: Weight lifting would bring on SVT only if it slows your heart by making you grunt. Otherwise ...
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| Skipped beats | 4/29/2008 |
Q: I am 46 years old, 5 years ago I had angioplasty with stents in 2 arteries. 6 months ago i had ... A: Your BP may be low because of damage to your heart. The skipped beats may be serious if your heart ...
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| Tachacardia | 4/29/2008 |
Q: W/F 43yr 120lb 5'7" Health/Fitness instructor with NO medical history!!! Just delivered my fourth ... A: Your high BP is of course pregnancy related and will go away. The tachycardia may disappear, I ...
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| Change from Lopressor to Coreg | 4/28/2008 |
Q: Sorry for the lack of brevity. I am a 60YOWM, two years out from a 10 day hospitalization for ... A: It's safe to switch from Coreg to metoprolol. Go back at once to the previous dose of metoprolol ...
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| Frequent extrasystoles | 4/28/2008 |
Q: Approx 10 years ago I started noticing heartbeat irregularities. These were on top of other recent ... A: Extrasystoles, ventricular or supraventricular, no matter how frequent, are not a threat to life or ...
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| NSVT | 4/28/2008 |
Q: This morning I was awakened by what I think was a run of NSVT (8 beats). I was laying on my stomach ... A: Kathy, if you don't notice episodes of NSVT, they don't matter. Frequently means often enough to ...
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| Question on Diastolic Dysfunction | 4/28/2008 |
Q: I'm a 41 yr old female, 5'3", 131 lbs. and have had high bp for the last 3 yrs. I was on ... A: Cardiac amyloid thickens the ventricles and causes systolic dysfunction as well as diastolic. ...
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| NSVT | 4/27/2008 |
Q: This morning I was awakened by what I think was a run of NSVT (8 beats). I was laying on my stomach ... A: NSVT seems very likely. Doesn't seem to me a big problem unless it recurs frequently or lasts a ...
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| Question on Diastolic Dysfunction | 4/27/2008 |
Q: I'm a 41 yr old female, 5'3", 131 lbs. and have had high bp for the last 3 yrs. I was on ... A: The Number 20 probably refers to LVEDP, which is normally 14 or less. LVEDP stands for left ...
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| A-fib | 4/27/2008 |
Q: I am a 30 year old male who was diagnosed with a-fib 1 month ago in ED. I was cardioverted and ... A: If you were drinking heavily in the days just before the afib started, then you're probably safe ...
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| Skipped heart beats and low pulse rate | 4/27/2008 |
Q: Since last week I have noticed that I keep missing a heartbeat and the next beat is stronger than ... A: You need not be stressed out. You're feeling skipped heart beats. The big thump is the beat after ...
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| skipped heart beats | 4/24/2008 |
Q: 5 foot 7inches normal blood pressure. Since i was about 17 ive noticed an irregular heartbeat ... A: Single skipped beats that feel like your heart stops and then restarts are normal and no threat to ...
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| slow hart rate and palpatations | 4/24/2008 |
Q: iam a 22 ear old woman and my hart has been skiping beats i also have a slow hart rate i have had a ... A: Skipped heart beats are normal cardiac events and no threat to life or health. They are especially ...
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| can coreg cause palpitations? | 4/23/2008 |
Q: I have cardiomyopathy latest ef was 38% but my ICD put in for nonsustained VT five years ago went ... A: Full feeling in throat and chest, and weight gain are not surprising. Palpitations are possible ...
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| Palpitations | 4/23/2008 |
Q: Can you tell me if you were to holter random poeple off the street how many PVC's and PAC's you ... A: About half of us have PVC's or PAC's. Any amount is normal, up to a PVC every other heart beat. ...
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| Pain And Tingling | 4/22/2008 |
Q: Sir, Iam 27 years. I have been suffering from the following symptoms for last 2 months. Pain and ... A: Kumar, Normal blood pressure is less than 120/80, tho less than 140/80 is acceptable. Pressure on ...
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| sharp pain | 4/22/2008 |
Q: again i have a question on hear pain or not. I have a sometimes a sharp pain above my left nipple ... A: It's not heart pain. Probably cramp of muscles between ribs. Not a threat to life or health. No ...
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| echo report | 4/20/2008 |
Q: I recently had a echo and the doctor that did the echo told me that i had vascular lesions what is ... A: Well, again I'm ignorant. An echo would show abnormalities of the aorta, the big artery that ...
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| heart | 4/20/2008 |
Q: Blood pressure79/57 heart rate 57. BP81/56 heart rate 127. Weight 89 lbs. shingles, failure to ... A: Pruett, If you're taking a beta blocker, that would explain low heart rate and blood pressure. ...
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| ectopic beats | 4/20/2008 |
Q: Dr. Richardson, I had a 24 hour holter monitor last week that showed 1300 ectopic beats in the 24 ... A: Ectopic beats are normal cardiac activity, no threat to life or health. Brief runs of SVT are o.k. ...
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| heart problems | 4/19/2008 |
Q: I am 45 years old, not taking medications, 220 lbs, 5'7", BP 135/85. I feel nervous, palpitations, ... A: The crawling inside your skin suggests not heart. Chest tightness, numb jaw and left arm discomfort ...
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| damage heart by inhaling too deeply? | 4/19/2008 |
Q: I'm a 30 y/o F who is worried that I have somehow damaged my heart after a few days of deep ... A: Probably not a PVC, but just your normal heart rubbing against your chest wall with an unusually ...
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| ECG RESULTS | 4/18/2008 |
Q: I recently went to the doctors because I was experiencing chest pain, he put me on the ecg machine ... A: Left atrial enlargement and high QRS voltage and anterior ST elevation all suggest high blood ...
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| hard thumps and rushing feeling up neck | 4/18/2008 |
Q: I have been having alot of weird heart beats here and there. The feeling is of a thump in my chest ... A: A premature heartbeat is an early beat, earlier than expected from the normal heart rate. No one ...
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| racing heart and premature heartbeats | 4/18/2008 |
Q: Dr. Richardson. I'm writing because my GP is unavailable for the next three weeks, and I have two ... A: The episodes of fast rate that snap back to normal are probably paroxsysmal supraventricular ...
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| hard thumps and rushing feeling up neck | 4/17/2008 |
Q: I have been having alot of weird heart beats here and there. The feeling is of a thump in my chest ... A: You don't need to be scared. You're feeling premature heart beats. The big thump is the beat after ...
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| heart question | 4/16/2008 |
Q: I am an ex crystal meth addict and i wanted to give you some symptoms about my heart so U can give ... A: You're not having a heart attack or palpitations. Because of your father's untimely death, please ...
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| PVCs after exercise | 4/16/2008 |
Q: I'll start with some backgound information. I’m a 27 year old female, thin, a frequent exerciser, ... A: You can safely be calm. PVC's are normal heart activity. They occur in about 1/4 of us, are easy ...
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| Skips and Flutters | 4/15/2008 |
Q: I suffer from skips beats. Some days I only get a few and other days I will get 10 a minute. I am ... A: PAC's and PVC's are normal cardiac activity and don't need to cause panic. They occur in about half ...
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| Arrythmia? | 4/14/2008 |
Q: I had been having some small problems with high blood pressure that my chiropractor caught. He sent ... A: No need to worry. It's either a faulty indicator or you're having skipped heart beats, which are ...
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| CENTER CHEST PAIN ONLY SOMETIMES LEFT ARM NUMB AND LEFT LEG | 4/14/2008 |
Q: HI SIRE NO EVIDENCE OF HEART DISEASE AT ALL, HAD ECHO, EKG, STRESS TEST, AND 24 HOUR HALTER ... A: A negative stress test gives you 95% freedom from heart attack or cardiac death for 7 years if the ...
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| Pleurisy and exercise? | 4/13/2008 |
Q: : A little over a year ago I was diagnosed with pleurisy after an x-ray in the emergency room, and ... A: Continue exercise just below the level that brings on pleurisy, I guess. Try big-dose aspirin, 3 ...
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| SVT | 4/13/2008 |
Q: I wrote to you about a week or so ago. I was the one who had the bad reaction to adenosine. Anyway, ... A: Pam, low white blood cell counts and low blood platelet counts have been described, but must be ...
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| left arm numbness =heart attack??? | 4/12/2008 |
Q: 32 male non smoker Hi sir, new problem over the last 3 days my left arm and parts of my left leg ... A: Left arm and leg numbness could be a ministroke. Not heart-related unless you have atrial ...
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| SVT | 4/12/2008 |
Q: I wrote to you about a week or so ago. I was the one who had the bad reaction to adenosine. Anyway, ... A: Flecainide is not dangerous at all for someone with a normal echo. Toprol and flecainide together ...
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| holter monitort, RR interval | 4/11/2008 |
Q: Richardson, This is Michael Cook again, the 22 yr old, male with the upper ... A: Come on, Michael. You are not in any danger of a life-threatening arrhythmia. The worst that could ...
