
Suggest Treatment For Still's Murmur



I just received her hospital report, she was diagnosed with Panic attack, Palpitations Sinus Tachycardia. Her sitting BP was 134/78. We are now 20 hours after the onset of this event. The event began as she was resting in her bed in her room. She said this has happened once or twice before, however she wasn't under stress or anxiety at the time, she stated that her heart just started beating out of her chest, then resolved after 45 seconds. She indicated that this episode, lasting this long has never happened. I Just looked at her blood work and thyroid is fine. She is complaining that her heart rate goes up, stays there for about 30 seconds then comes down. But it happens over and over again.
Anxiety seems strong possibility.
Detailed Answer:
Hello,
Welcome to HCM.
I am Dr Rakesh Sharma answering your query.
I can understand your concern.
You have not mentioned abut ECHO, but I believe it would have been done before establishing her as Still's murmur.
I will enumerate causes of tachycardia , when you exclude them one by one stress or anxiety seems good explanation.
They are,
Damage to heart tissues from heart disease
Abnormal electrical pathways in the heart present at birth (congenital)
Disease or congenital abnormality of the heart
Anemia
Exercise
Sudden stress, such as fright
High blood pressure
Smoking
Fever
Drinking too much alcohol
Drinking too many caffeinated beverages
Medication side effects
Abuse of recreational drugs, such as cocaine
Imbalance of electrolytes, mineral-related substances necessary for conducting electrical impulses
Overactive thyroid (hyperthyroid)
If blood work is fine then anxiety and/ or stress seems a strong possibility.
Hope I have answered your query.
If any thing else you are welcome.
Good luck.


Clinical diagnosis more important.
Detailed Answer:
Hello again,
It is a clinical case, where all investigations are almost normal.
Ivabrad can not be prescribed on line without examining the patient.
The more read about it the more you get confused, please do not do that, see a good cardiologist as it a CLINICAL CASE.
There is no point beating around bush.
Hope I have answered your query.
If any thing else you are welcome, or you can close the query by rating the answer.
Good luck.

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