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Suggest Treatment For Heart Paltipation
Question: I had got heart paltipation 3 times in 5 months what is the remidies and what is the treatment.
Brief Answer:
we need to ascertain heart rhythm.
Detailed Answer:
Dear sir
If palpitations were associated with blackout, chest pain, loss of consciousness or any other bothersome symptom, it is emergency. Do consult your doctor on priority.
Otherwise, we need to know the heart rhythm at time of palpitation. It can be known by ECG at time of palpitation or by long term recording by loop recorder. Holter is not likely to help as frequency of symptoms is too less. On e the heart rhythm is known, further treatment can be decided. An echo or cardiac ultrasound and a baseline ECG should also be done.
Meanwhile avoid smoking, tea, coffee and stress. Anti asthma and some other medications may also cause palpitations.
Sincerely
Sukhvinder
we need to ascertain heart rhythm.
Detailed Answer:
Dear sir
If palpitations were associated with blackout, chest pain, loss of consciousness or any other bothersome symptom, it is emergency. Do consult your doctor on priority.
Otherwise, we need to know the heart rhythm at time of palpitation. It can be known by ECG at time of palpitation or by long term recording by loop recorder. Holter is not likely to help as frequency of symptoms is too less. On e the heart rhythm is known, further treatment can be decided. An echo or cardiac ultrasound and a baseline ECG should also be done.
Meanwhile avoid smoking, tea, coffee and stress. Anti asthma and some other medications may also cause palpitations.
Sincerely
Sukhvinder
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
ECG Has been done at the time of palpitation. I dont smoke no coffe or tea, 11 years back i had gone with angioplast with 70% blockage .
CORONARY ANGIO REPORT....On 02/05/2003
LMCA - normal
LAD - Type 2 lad milday ectatic proximal lad diagonal & septal branches are normal
LCX - Normal om1 & om2 are small & normal
RCA - Dominant system mild ulcerated plaque with residual 70% lesion
LV ANGIO - Not done
Impression : Single vessel coronary artery disease
Advice - PTCA + STENT TO RCA..
Edit Delete
I Have given the details should i go for any proceedures. Please let me know
Clinical Diagnosis : Recurrent Palpitations, Scar Ventricular Tachycardia, Old IWMI/s/p PTCA with stent to RCA, Preserved LV function,
HTN
Presenting Complaints : Presented with h/o Recurrent Palpitation for 1 day.
Family History : Nothing significant
Past History : Known case of HTN/IHD/s/p PTCA to RCA, Not a known case of DM/COPD/ASTHMA/ANY DRUG ALLERGY
Physical Examination : NO pallor, icterus, cyanosis, clubbing, Pedal edema, lymphadenopathy
Pulse = 130bpm, All peripheral pulses felt. BP = 126/80mm Hg,
CVS = S1 S2 heard, RS = lungs clear , PA = NAD.
INVESTIGATIONS : Hb(gm/dl) : 14.0, Urea(mg/dl) : 16, Creatinine(mg/dl) : 0.8, RBS(mg/dl) : 125, Electolytes : Na+(mEq/L) : 137.6,
K+(mEq/L) : 3.78,HIV : Negative, HBs Ag : Negative, Serum Chloride : 101 mEql, H.C.V. : Negative, V.D.R.L. Negative.
COMPLETE HAEMOGRAM : Haemoglobin : 14.0 gms/dl, RBC Count : 4.98 millions/cu.mm, PCV : 42.70%, PLATELET COUNT : 10500/cu.mm,
DIFFERENTIAL COUNT : Neutrophils : 60.5%, Lymphocytes : 35.8%, Monocytes : 4.5%, Eosinophils : 6.3%, Basophils : 0.6%,
MCV : 91.8 f1, MCH : 30.5 pg, MCHC : 33.2g/dl, ESR : 10mm/hr.
ECG @ time of admission : venticular tachycardia - mitral annular morphplogy, 2D-Echo : Scarred basal inferrior wall. EF = 50%
Treatment given : Inj Reflin, Inj GM, Tab Unicontin, Tab Metalor XR, Tab Dolo.
Course in Hospital : Patient presented with h/o 2 episodes of paltipation, diagnoised to have ventricular tachycardia. Injection Xylocord given
foe 1 day. Post prosedure stay was uneventfull & satisfactory.
At the time of discharge : Patient is stable with no complaints. Pulse = 76/min, All peripheral pulses felt. BP = 120/80mm Hg, CVS = S1 S2 heard,
RS = lungs clear. PA = NAD.
MEDICATION : Tab SOTALOR 80mg 1-0-1,Tab Ecosprin 150mg 0-1-0, Tab Telma AM 40mg 1-0-0, Tab Tonact 40mg 0-0-1
Follow up after 1 week for ECG for QT interval prolongation review after 1 week.
Brief Answer:
Need electrophysiologist consultation.
Detailed Answer:
Dear Sir
1. If it was ventricular tachycardia on all these occasions? Could the ECG be done and heart rhythm be ascertained on all the occasions?
2. Recurrent sustained ventricular tachycardia in post myocardial infarction patients is an indication for implantation of Automated internal cardiac defibrillator (AICD). Some patients can be treated permanently by ablation of the area. A few remain well controlled on medicines like sotalol. Recent years have seen a number of studies where AICD has been found to be superior to medicines alone. Radiofrequency ablation is useful in ~75% of patients. The best decision in this regard will be taken by your electrophysiologist. I would recommended a consultation with electrophysiologist.
Feel free to discuss further.
Sincerely
Sukhvinder
Need electrophysiologist consultation.
Detailed Answer:
Dear Sir
1. If it was ventricular tachycardia on all these occasions? Could the ECG be done and heart rhythm be ascertained on all the occasions?
2. Recurrent sustained ventricular tachycardia in post myocardial infarction patients is an indication for implantation of Automated internal cardiac defibrillator (AICD). Some patients can be treated permanently by ablation of the area. A few remain well controlled on medicines like sotalol. Recent years have seen a number of studies where AICD has been found to be superior to medicines alone. Radiofrequency ablation is useful in ~75% of patients. The best decision in this regard will be taken by your electrophysiologist. I would recommended a consultation with electrophysiologist.
Feel free to discuss further.
Sincerely
Sukhvinder
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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