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| palpitations | 4/11/2008 |
Q: OK I am 38 6ft. 170 lbs, I have PCOS (hormone imbalance). I exercise regularly and have a pretty ... A: Your palpitations may be PVC's or premature atrial contractions (PAC's). Remember that both are ...
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| taurine | 4/11/2008 |
Q: ive read that taurine and l-arginine have a very high success rate in wiping out pacs and pvcs. 1 ... A: Got to wikipedia, enter taurine in the search box, and you'll find out all about taurine. It ...
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| stress test results | 4/10/2008 |
Q: Last thur and fri I had the electrolite stress test done. Yesterday my dr's nurse called, they found ... A: Many positive isotope stress tests are falsely positive, don't mean anything is wrong. If chest ...
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| Sudden Sharp Heart Pain | 4/10/2008 |
Q: I have a bi- cuspid aortic valve instead of a tri-cuspid, i have already been warned that I will ... A: Chest pain that can be modified by pressing on the painful area is chest wall pain, probably cramp ...
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| PVC questions | 4/10/2008 |
Q: Doctor, I appreciate you taking the time to respond to all our questions. I am a 34yr male, ... A: PVC's, even 3 in a row, are no threat to life or health, but normal cardiac activity. They don't ...
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| Normal amount of PVC's? | 4/9/2008 |
Q: Can you tell me what a normal number of PVC's/PAC's would be per day. I don't know if one a minute ... A: PVC's and PAC's are normal cardiac activity. Any number, even every other beat, is normal. I would ...
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| Re: blood clot? | 4/9/2008 |
Q: Last Friday I was at the post office mailing a package. As I walked out of the post office I became ... A: Your event could have been a migraine equivalent if your previous headaches were migraine. I think ...
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| throbbing pulse in neck | 4/8/2008 |
Q: I am a 45 year old woman in very good health. I am 5'5" tall, weigh 140 lbs. and take no ... A: No, not dire at all, and embolism won't occur. Ccould it be turning your head away from a carotid ...
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| Multiple pvc's | 4/8/2008 |
Q: I have had PCs' for several years. Seven years ago they were really bad, every other beat for 18 ... A: Remember that PVC's, no matter how frequent, are normal cardiac activity, not a threat to life or ...
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| Etopic beats | 4/7/2008 |
Q: I have been experienceing etopic since 4 months, my question is are they dangerous and should I be ... A: Ectopic heart beats are not dangerous at all. They are normal cardiac activity, no threat to life ...
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| Cure of SVT | 4/7/2008 |
Q: Have had 2 episodes of SVT ( and admitted to the doctor)..Was consuming a lot of aerated drinks,into ... A: Valsalva: Lying down, take in a breath and blow hard but don't let breath come out of chest. Hold ...
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| arterial fibrillation | 4/6/2008 |
Q: Dr. Richardson, a good friend of mine was going to have a heart ablasion, but when she went into ... A: Connie, I'm glad they found out too. Atrial fib is dangerous only in that clots can form in the ...
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| racing heart, | 4/6/2008 |
Q: I hope you can help me with this I am a 34 year old female who for almost 4 weeks have been ... A: A stress echo wouldn't help since your resting echo is normal. More beta blocker should help heart ...
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| Cure of SVT | 4/6/2008 |
Q: Have had 2 episodes of SVT ( and admitted to the doctor)..Was consuming a lot of aerated drinks,into ... A: Treatments for blood pressure are the same with or without SVT, except that beta blockers may help ...
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| ekg's | 4/3/2008 |
Q: Dr. Richardson, I was just curious to if you have had any chance to review my ekg's ... A: Michael, I don't remember any EKG's, and I've reviewed my AllExperts emails back thru 3/1/08 without ...
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| LVEF measurements | 4/3/2008 |
Q: Dr. Richardson, Thank so much, kind Sir, for your answer to my previous question. I do have a ... A: It's infuriating how often MUGA and echo disagree about EF. I trust the echo more. PVC's are ...
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| Atrial Fibrillation relief | 4/2/2008 |
Q: I am a 31 year old white male who has been having episodes of atrium fibrillation (AF) since I was ... A: There are several actions you can take to reduce, perhaps stop, the episodes of AF. A beta blocker, ...
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| palpitations | 4/2/2008 |
Q: I have had palpitations for over a year, after tests it was found that I was had one 7-9 seconds ... A: Even if it was 9 seconds of AF, it doesn't matter a bit. Only if AF occurs frequently and lasts ...
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| fatty deposit on my face | 4/2/2008 |
Q: Richardson, I had what started out as a tiny white bump on my face and I think it is cholestrol and ... A: If it's in you upper eyelid it's cholesterol. Any other part of your face I don't know whether it's ...
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| Palpitations | 4/1/2008 |
Q: These irregular heatbeats are making me crazy! I have had numerous holters, echo, stress test and ... A: Connie, PVC's and PAC's, even couplets and triplets, are normal cardiac activity and not threat to ...
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| heart palpitation | 4/1/2008 |
Q: it felt like my heart was fluttering of skipping a beat on and off for a few hours, and my pulse was ... A: Skipped beats are normal cardiac activity, no threat to life or health, just a nuisance. They don't ...
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| chemical stress test | 4/1/2008 |
Q: I am a 41 year old female who has been suffering from benign PACs and PVCs for the last eight years. ... A: Adenosine is not supposed to increase heart rate, but to decrease it, so the increase in heart rate ...
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| reactive atheritis and pvc's/pac's | 3/31/2008 |
Q: I have always had the odd pvc's and sometimes psvt runs.I have had my heart checked many times, ... A: PAC's and PVC's are both normal cardiac activity, no threat to life or health, no matter how ...
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| HTN LVH Palpitations | 3/31/2008 |
Q: Dr Richardson - You probably don't remember me, but I wrote you via AllExperts about a year ago ... A: there's no slow PAT that I know of, and AF can be slow but of course is totally irregular. It's ...
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| coumadin | 3/30/2008 |
Q: can i take aspirin instead of 10mg ofcoumadin A: Depends what you're taking the Coumadin for. If you have atrial fibrillation, an artificial heart ...
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| sinus tachy | 3/30/2008 |
Q: hi sir i have sinus tachy, my bpms at rest 95-120 i was given a full cardio workup including a ... A: Sinus tachycardia is benign, no problem so long as you're not anemic, hyperthyroid, hypertensive or ...
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| LVH | 3/29/2008 |
Q: I am a 33 year-old female. I am obese and have been for 10 years. I smoked for 15 years, having been ... A: The walls of your left ventricle are a little thick (mild hypertrophy), and ejection fraction of 92% ...
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| Heart palpitations and PVC's | 3/29/2008 |
Q: I am a 40 year old male in good health and exercise 3-4 times per week. Over the past month I ... A: No need for concern. PVC's are normal cardiac activity, no threat at all to womeone with normal ...
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| EKG Innacuacy? | 3/28/2008 |
Q: I sent you a message earlier regarding my test noting that it read "right atrial enlargement" After ... A: Right atrial enlargement is often misdiagnosed on EKG. Since you are healthy, you can ignore the ...
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| Pain that subsides in about 10 seconds | 3/28/2008 |
Q: There have been many times in my 19 years where I can remember just sitting or walking or doing ... A: Heart pain is pressure in middle of front of chest, brought on by exercise and relieved in 5 minutes ...
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| Diagnosis Nothing | 3/27/2008 |
Q: Been to three family practitioners and a cardiologist and still no help for the discomfort in my ... A: It's not heart causing your pain. Probably cramp in muscles. Stretching cramped muscle sometimes ...
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| apparent increasing reaction to metoprolol | 3/27/2008 |
Q: I am 44, about 370 lbs, two hard stents, SCA survivor of an event 1.5 years ago (apparently no ... A: Metoprolol can cause edema of throat that would feel like sweling. Also bronchitis. These do not ...
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| Cholesterol test | 3/27/2008 |
Q: I am a 28 year old male in good shape and I have a question regarding to cholesterol tests that I ... A: I don't know. The big meal the night before probably raised the triglycerides, but shouldn't affect ...
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| SVT | 3/26/2008 |
Q: First of all, thanks for giving me the opportunity to ask a question. I have read a bit about SVT ... A: Mel, you can try a Valsalva, though it's not very likely to work when you're standing. Try brief ...
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| hernia surgery in crease area between thigh | 3/26/2008 |
Q: A friend of mine had hernia surgery in the crease area between her thigh. Since that time, she has ... A: YES, Connie, two severe infections, staph and c-diff, could leave her short of breath for a while. ...
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| hernia surgery in crease area between thigh | 3/26/2008 |
Q: A friend of mine had hernia surgery in the crease area between her thigh. Since that time, she has ... A: Seems impossible for surgery in the crease area between her thigh and body to damage nerves ...
