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Suggest Treatment For Cardiac Arrhythmia
Question: I wss feeling fine at lunch when my heart beat suddenly became very erratic. It has been beating very irregularly for about 7 hours. I can feel the pressure changes in my chest
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
Regarding your concern, I would like to explain that your actual clinical symptomatology most likely is related to a frequent extasystolic cardiac arrhythmia or atrial fibrillation.
In such case it is necessary to confirm the exact heart rhythm by means of a resting ECG and also to find potential triggering factors leading to cardiac arrhythmia.
In this regard, while the heart beating keeps being irregular, I would recommend to ask medical assistance to the nearest ER service at your living area.
Some medical tests are necessary to clarify the actual heart rhythm and any responsible structural cardiac disorder or an endocrine/metabolic imbalance:
- resting ECG,
- cardiac ultrasound,
- CK-MB and Troponin I,
- blood electrolytes level,
- thyroid hormones (FT3,FT4,TSH),
- blood glucose level,
- renal and livel function tests
Sometimes, even an exaggerated quantity of alcoholic drinks during lunch may trigger atrial fibrillation. Once the trigering factor is avoided, the rhythm usually return to normal.
A persistent atrial fibrillation promptly treated during the first few hours from its onset, offers a faster conversion rate with minimal potential adverse effects (including the risk of thromboembolism).
So, as your erratic heart beating persists, I would strongly advise to go to the ER and discuss with the doctor, the above mentioned issues.
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome on HCM!
Regarding your concern, I would like to explain that your actual clinical symptomatology most likely is related to a frequent extasystolic cardiac arrhythmia or atrial fibrillation.
In such case it is necessary to confirm the exact heart rhythm by means of a resting ECG and also to find potential triggering factors leading to cardiac arrhythmia.
In this regard, while the heart beating keeps being irregular, I would recommend to ask medical assistance to the nearest ER service at your living area.
Some medical tests are necessary to clarify the actual heart rhythm and any responsible structural cardiac disorder or an endocrine/metabolic imbalance:
- resting ECG,
- cardiac ultrasound,
- CK-MB and Troponin I,
- blood electrolytes level,
- thyroid hormones (FT3,FT4,TSH),
- blood glucose level,
- renal and livel function tests
Sometimes, even an exaggerated quantity of alcoholic drinks during lunch may trigger atrial fibrillation. Once the trigering factor is avoided, the rhythm usually return to normal.
A persistent atrial fibrillation promptly treated during the first few hours from its onset, offers a faster conversion rate with minimal potential adverse effects (including the risk of thromboembolism).
So, as your erratic heart beating persists, I would strongly advise to go to the ER and discuss with the doctor, the above mentioned issues.
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again.
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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