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Suggest Treatment For Chest Pain, Shortness Of Breath And Heart Palpitations
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Following answer to your queries.
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
Before reaching to a conclusion I want to check my self your test results especially Holter monitoring. Can you please upload those data for me?
POTS is an increase of HR 30 bpm or more while on standing. The HR increase shouldn't be associated with orthostatic hypotension.
Please keep in mind that POTS is suspected on Holter results but is confirmed with a tilt test. This is why if you were my patient I would have recommended to do a tilt test.
Only after checking the test results I would be able to give some treatment option. My opinion is that your symptoms should be treated by a cardiologist.
Wish you health!
Dr. Shehu
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Following advice.
Detailed Answer:
Hi back,
After reviewing your data I would like to say that your examinations didn't found major cardiac problems. However on CAT cardiac scan was found an opacity on your right lung and the radiologist recommended a normal chest scan for further evaluation.
Can you upload the data of normal chest ct scan (if youhave done the requested test)?
Pulmonary problems (right lung opacity) may explain some of your problems.
You are reporting that your HR increase with 20 bpm, however this isn't enough to confirm the diagnosis of POST. This is why i strongly recommend that you should do tilt test to definitely confirm or exclude it.
Although your HR goes as low as 38bpm while on sleep (which is common during sleep) you may safely use a betablocker with ISA ( intrinsic sympathomimetic activity ). This betablockers are effective on controlling tachycardia but due to their ISA activity they never cause bradycardia.
Since this medications may have unwanted side effects i strongly recommend to discuss with your doctor about this treatment option.
Hope this was of help!
Wish you health!
Dr. Shehu
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Following advice.
Detailed Answer:
Hi back,
It's a great thing that your preliminary pulmonary examinations didn't found anything wrong with your lungs.
If you were my patient I would recommend you to start with lower doses of Pindolol. It's effective on controlling tachycardia but it can cause less bradycardia due to it's ISA activity.
However since it's still a betablocker and it may cause severe side effects you should discuss with your doctor about starting any treatment.
Hope this was of help!
Wish you health!
Dr. Shehu
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