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| A Fib vs. PVC | 3/25/2008 |
Q: I've got about 2 weeks left to see my cardiologist for the first time, but I'm still stressed over ... A: Yes, very obvious. A Fib is totally irregular rhythm. Vtach runs 150-200 beats a minute. Heart ...
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| my pulse | 3/25/2008 |
Q: Hi is it normal to see a pulse moving in your right wrist sometimes during the day??? and also when ... A: It's certainly normal to see your pulse moving in your wrist and to feel your pulse in your head. ...
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| Heart pounding all the time | 3/24/2008 |
Q: On January 21st 2008 I had a lignocaine spray in my throat which sent my heart rate up to 150. Since ... A: So sorry, but I don't know any more than your doctors. I'd guess that you had an initial physical ...
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| thiazide diuretic | 3/23/2008 |
Q: I just read that thiazide diuretics are toxic to the beta cells of the pancreas and can cause ... A: Thiazide diuretics raise blood sugar if they have lowered blood potassium. He should be sure his ...
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| new kind of pain | 3/22/2008 |
Q: hi i have had center chest pain off an on for weeks now, i have written before, i appreciate your ... A: It's most likely cramp of muscle between ribs. Big nuisance but no threat to life or health. ...
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| CT Scan Results | 3/22/2008 |
Q: Richardson, I have a bicuspid valve which lead to AVR replacement/ascending aortic aneurysm repair ... A: The average growth rate for aneurysms of the ascending aorta is from 0.07 to 0.2 cm/year. The ...
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| Heart rate/Blood Pressure | 3/22/2008 |
Q: At a doctors visit for lower back pain I was experiencing, my blood pressure reading was 145/85. I ... A: Gonzalez, You're not about to die. It's hard to see how fast heart beat and high blood pressure ...
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| psvt & chest pressure with exercise | 3/21/2008 |
Q: I am a 69 yr. old female, 5'5", 168 lbs. I have never smoked and do not drink alcohol. My blood ... A: Chest pressure with accompanying rapid pounding of heart and sweating brought on by exercise and ...
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| Chest spasms | 3/20/2008 |
Q: I am a 33 yr old female and have been having chest spasms for the last 3-4 months. They feel like ... A: The most common cause of lightning chest pains is cramps of the muscle between the ribs, a nuisance ...
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| Heart rythm | 3/20/2008 |
Q: About 5 months ago I started noticing forceful heart beats at times, but it happens randomly, ... A: Occasional forceful beats are probably premature beats, the forceful beat occurring in the beat ...
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| Ventricular Bigeminy in teen athlete | 3/20/2008 |
Q: My 14 yr old daughter was found to have VE. (via routine sports physical) She's had 2 EKG, a 24 ... A: Ventricular premature beats are normal cardiac activity, even every other beat. No one knows why ...
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| Extended runs of fast, irregular heartbeat | 3/19/2008 |
Q: I have been reading similar questions about PVCs, arrhythmias and others. My particular issue ... A: Sounds quite benign to me. As you know, skipped beats are normal cardiac events, no threat to life ...
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| Heart wall thickened. | 3/19/2008 |
Q: I e-mailed you a concern a few weeks ago in regards to my abnormal EKG. The doctor looked at the EKG ... A: BUTLER, Your friend had hypertrophic cardiomyopathy, which is readily seen on echo and is entirely ...
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| dizzyness,'stars in eyes',and the odd flutter or skipped beat. | 3/18/2008 |
Q: I had an ablation around 2 years ago and succssfully have had NO palpatations since before i had the ... A: Knight, Your heart may have been enlarged slightly if your atrial fib lasted for years, but it has ...
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| Diabetet | 3/18/2008 |
Q: i am a 52 years old male.my hight is 5 feet and 3 inches.my weight is 73kg.blood pressure remains in ... A: Blood sugar of 196 means you have diabetes. If the leg pains begin during exercise like walking and ...
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| chest pains | 3/18/2008 |
Q: ... hi sir i recently went to the er at the local hospital for chest pain . this was the 4th time i ... A: If you can modify the pain, make it better or worse, by pressing firmly on a painful spot with ...
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| heart | 3/17/2008 |
Q: im 17 years old. about 3 weeks ago.i was diagnosed with sinus infection, they prescribed me z-pack ... A: You won't die. Your symptoms probably come from anxiety. The chest pain is spasm of muscles ...
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| pulse points | 3/17/2008 |
Q: i have recently noticed something weird...on the palm of my right hand at the base near the wrist i ... A: Just not paying enough attention? Doesn't seem likely. No injury or operation to the right wrist ...
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| Chest pressure | 3/16/2008 |
Q: I am 62 and have been very physically fit for over 30 years. During that time I occasionally ... A: It's probably a premature beat, which makes an extra big thump, and is not at all serious. But ...
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| Racing heart | 3/16/2008 |
Q: It came and went for a few days and i didn't really worry about it much. Then one evening when i was ... A: Sounds like anxiety to me, too. Anxiety makes hearts run 120 to 145 beats a minute, occasionally a ...
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| another PSVT attack lastnight! Please help me! | 3/15/2008 |
Q: Richardson. I hope you remember me. I've posted about my PSVT and going to the ER on Feb.14 ... A: Yes, you'll be o.k during the attacks. PSVT never gets any worse than what you've had, doesn't lead ...
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| Abnormal EKG | 3/15/2008 |
Q: I am a 54 yrs. old female,height 5'6.10", weight 185 and blood pressure 138/80( which varies).The ... A: Left axis deviation and left anterior hemiblock are no problem at all. Left axis is perfectly ...
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| twitching near heart | 3/15/2008 |
Q: 31 male, quit smoking december 2007 no caffine anyway my question is latly i've noticed just above ... A: Probably no worry, but ask a doctor to observe the twitches, which are called fasciculation in ...
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| Chest pressure | 3/15/2008 |
Q: I'm 38 and have been in relatively good health most of my life. I've always exercised ... A: Well, Mark, show how good I am at guessing. I agree heart is very unlikely. Does pressing on the ...
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| left side chest pain, palpatations | 3/14/2008 |
Q: I'm a 22 yr old healthy male, 6 ft, 180lbs. This morning I woke up at around 3 am I was having a bad ... A: A fib is very unlikely in a 22-year-old. Frequent PAC's much more likely. Remember that PAC's are ...
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| Heart Rhythm Question | 3/12/2008 |
Q: Back in October I noticed a sensation in my chest, a difference in heart rhythm. It only happens ... A: Run to the doctor. Your symptoms are very alarming, especially the blank-outs. The fatigue must be ...
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| Ventricular Tach w/ premature beats | 3/12/2008 |
Q: I am 44 year old female, non-smoker, approx. 30 lbs overweight (5'10" weight 199). Cholesterol 181. ... A: Debnam, Well, PVC's are normal cardiac activity. Unless the runs of 15-20 in a row make you dizzy ...
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| liver and cholesterol | 3/11/2008 |
Q: What are the factors which causes or triggers the liver to produce cholesterol? Thank you. ... A: Chan, The liver can make cholesterol out of sugar, protein or fat. It makes more cholesterol when ...
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| SVT or NSVT | 3/10/2008 |
Q: over the last several months i have started to get PAC's very frequently. A couple thousand a day. ... A: SVT or NSVT have heart rate of 180-220 beats a minute, sinus tachycardia is less than 150 if you're ...
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| ectopic beats | 3/10/2008 |
Q: I'm 18 and was very fit and healthy until 6 months ago when i became fatigued round about the same ... A: Yes, recording your EKG with the heart monitor while playing sport is like a stress test. The ...
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| Follow-up to 47 yr woman w/chest pain | 3/9/2008 |
Q: Richardson, I had the CT w/contrast that showed I have an "unstable" 50% stenosis and 3 other ... A: Stenting is not considered until chest pain attributable to a clogged artery is too frequent to put ...
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| heart palpitations | 3/9/2008 |
Q: i am 31yrs old, female and i do smoke (i know i should give up) i have been on zoloft for anxiety ... A: If you have no murmur now, being born with one is unimportant. Large heart age 2 also probably o.k. ...
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| normal echo and skipped beats | 3/9/2008 |
Q: richardson, I wrote to you many times before, I'm a 22 yr old otherwise ... A: Skipped beats are normal cardiac activity and no threat to life or health. The forceful beat is the ...
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| heart palpitations | 3/8/2008 |
Q: i am 31yrs old, female and i do smoke (i know i should give up) i have been on zoloft for anxiety ... A: Skipped heart beats are normal cardiac activity, occurring in about half of us, easy to understand ...
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| 18-year old with dyspnea and chest pressure | 3/8/2008 |
Q: About 6 months ago I started to feel a mild pressure on the left side of my chest (under the heart), ... A: Risteski, It could be dilation of stomach or colon. Certainly not heart or lung with all those ...
