Question: I have lower extremity edema bilat/ tachycardia 100-110 at rest; >130 with minimal activity (brushing teeth, rinsing a dish)/ severe shortness of breath with that minimal exertion. When I sit down there is NO palpable pulse in either carotid even though it is pounding in my chest/ if I don't sit down I get lightheaded near passing out. EKG + echo were WNL two weeks ago. Postural hypotension was documented. I was told to be sure I'm hydrated + add salt to diet. Is there any reason to seek another opinion. This tachy has been present > 6 months and all above are getting worse. I feel something else is wrong (I am 72 yrs old + an RN,BSN x 44 yrs.) Thanks. I am 5ft 7, 156#; nonsmoker, no alcohol, sedentary r/t spinal + major joint osteo with grade 4 damage both knees but can't do surgery. Asthma x 70 yrs but lungs clear + controlled with Singulair. No inhaler needed x 3 yrs. On Morphine 15mg TID, Gabapentin 800mg QID, Mobic 7.5th QD, Tramadol 50mg PRN.

I do not have access to the EKG report or tracing. The results of lab work and the echocardiagram will be attached. Those were all tested in January, 2019. Thank you.

The lab reports and the echo result are attached to this question. In case you were unable to receive or read them, I also sent them via email to customer care. Thank you.