Inappropriate Sinus Tachycardia

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Submitted by Dr T on December 10, 2012 – 7:03pm Question:  A little back history: I am a 26 yeard old male 6′ 255 pounds (at the time) woke up on Sept 23rd with crushing chest pain in the middle of the night. I made my way to the bathroom and my heart rate was through the roof. I woke …

Heart failure and other cardiac risks

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Submitted by Dr T on December 8, 2012 – 10:05am in Cardiac Risks Question:  My father was told today his heart is functioning only 15%. He is a diabetic and has a defiberlator.His feet has been swollen for a few weeks.Also a smoker about a pack a day.What does this mean?How ill is he?Thank you Hi Darlene,None of this is …

Increasing PVCs

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Submitted by Dr T on December 7, 2012 – 10:31am Question:  I have had ectopics (pvc’s) for 8 years. They began after an operation. After the operation I had low blood calcium, though this seemed to correct itself after a week or so. At the time, 2004, I had ekg and I think an ultrasound. I was told they were …

High blood pressure and other cardiac risks

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Submitted by Dr T on December 7, 2012 – 9:55am Question:  I have high blood pressure and it is not controlled w/meds (I have no health insurance)…I have had bouts of chest pain attributed to angina…I had one incident 10 or so years ago horrible pain in center of chest, nausea, sweats, and an ambulance took me to the ER …

Coronary artery disease and Left Branch Bundle Block

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Submitted by Dr T on December 5, 2012 – 9:34am Question:  Your question:I had a stent put in about 7 years ago now. I recently had a stress test and it was stopped because they said I had a left branch bundle block. Is there a relationship to the blocked arteries that were not proven to need stents a few …

Abnormal EKG and cardiac risks

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Submitted by Dr T on November 30, 2012 – 9:59am Question:  58 year old male in good heath:EKG was recently done and the interpretation showed the following: IVCD (intraventricular conduction delay) LAHB (left anterior hemiblock) Low voltage precordial leads. Would you be kind enough to tell me in lay terms: what these mean, if they pose a danger to life, …

Angina, arrhythmias and heart disease

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Submitted by Dr T on November 28, 2012 – 9:54am Question:  I received a stress test after having radiating pain down my neck and left arm.  It showed a septal infarct of undetermined age, bigemny, arrythmias (i am recalling this from memory)and something to do with my ST.  I was unable to finish the stress test, lasting only 6min 48 …

The risk of a Long QT Syndrome

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Submitted by Dr T on November 28, 2012 – 9:37am Question:  I had an EKG yesterday as part of a pre op physical and it came back as abnormal, that I have a prolonged QT interval of QTc >490ms. My Dr is having me decrease my Trazodone by half ( I have been taking Trazodone for years and have had …

Risk of Heart Disease

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Submitted by Dr T on November 22, 2012 – 1:37pm in Cardiac Risks Question:  I have a hiatel hernia and i was told possibly an irregular heartbeat. Right in the middle of my menstrual cycle when I lay down to sleep at night my heart feels weird, my wrists, ankles, elbow, toes and shoulders will ache and arms and legs …