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| Chest pressure | 3/8/2008 |
Q: I'm 38 and have been in relatively good health most of my life. I've always exercised ... A: It's EXTREMELY unlikely that steady chest pressure is of coronary origin. Coronary pressure is ...
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| mini maze heart ablation | 3/7/2008 |
Q: i had the mini maze ablation surgery seven weeks ago. before the surgery, I ran about 5-6 miles a ... A: Very Sorry, but I've known so few people who've had the mini maze, that I don't know what to expect. ...
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| chest pain, pulsating left side of chest. | 3/7/2008 |
Q: For one year I have been getting 2 symptoms. Firstly if I lie on my left side in bed I can feel a ... A: Yes, an echo would see a thoracic aneurysm. Pulsation against Left rib cage when your heart is ...
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| SVT | 3/7/2008 |
Q: I am a 35 yr old female, weighing 135 pds. I was diagnosed with SVT, had the holter,stress, ... A: Post, No need to worry about kidneys. SVT won't hurt them. The tightness in chest with exercise is ...
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| PVC's | 3/7/2008 |
Q: Hey There, I'm a 31year old male who has been having PVCs for 8 months or so. They pushed my ... A: James, it's normal cardiac activity to have PVC's, even every other beat, so long as your echo is ...
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| heart | 3/6/2008 |
Q: I am a 37 year old female weighing 125 lbs. with no medical history-no operations in the past, etc. ... A: I'm very sorry, but I don't know. So far as I know, spasm isn't more likely to occur during ...
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| scared....40 year old with intense heart palps | 3/6/2008 |
Q: richardson. I am a 40 yr old father of 4 who is scared. I've had anxiety and panic most of my ... A: PVC's, no matter how frequent or how jolting, are normal cardiac events, no threat to life or health ...
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| Ablation of the heart | 3/6/2008 |
Q: A dear friend of mine who is 67 has had problems with her heart beating fast many times over the ... A: Yes, quite safe. May take several tries if the rhythm is atrial fibrillation. If the rhythm is ...
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| auditory heartbeats | 3/5/2008 |
Q: I am 51 and 4 years ago I started hearing my heartbeat in my head. My average pulse is around ... A: Patulous Eustachian tubes cause people to hear every breath clearly, and probably every heart beat ...
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| Irregular ekg and anxiety disorder. | 3/5/2008 |
Q: I am a 36 year old male who has suffered with anxiety and panic disorder for 20 years. For the ... A: EKG's frequently misdiagnose possible past infarction. The cardiologist realized the computer's ...
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| PVCs | 3/5/2008 |
Q: I have had what feels like a skipped beat for a few years now and recently a cardioligst told me it ... A: A normal stress test gives you 95% probability of no heart attack or cardiac death for 7 years, if ...
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| Soreness in my left arm | 3/5/2008 |
Q: I was recently on Lipitor, 40mg, and I had a soreness in my left arm. I get these quick pains in the ... A: You need not be concerned about your heart for 10 years. The sorenes in left arm and quick chest ...
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| hello Mr. David, news to share | 3/4/2008 |
Q: This is Michael again, I'm the 22 yr old male from Louisiana, that was having the left side chest ... A: Michael, I've forgotten what the palpitations are. Skipped heart beats are normal cardiac activity, ...
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| Blood tests after tachycardia | 3/4/2008 |
Q: David Richardson -- I'm 44 with no known heart issues and normal blood pressure. Two weeks ago I ... A: Routine ER exams include a complete blood count and a basic metabolic panel that includes blood ...
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| chest pain & headaches that won't go away | 3/3/2008 |
Q: I'm 41, fit, eat well, exercise and outside of prostate problems have been healthy my whole life. ... A: Nothing is crazy about your symptoms. The chest and shoulder-blade discomfort are probably cramping ...
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| Heaviness on the left side | 3/3/2008 |
Q: I am 41 year old male, in an average body (wt. 180lbs). For few months, I started to feel heaviness, ... A: Not heart, with all those normal tests (assuming you got to 85% or your maximum predicted heart rate ...
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| Worried Son | 3/2/2008 |
Q: My mother is 38 years old. She has hypertension and a very high cholesterol level in the 500s'. My ... A: Her condition sounds like dilated cardiomyopathy (enlarged, weak heart), not hypertrophic, and her ...
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| Tachycardia and possible carcinoid | 3/2/2008 |
Q: I have been given a possible dx of carcinoid (not biopsy proven) 6 years ago. During that time I ... A: Carcinoid has such varied manifestations that it's impossible to decide if that episode was ...
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| Mild heart pain | 3/1/2008 |
Q: I'm 14, slim and quite fit, yet in the past two weeks I've been experiencing a MILD heart pain. It ... A: At age 14, hearts only cause pain if they have serious structural abnormality from birth. Such ...
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| halter monitor and beta blockers | 3/1/2008 |
Q: 31 male non smoker Hi, i just got finished wearing a 24 hour heart halter monitor, primarly due to ... A: I can't tell what the monitor showed without seeing the report, but my guess is that it said normal ...
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| shock collar use on humans | 2/29/2008 |
Q: I have a female friend who is in the BDSM Lifestyle and seeing a married man that has decided that ... A: Never heard of such a thing. The saline might be to improve conduction of electricity from collar ...
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| PSVT | 2/29/2008 |
Q: I am 24 years old (soon to be 25), female. I don't smoke or drink. I was 364 lbs but have started ... A: Ablation works on first attempt in 85 of patients. Weight of 329 may lower that some since you'd be ...
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| heart pain whilst lying down | 2/28/2008 |
Q: Iam 39years old and I am not taking any medication, Iam 5ft4ins tall and I weight 80kgs, my bp is ... A: No. You need not worry, and overweight does not cause your pain, which comes from cramping of ...
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| do I need a statin? | 2/28/2008 |
Q: I am a 53 year old female, no family history, I run, take fish oil, plant stenols, and a baby ... A: Statins are so safe and so effective in preventing heart attack and cardiac death that I hate to ...
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| Bridging | 2/28/2008 |
Q: for the past 3 years I have had heart problems and have changed my Cardio once. I was diagnosed with ... A: Bridging means heart muscle grew outside one of the coronary arteries before you were born, When the ...
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| low b/p and heart flutters | 2/27/2008 |
Q: I am 50 and a female. I smoke about 10 a day. I have been on bisophrolol/hctz and ... A: Bisoprolol/hctz can certainly lower your BP too much. Best remedy is to get rid of the HCTZ. If ...
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| HEART FAILURE | 2/26/2008 |
Q: GOOD EVENING, I WILL BE 53 YRS OF AGE ON MARCH 1ST. I HAVE BEEN DIAGNOSED WITH DIALATED ... A: Humph, my children are 51,54 and 57. No, absence of beta blocker will not shorten your life, but ...
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| High pulse, low pressure | 2/25/2008 |
Q: I've always had low blood pressure but in the last few years it's been, especially the last year ... A: Consider Obstructive Sleep Apnea, especially if you're overweight. OSA makes you tired and sleepy ...
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| Increased Heart Rate | 2/25/2008 |
Q: .. I'm 55 years old, 5' 9", 185 with blood pressure of 115/70. I have kidney disease, renal ... A: I have no good explanation except anemia. If pressing the tip of a fingernail firmly blanches your ...
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| PSVT..scared to death..PLEASE HELP! | 2/25/2008 |
Q: I am a female, age 53, I am 5'8" and weigh 175. I have been having PSVT attacks for the past 4 ... A: No one knows why PSVT pops up. Remember not to bend forward, since that seems to trigger PSVT. Tell ...
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| Murmurs? | 2/25/2008 |
Q: I am 35 years old, recently purchased a stethoscope for my practice (non-medical), decided to try it ... A: sorry to be so slow. My computer broke. Sure, worry a little. It may be a completely innocent ...
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| PSVT..scared to death..PLEASE HELP! | 2/24/2008 |
Q: I am a female, age 53, I am 5'8" and weigh 175. I have been having PSVT attacks for the past 4 ... A: BP in 90's is o.k., and in 80's is o.k too if you're not dizzy or fainty when you stand up. ...
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| 47 woman with chest pain | 2/24/2008 |
Q: Met w/cardiologist and had stress echo and CT calcium scoring scan. Echo was fine, but calcium ... A: CT angiography in an experienced hospital is as good as angiogram, and a lot easier on patient. Be ...
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| wild inr fluctuation | 2/24/2008 |
Q: I am 65, weigh 192, 5'8" bp 145/ 90. I am taking Altace 10mg, Tricor 145mg, crestor 20mg and aspirin ... A: Tricor and Crestor may increase INR in people on warfarin, but I presume the doses of all meds have ...
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| inr wild fluctuation | 2/23/2008 |
Q: I am a 65 yr old male.2 yrs ago I got mechanical mitral valve replacement and 1 bypass. Unill 2 mos ... A: A dose of wine constant for two years would not cause the wild fluctuations in INR that you have ...
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| Afib | 2/22/2008 |
Q: Dr Richardson: I am a 65 year old male. A minister. I have been in chronic afib for approx 8 ... A: Cline, With an EF of 70, your heart is in good shape. If your irregular rhythm doesn't bother you, ...
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| Excessive yawning and also heart racing | 2/22/2008 |
Q: I have struggled with years of intermintent fatigue and excessive yawning (air hunger) spells. I ... A: Fatigue and yawning sounds like nervous system, of which the vagus is an important part. Vagal ...
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| HEARTRATE | 2/22/2008 |
Q: I am 51 years old 5'10 155 I have been diagnosed with anxiety after my divorce. I have it under ... A: No heart rate is too fast for an anxiety attack. 240 not impossible. Always after awakening at night ...
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| Irregular EKG | 2/21/2008 |
Q: Black male 56 yrs. 258lb. 6'1" I have had an irregular EKG every year since 1984. Since then I have ... A: It's no heart problem. Discs in neck can cause a cold hand, but I don't think swelling of hands, ...
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| Tachycardia and abnormal heart rythm | 2/21/2008 |
Q: Richardson, I hope you can help me. I am 45 years old, female with normally low blood pressure and ... A: If you can make your heart beat irregularly every single day by exercising, ask for a Holter ...
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| 11 year old having an echo | 2/20/2008 |
Q: My son was sick 2 weeks ago, and he had a chest xray to diagnose pneumonia. A week later they ... A: I can't think of any way to clarify the situation except an echo. If you can get a copy of the echo ...
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| 12 year old with chest pains and racing heart | 2/20/2008 |
Q: I have a 12 year old son who is small for his age around 73 pounds 4ft 7in. His heart at time ... A: If his heart rate is less than 145 when it's racing, that's normal for a 12 year old. Normal fast ...
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| About Trivial MR | 2/19/2008 |
Q: I under went 2decho yesterday and in the report Trivial MR : No AR / TR is there what does it mean. ... A: You have no problem with your heart now. Smoking increases the chance that you will have clogging ...
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| About Trivial MR | 2/19/2008 |
Q: I under went 2decho yesterday and in the report Trivial MR : No AR / TR is there what does it mean. ... A: MR stands for Mitral Regurgitation, which means a leak in the mitral valve that separates left ...
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| PVC's | 2/18/2008 |
Q: I have had skipped beats for over 40 years...I'm 61, 6'3, 180lbs...a teacher and distance runner - ... A: Nothing new. Safest treatment is still to ignore them. Flecainide decreases PVC's in many people ...
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| Echo Results | 2/18/2008 |
Q: An echo was performed on my heart several months ago, and while we reviewed the results I don't ... A: LVIDD is left ventricular internal diameter in diastole (when the heart is relaxed between beats). ...
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| What is this sensation that I'm feeling? | 2/18/2008 |
Q: I'm a 29 y/o woman who has PVCs. I have now been feeling a new sensation, which I'm not sure if ... A: It's not possible to have thrills without murmurs, and I can't think of murmurs that appear and ...
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| Exercise induced PVCs | 2/17/2008 |
Q: I am a 28 F who gets PVCs all day long, including during exercise. During exercise (treadmill ... A: PVC's are normal cardiac activity, rest or exercise, dangerous only for people with abnormal heart ...
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| blood oxygen | 2/17/2008 |
Q: I recently had rotator cuff sugery. My oxygen level was 89 so they put me on oxygen. My level ... A: Yes. Unexplained O2 sat of 89 needs attention. I'll be grateful if you let me know what turns out ...
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| PVCs and food link | 2/16/2008 |
Q: I'm a 30 F who has been diagnosed with PVCs. I have noticed a pattern with my PVCs: if I keep well ... A: No, I haven't heard of such a connection, but it makes sense. Hunger and dehydration stimulate ...
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| arteries | 2/16/2008 |
Q: what is angioprim? is there medical proof of it affects?and what do you think of stuff like that? A: Emanuel, angioprim is not available in the USA and I don't know whether it's safe or effective. I ...
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| heart rhythym | 2/16/2008 |
Q: i have noticed that when my heart rate is slow when im relaxed i have very noticable sinus ... A: Sinus arrhythmia is good, definite evidence of a normal heart responding to nerve messages generated ...
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| psvt's | 2/16/2008 |
Q: Ive just been diagnosed with psvt. Im am very fritened by what this is. My grandma has it . Her ... A: Hyperthyroidism does make PSVT more frequent. The carbamazole will probably get your thyroid ...
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| Abnormal EKG | 2/15/2008 |
Q: I had an EKG this morning with my physical. I was told that by the looks of it my heart seemed ... A: EKG's can't show heart enlargement. Another EKG would be harmless and will probably be normal, so ...
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| svt | 2/14/2008 |
Q: I have been diagnosed with svt..I am 27 year old female, 120 lb, height 5.4. I read on one of your ... A: People with Wolff-Parkinson-White who develop atrial fibrillation can die because their ventricular ...
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| pvc's | 2/14/2008 |
Q: I am a 46 year old female who is 5'3" and 130 pounds. My blood pressure is about 105/70. I have ... A: As the cardiologists explained, PVC's are normal cardiac events, even every other heart beat, with ...
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| Ventricular premature complexes | 2/14/2008 |
Q: I have been having problems with breathing and chest pain. I has asthma which is exercise induced ... A: Asthma constricts bronchioles of course, and that decrease oxygen and increase CO2 in the alveoli, ...
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| PSVT, medication and ablation | 2/14/2008 |
Q: I am 48, currently on toprol xl 50mg 5'9" 240# 120/74. I have been taking this med for PSVT for a ... A: Digoxin is not much help for most people with PSVT. You could try it, but you'd have to take it for ...
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| High Resting Heart Rate | 2/13/2008 |
Q: I am a 27 year old female college student. I am 5'7 and weigh 129 lbs. I am a sporadic exerciser ... A: Yes,it's highly likely that the fast resting heart rates are entirely the result of anxiety, tension ...
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| heart condition / lyme disease | 2/13/2008 |
Q: My father today was told he needs to have lung surgery. The CT scan shows a mass and 2 collapsed ... A: Ask for the report of an echocardiogram or cardiac catheterization to see if his heart is weakened. ...
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| stress echo | 2/10/2008 |
Q: Can you describe exactly what happens during a stress echo? I am a male in my mid-20's who has ... A: PVCis usually decrease during exercise. An echo lab is one of the safest places in the world. PVC's ...
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| PVCs only when sitting or standing | 2/10/2008 |
Q: Greetings from Australia. Sorry to ask you a PVC question but this question is a little different. I ... A: Ian, sitting and leaning forward might bring a distended stomach in contact with the ventricles ...
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| Valvular aortic stenosis | 2/10/2008 |
Q: My husband has mild valvular aortic stenosis (he was born with that). I'm seven weeks pregnant and ... A: Some forms of valvular aortic stenosis run weakly in families, particularly bicuspid aortic valves ...
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| dilated cardio-myopathy | 2/9/2008 |
Q: I AM A MALE, 60YEARS OLD. I WAS DIAGNOSED WITH IDIOPATHIC DILATED CARDIO MYOPAHTY ABOUT THREE YEARS ... A: Braunwald's textbook of cardiology, published in 2008 and the most respected textbook of cardiology, ...
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| Looking for a Cardiac Syndrome X Specialist | 2/9/2008 |
Q: Dr. Richardson, I've been trying to do some research on Cardiac Syndrome X because my mother has ... A: X is hard to treat,but has pretty good prognosis, doesn't lead to early death. Has she tried ...
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| psvt's | 2/8/2008 |
Q: Ive just been diagnosed with psvt. Im am very fritened by what this is. My grandma has it . Her ... A: PSVT is a VERY rare cause of death, and your brother raises the question of Wolff-Parkinson-White ...
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| is my cardiologist being too aggressive? | 2/8/2008 |
Q: I'm a woman in my late 20's. I saw a cardiologist because I felt skipped heart beats, he diagnosed ... A: It's pretty common, but I don't know why it happens. Anxiety or anger can increase PVC's. So can ...
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| PVC's | 2/7/2008 |
Q: I am a 60-year-old female and had PVC's in October for about 2 weeks. I wore a holter monitor for ... A: PVC's are normal cardiac events, dangerous only to people whose hearts have been severely damaged by ...
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| sharp heart pain | 2/7/2008 |
Q: Iam experiencing sharp pain to my left of my chest and just below and rightside of left breast. I ... A: The most common cause of sharp chest pain is cramp of muscles between ribs, a nuisance but no threat ...
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| PVCs only when sitting or standing | 2/6/2008 |
Q: Greetings from Australia. Sorry to ask you a PVC question but this question is a little different. I ... A: No, I really can't explain PVC's getting more frequent standing and sitting than lying. A guess is ...
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| Rapid heart rate during exercise and occassional flutter in heart rythem | 2/6/2008 |
Q: im a 30 year old male, 173 cms, 140 pound. I have no history of any serious illness, no medication ... A: Skipped beats are normal and no threat to life or health. Your heart rate during exercise doesn't ...
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| my heart | 2/6/2008 |
Q: so about a week now my heart wil beat normal then all of a sudden it starts to beat so hard then ... A: Count your pulse in wrist or neck or count your heart rate when it's beating Hard. If it's over ...
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| Reg. Dilated Cardiomyopathy | 2/6/2008 |
Q: My father (age 48)is suffering from Dilated Cardiomyopathy. Dr. has suggested for stem cell ... A: Stem cell transplants have been successful, tho not very many have been done. No way to be sure ...
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| High Pulse Pressure | 2/5/2008 |
Q: I am a 48 year old male, 6 ft 170 pounds, For the past few years I have noticed that my pulse ... A: No, no reason for concern. Pulse pressure gets wider as we grow older because of stiffening of ...
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| arrhythmia | 2/5/2008 |
Q: In the past 2 months i have had episodes of very fast heart rate. most of them have occurred ... A: J. Ventricular tachycardia stops abruptly, in one heart beat. The gradual subsidence of your fast ...
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| MVP | 2/5/2008 |
Q: I wake up in the wee hours due to palpitation,shortness of breath,rapid heart beat and somtimes pain ... A: Normal TMT and echo (mild MVP won't cause trouble) mean your heart's structure and function are ...
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| Myocardial infarction? | 2/4/2008 |
Q: I am a female in my late 50's. I recently had classic heart attack symptoms (5 hours of severe, ... A: Maybe sarcoid. A myocardial sarcoid infiltrate could make the EKG look like inferior myocardial ...
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| Chest Pain and Treatment of Gums | 2/3/2008 |
Q: I am 38 years old. I have been getting left side chest pain off and on for about a year. I had ... A: Ward, At age 38, chest pain is very unlikely be from the heart. It's usually cramping of muscles ...
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| From isolated PVCs to PVC runs? | 2/3/2008 |
Q: Richardson, thank you for taking my question. I’m 36, female, PVC and sinus tachy sufferer for ... A: Triplets, even quadruplets, that is 3 or 4 PVC's in a row are all o.k., don't mean your heart's ...
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| Pain in Left Side of Chest | 2/3/2008 |
Q: My is Ross and I am 23 years old and my height is 5'7 and I weigh about 145 pounds. Around three ... A: Your chest pain cannot be serious, and is probably cramping of muscle around ribs. You can test by ...
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| PVC's and flecainide | 2/2/2008 |
Q: I've had PVC's for 30 years. I'm 43, eating healthfully, exercise often, lift weights, do not smoke. ... A: As I'm sure you know, PVC's are normal heart activity, no threat to life or health except in those ...
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| discomfort in the left side of chest | 2/1/2008 |
Q: At times, i feel a light discomfort(i dont feel much pain; its a very mild pain) in the left side of ... A: No heart attacks occur at age 24. The pain is probably cramping of muscle between ribs and under ...
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| VT | 2/1/2008 |
Q: I wore an event monitor for 30 days and had VT from what they told me. I am set up for an EP study ... A: The most common cause of need for an ICD is poor pumping by the heart because it has been damaged, ...
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| Post cryoablation | 1/31/2008 |
Q: I am a 69 y.o. white woman, 5'6", 150 lbs. Medications: Enalapril, hydrochlorothiazide, Metformin, ... A: It's the result of prolonged atrial fib. Probably no implications for the future, and will get ...
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| Mittral Regurgitation | 1/31/2008 |
Q: I'm 22 years old and have been recently diagnosed with Mittral Regurgitation (hope i wrote it ... A: Yes, you'll probably need to take the medicines for the rest of your life to keep your blood ...
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| mini-maze | 1/30/2008 |
Q: How common is it to puncture a hole in the heart during a mini-maze surgery and why would the heart ... A: Fairly common, I think, maybe 10. Heart tissue doesn't heal perforations, Probably because the ...
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| skipped & fast heart rate | 1/30/2008 |
Q: I'm 26 years old and since June of last year i've experienced skipped beats, and a faster heart ... A: Nick, anxiety pills like Xanax may help. Medicine called beta blockers will slow your heart rate. ...
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| palpataions and high heart rate | 1/30/2008 |
Q: Good Evening, In 7/2007 I experienced an attack of palpatations and fast heart rate. I was sitting ... A: It sounds like anxiety to me, or rage, and all bases have ben covered; you have a normal heart. ...
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| vagal discharge..what is it? | 1/29/2008 |
Q: I was reading through some of your posts and you mentioned "vagal discharge" could cause skipped ... A: The vagus nerves (there's one on eack side of the body) begin in the brain stem, run down the neck, ...
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| slight chest pain | 1/29/2008 |
Q: I am a 23 y/o female, abour 157 pounds. I've just started an exercise program where I am doing ... A: At age 23, pain in the center of the front of your chest when you're resting is almost certainly ...
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| Chest Pain in female | 1/29/2008 |
Q: I am a 47 yo woman in perimenopause with high cholesterol and a family history of heart disease and ... A: Your EKG is inaccurate and unimportant. If the stress test was monitored by radioisotopes or ...
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| Mothers outlook | 1/29/2008 |
Q: I come from Australia and I am a 61 yo Viet Nam vet with PTSD under managaement and otherwise not ... A: Nowra, Yes, her atrial fibrillation will continue as long as she lives. Neither warfarin nor ...
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| PAIN IN MY CHEST | 1/28/2008 |
Q: I'm a 23 year old female with a family history of heart disease. Recently I've been experiencing ... A: You're too young to have a heart attack. Skipped beats are normal heart activity, no threat to life ...
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| tachacardia | 1/28/2008 |
Q: I am a 65 year old female,six weeks post-op from gastric by surgery.Since the surgery my resting ... A: Congratulations on the weight loss! Skipped heart beats are normal cardiac activity, not a threat ...
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| PVC and night sweats | 1/28/2008 |
Q: About six years ago I started having PVC's. I've controlled them somewhat by getting off coffee. I ... A: No, PVC's are normal cardiac occurrences and no threat to life or health unless your heart has been ...
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| non-specific EKG changes | 1/27/2008 |
Q: I am a 30-year-old woman who has been diagnosed with PVCs, and I had all the usual tests except ... A: Depending on the location of the displacement, there can be no symptoms, or chest pain on exertion ...
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| heart problems | 1/27/2008 |
Q: My questions are many. i have a history of arrythmia, (preventricular beats that last for days, ... A: Premature heart beats are normal heart events, dangerous only if the pumping function of the heart ...
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| non-specific EKG changes | 1/27/2008 |
Q: I am a 30-year-old woman who has been diagnosed with PVCs, and I had all the usual tests except ... A: Non'specific ST-T changes usually mean nothing. I think the indication for a stress test is pain ...
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| thanks and doctor answers | 1/26/2008 |
Q: finally was told that i suffer from pacs and to quit smoking and caffeine as this supose to make ... A: Emanuel, PAC's are normal. They don't lead to heart rates of 350 or fast heart rates at all. Or to ...
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| Skipped beat and jaw jolt. | 1/26/2008 |
Q: I had a strange thing happen tonight. In bed trying to relax, when i got like a jolt of pain in my ... A: Nope, no thoughts about the connection betwwen a jolt of pain in your left lower jaw and a skipped ...
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| stress test/cardiac cath/64slice CT scan | 1/25/2008 |
Q: My grandmother is an active 92 year old. 5'1" 115 lbs. She recently starting complaining of ... A: I think she should not go through with stress or cath. The main indication for stress tests and ...
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| senile calcific aortic stenosis, atrial fibrillation | 1/24/2008 |
Q: Richardson, thank you so much for taking the time to respond to this email. My 82 y.o. mother( 5', ... A: For people over age 55, prostheses are made of animal tissue treated to make the tissue not be ...
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| Enlarged Aorta | 1/24/2008 |
Q: I found out that I had an enlarged aorta approximately 5 years ago when I complained to my doctor of ... A: Anything that raise blood pressure can cause an aneurysm to rupture. Of course the biggest ...
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| Coreg and CHF | 1/23/2008 |
Q: This question is one I have in regards to my 70 year old mother who has approx. 35% heart function ... A: Your diagnosis is unlikely but possible. Is she taking any diuretics? Furosemide (Lasix) and ...
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| Heart/Medication/Stress & Anxiety | 1/23/2008 |
Q: This past sat nite I suddenly felt nauseous and like regurgatation so i ate a few saltines...tummy ... A: Requip has nausea and abdominal discomfort and edema listed as side effects, but not asthma. You ...
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| stress test, echocardiogram, ekg , heart rate | 1/23/2008 |
Q: Your answers mean alot to us, I trust what you say, well here goes, I am 31 male I quit smoking in ... A: A nuclear stress test tells how well your heart is pumping blood to the body and whether any area of ...
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| Heart Arrythmia, and pressure left side of rib cage | 1/22/2008 |
Q: . Maybe you can shed some light on this funky problem that I woke up with 2 weeks ago tomorrow. I ... A: Extra beats are normal heart activity and no threat to life or health. Only rhythms that are ...
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| forgot to put in ekg results | 1/22/2008 |
Q: Im sorry I forgot to add in my results here they are with my post i sent:"Hi, I am 45 yrs. old 5'1 ... A: We say bundle branch block only if the QRS duration is more than 100 ms. You probably have a tiny ...
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| senile calcific aortic stenosis, atrial fibrillation | 1/21/2008 |
Q: Richardson, thank you so much for taking the time to respond to this email. My 82 y.o. mother( 5', ... A: Fieman, Vitamins, amino acids and magnesium would not slow progression of her aortic stenosis. ...
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| irregular heartbeats | 1/21/2008 |
Q: Richardson, I am 27f and have been having an irritating problem of missed or irregular beats for ... A: Pavi, I think you should go to a doctor. Maybe it's atrial fibrillation, which should e treated. ...
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| irregular heartbeats | 1/21/2008 |
Q: Richardson, I am 27f and have been having an irritating problem of missed or irregular beats for ... A: Skipped heart beats are normal cardiac activity. About half of us have them, they're easy to ...
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| Palpitations/Heart flutters/Afib | 1/20/2008 |
Q: In 4/07, I went into Afib after getting off the recumbent bike (had exercised for 40 minutes at ... A: Both atrial premature beats and atrial fib are more likely to occur with vagal discharge, which ...
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| nuclear stress test - necessary? | 1/20/2008 |
Q: I have had atrial fib for about 3-4 years. In the hospital 2x with it converting back to sinus ... A: I don't see any demand for another nuclear test. You get exposed to radiation, and you've had 3 ...
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| question related to the heart function and drug use.. | 1/19/2008 |
Q: My brother was a very rare cocaine user, and recently picked it back up. Something he has told me ... A: Propranolol will not make his heart stop, not at 40 mg. 880 mg of aspirin is very unlikely to have ...
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| skipped beats w/ pain | 1/19/2008 |
Q: Im pregnant but have experienced skipped beats even when I was a young teen and had stuff done, ... A: Nothing serious, I'm sure. I wonder if the uterus pushing up abdominal contents and diaphragm ...
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| Issue concerning Heart | 1/19/2008 |
Q: I recently was reading a report I received which indicated that the cardiac silhouette is mildly ... A: As we get older, the aorta uncoils, that is the curve that the aorta makes as it goes toward the ...
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| heart murmur and abnormal EKG | 1/19/2008 |
Q: I am a 39yr. old female who doesn't smoke, drink alcohol or caffeine. I am 5'3" and weigh 120 lbs. ... A: Skipped heart beats are normal cardiac events, not serious at all. I can't say any more without ...
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| Heart skips every few seconds...worried | 1/18/2008 |
Q: I know you have answered "skipped beats" questions 100's of times. But please help me to understand. ... A: Skipped beats from upper or lower chambers are dangerous only to people whose heart has been ...
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| weird night | 1/18/2008 |
Q: last night i had 3 to four skipped beats per minute for a while. i noticed that my pulse right after ... A: Yes, speeding up a bit after each skipped beat and staying as high as 115 for a few hours are both ...
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| deep breathing causing PVCs? | 1/18/2008 |
Q: I am a 30-year-old female diagnosed with PVCs by my cardio. I had all the cardiac tests. Lately ... A: PVC's are most likely to occur at the very end of a deep breath as you start to breathe out, so I ...
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| Palpitations | 1/17/2008 |
Q: I have a couple of questions for you. - Normal heart with maybe 10 - 20 skips per day. Okay to ... A: Skipped beats are normal cardiac activity, no matter how many, and are no threat to life or health. ...
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| Atrial ectopics | 1/17/2008 |
Q: Help, I have been having a lot of "flutters" in chest recently, some days I have several in a day. ... A: Atrial ectopics are normal cardiac activity. About half of us have them, they are easy to understand ...
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| skipped beats again | 1/17/2008 |
Q: ive had skipped beats that ive noticed for last three months and have not been able to sleep well ... A: PAC's are normal cardiac activity. About half of us have them, they are easy to understand as ...
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| heart palpatation or chest muscle twitch? | 1/16/2008 |
Q: Age: 46 Medicines:81 aspirin daily, stopped taking lipator I'm three weeks ago. Height: 5 8 1/2 ... A: Marble, PFO wih left to right shnt puts extra blood in the right atrium. I can't figure out how ...
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| serious heart flutter and palpitation | 1/16/2008 |
Q: I am a 36yo fit and healthy female. I have experienced heart skipping beats for about 8 weeks ago. ... A: Rapid, irregular heart rhythm might be atrial fibrillation. Regular rhythm at a rate of 180-220 ...
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| heart(?) tightness | 1/16/2008 |
Q: tightening pain I feel sometimes in the area of my heart. The pain happens maybe about 6 times a ... A: Foley, The heart doesn't cause pain or squeezing in people age 21 unless they have congenital heart ...
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| left side chest pain,palpitations | 1/15/2008 |
Q: last night i had a real bad episode of pain, throughout the day i get frequent skipped heartbeat ... A: Yes, gas pains can radiate to your arm. The stomach and the bottom of the heart are right next to ...
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| heart palpatation or chest muscle twitch? | 1/15/2008 |
Q: Age: 46 Medicines:81 aspirin daily, stopped taking lipator I'm three weeks ago. Height: 5 8 1/2 ... A: 2) Heart Palpitations are normal cardiac events. PFO's don't produce them or prevent them. 1) ...
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| Anxiety or Heart Problem? | 1/14/2008 |
Q: My Name is Roberto I am 31 years old I am 380 Lbs I have suffered with anxiety problems for over 10 ... A: Skipped heart beats are normal cardiac activity. About half of us have them; they are easy to ...
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| Heart Spasms | 1/14/2008 |
Q: I experienced a spasm today and hadn't had one for over a year. I have been under stress the last ... A: Spasm, cramping of muscles between the ribs is normal, under stess or not, without any other ...
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| Sharp Heart Pain When Breathing Continued | 1/14/2008 |
Q: Richardson Hello my name is Alex and I am 5 10 170 pounds and I am currently taking albuterol ... A: I can't think of a name other than muscle cramp, tho if you have pains in other areas of your body ...
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| heart palpatation or chest muscle twitch? | 1/13/2008 |
Q: Age: 46 Medicines:81 aspirin daily, stopped taking lipator I'm three weeks ago. Height: 5 8 1/2 ... A: Marble, Heart palpitations are skipped heartbeats, a pause between heart beats that's almost twice ...
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| Skip Heart Beat | 1/13/2008 |
Q: I am a healthy 36 years Asian male. Recently I started to experience skip heart beats. I have read ... A: Skipped heart beats are normal, in the senses that" 1. about half of us have them. 2. They are easy ...
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| Long QT; WPW & Brugada | 1/12/2008 |
Q: 1. Could you explain how the cardiologist diagnoses a patient with either of Long QT or wpw or ... A: 1. From the electrocardiogram 2. Measurement of the QT interval allows recognition of Long QT. ...
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| heartrate too high | 1/11/2008 |
Q: I am 5'4" 130 lbs. Been cycling a lot & lifting weights. My resting heart rate is 60. When ... A: No, so long as the rise is gradual and doesn't occur in one heart beat. Keeping on with regular ...
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| heart palpitations with abdominal discomfort | 1/11/2008 |
Q: I am a 34 year old obese male 285 lbs. & 5'-11" tall. BP usually runs 130-140/75-85. I am on ... A: Skipped heart beats are normal cardiac events that don't threaten life or health now or in the ...
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| Left atrium | 1/9/2008 |
Q: I'm 19 with high blood pressure due to Anxiety and possibly something to do with intercranial ... A: Laura, the combination of high BP and left atrial enlargement puts you at slightly greater risk of ...
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| stress test and PVCs | 1/9/2008 |
Q: I was diagnosed with PVCs. I'm a female in my late 20's. I had a normal echo, as well as normal ... A: The purpose of a stress test for you is to be sure you don't have a long QT, which sometimes only ...
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| Brugada Syndrome | 1/8/2008 |
Q: In May 2007 my 26 year old daughter went into full cardiac arrest. She was fortunate and survived ... A: He's probably correct, but for your peace of mind, take him the article you found on flecainide and ...
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| Cardeovascular Surgeon | 1/8/2008 |
Q: We are doing a progect in my class and we have to interview someone that is an expert on the job ... A: 1. Any U.S. medical school will teach you enough to become a cardiovascular surgeon. You don't ...
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| 24H EKG monitor | 1/7/2008 |
Q: I am a 28 yr old male very fit my entire life, soccer, weightlifter. Lately I started to get heart ... A: Kieloch, 1.Your average, minimum and maximum heart rates are normal. 2.Ventricular ectopics are ...
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| surgery | 1/7/2008 |
Q: I was informed about a friend who needs to be done a surgery, to replace or transplant all his ... A: I don't think they will replace just the arteries, probably using lab created Dacron tubes. This ...
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| PVC | 1/6/2008 |
Q: 39 years old, non smoker. I was diagnosed with PVC's 2 years ago. I have been on Toprol 25 mgs for ... A: Don't worry! I know it's hard not to worry, but PVC's are normal cardiac events. The ...
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| 24yr old female intense sharp left side chest pain | 1/6/2008 |
Q: my name is Lindsey. I am a healthy 24 yr old female. My blood pressure is 108/62. For the past few ... A: Sharp,severe pain behind left breast, occurring in any body position but especially lying on right ...
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| Lifestyle changes for PVCs | 1/6/2008 |
Q: I'm a 29-year-old woman who was diagnosed with PVCs. I had a normal echo, several normal EKGs, and ... A: PVC's are normal cardiac events that do not lead in the future to heart disease or sudden death. ...
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| heart av blockage | 1/5/2008 |
Q: My husband found out today he has heart av blockage. It was found via of EKG. His heart Dr. told ... A: The heart doctor was probabaly talking about first degree heart block, which needs no treatment. ...
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| What's it called when the ventricles open too soon? | 1/5/2008 |
Q: I had a 24 hour holter moniter as well as an echocardiogram with stress test and the nurse called me ... A: Probably she meant that in some heart beats the PR interval was short. The PR interval shows the ...
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| leaking replacement heart valve | 1/4/2008 |
Q: I had aortic & mitral valves replaced 01/07 with tissue valves & now they are leaking. Why & what ... A: If the leaks are big ones, I fear you will need to have the valves replaced again. Little leaks ...
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| Sharp pains in left chest, arms, twitching fingers,and back pain | 1/3/2008 |
Q: My question is very similar to a previous question you have had. I am a 30yr. old male who has been ... A: Most sharp chest pain is cramp of muscles between ribs or in other places, like pectoral muscles and ...
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| Skipped heart beats | 1/3/2008 |
Q: I am a 32 year old male I was diagnosed with GAD about 3 years ago I have been having skipped heart ... A: Absolutely normal. Skipped heart beats are normal cardiac activity and no threat to life or health, ...
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| heart beat | 1/3/2008 |
Q: i am 4oyrs old.i have a few ? i have been under a lot of stress do to worrying about my heat since i ... A: Slow heart rates like 50 to 55 are very good, mean the heart is healthy. I agree with your doctor ...
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| pericarditis | 1/2/2008 |
Q: i was in emergency room a week ago,chest pains woke meup,told it was pericarditis,i have to go back ... A: Sure, go to work if you feel o.k. The only complications of acute pericarditis are fluid ...
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| SVT diagnosis | 1/2/2008 |
Q: I am 39, 116 lb and 5'2" and was recently diagnosed with SVT after 24 hour Holter monitor. I have ... A: SVT is regular tachycardia usually between 180 and 220 beats a minute. SVT starts abruptly, in one ...
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| stomach | 1/2/2008 |
Q: the object moves up and down to the rythum of the pulse , is this normal , has it always been there ... A: It's probably normal and you just never noticed it before. If you're over 45, get some doctor to ...
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| ekg printout reads right atrial enlargement | 1/1/2008 |
Q: today i went and got some of my medical records from recent visits. i got 4 different ekg reports. ... A: Jeepers, Michael, you're the only one who can tell if you have arrhythmias. Does your heart beat ...
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| bpm | 1/1/2008 |
Q: I am 31 male , blood pressure is 120/75 very good cholesterol, and i do exercise 3-5 days a week. ... A: Probably the radial artery. Been there all your life and will never go away. Supplies blood to ...
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| ekg printout reads right atrial enlargement | 12/31/2007 |
Q: today i went and got some of my medical records from recent visits. i got 4 different ekg reports. ... A: The ECG is completely INaccurate at right atrial enlargement. You need not be anxious at all. It's ...
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| Heart flutters/skipped beats | 12/31/2007 |
Q: my name is Chuck. Im a 32yo male, 6' and weigh about 220lbs, I'm not taking any meds for anything. ... A: Skipped heart beats are normal cardiac activity. It's unlikely that stomach trouble or gas makes ...
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| Heart rate and Blood Pressure | 12/30/2007 |
Q: I lost about 30lbs. and have kept it off for the last 2 years. My question is... with all normal ... A: Not at all dangerous. Rapid resting heart rates do not predict clogging of the coronary arteries ...
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| Skipped Heart Beats | 12/30/2007 |
Q: I am 34 years old and have had skipped heart beats for about three years now. I went to the Doctor ... A: Skipped heart beats are normal cardiac activity and no threat to life or health, tho they can be a ...
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| pains in neck | 12/30/2007 |
Q: I'll try to be brief and you can let me know if you need more info... Car accident two and half ... A: Your neck pain and face tingling and upper body discomfort don't sound at all vascular. The ...
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| PVCs--bad some days, good others | 12/29/2007 |
Q: I am a 30-year-old woman diagnosed with PVCs a year ago. Some days I only feel a few, and other ... A: The frequency of PVC's is affected by heart rate and by the sympathetic and parasympatheetic nerve ...
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| musckoseletal pain | 12/28/2007 |
Q: here is my question , I am 31 male,smoke 1/2 pack a day, do not drink alchol at all, i have good ... A: Matt, your pain is cramping of muscles in chest and arm. It's tenderness proves that the pain does ...
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| PACs, PVCs and AFIB | 12/28/2007 |
Q: Would you comment on the results of a 24 hr Holter monitor. I am concerned because of my controlled ... A: No concern at all! PVC's and PAC's are normal cardiac events and are no threat to life or health. ...
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| Weird heart beat, with chest pain and numbness | 12/27/2007 |
Q: I have a question hoping I might get an answer for or opinion on. I'm a 23 year old female. I get ... A: Extra heart beats are normal cardiac occurrences. About half of us have them, they're easy ...
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| Aortic abnormalities | 12/27/2007 |
Q: Dr. Richardson, I was just informed today that an echo I had performed yesterday was abnormal. ... A: The normal diameter of the aortic root is 3.5 cm, and the root is the widest portion of the aorta. ...
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| pacs | 12/27/2007 |
Q: i am 4 years old. used to smoke 2 packs now less than one.i am experiencing skipped heart beats ... A: PAC's are normal cardiac activity, normal in the senses that 1) about half of us have them; 2) they ...
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| Tachycardia/Atenolol | 12/26/2007 |
Q: I apologize if this is a bit lengthy, but thought it would be helpful to give some background. I'm a ... A: Sinus tachycardia is of course normal cardiac activity. So are extra heart beats. Neither ...
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| Metropolol side effects | 12/26/2007 |
Q: My mom 91, taking metropolol 25 mg twice a day plus coumadin 2.5 has seemed in a "fog", confused, ... A: Alicia, look at what just propped up: " Beta Blockers' Many Side Effects The People's Pharmacy says ...
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| Metropolol side effects | 12/26/2007 |
Q: My mom 91, taking metropolol 25 mg twice a day plus coumadin 2.5 has seemed in a "fog", confused, ... A: Yes, metoprolol may confuse people. Try 12.5 mg twice a day for 5 days, then 12.5 mg once a day for ...
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| Left chest and back pain/ twitching/fluttering in neck and abdomen | 12/25/2007 |
Q: I am a 30 year old man who has been suffering from many muscular and neurological problems. In ... A: Many of your symptoms seem neurological to me; the facial spasms, and of course the weakness and ...
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| Rapid Heart Beat | 12/24/2007 |
Q: I really appreciate it. I am an 18 year old female; and for the last few days I have had a problem ... A: Please let me know how fast your heart is beating when it is pounding. Feel your pulse in your ...
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| Results | 12/24/2007 |
Q: I posted a question on 12/15/07 about abnormal ekg results with the possibility of having ... A: 'Tis frustrating. Yes, rapid heart beat, shakiness and fatigue can all be caused by depression and ...
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| ECG???? | 12/23/2007 |
Q: ..i am 23 female and few days back i joined a new company and they suggested a medical checkup from ... A: All ECG's require removing the clothes above your waist. He should have offered you a robe. I' |