What Causes Fainting Followed By Chest Pain, Memory Loss And Shortness Of Breath?
A tilt table test needs to be done.
Detailed Answer:
Thanks for asking on HealthcareMagic.
I have gone very carefully through your query and understand your concerns. I would need to ask specifically if a Tilt Table Test has been performed. If not, visit a cardiologist who can perform this test (needs the setup of a tilt table). If the results come positive, it would indicate vasovagal attacks due to sick sinus syndrome. I would also insist you for a 24 hours Holter ECG Monitoring, in case it has not been done too. Contact me back with the reports and I would guide you further.
About his ADD, you need to visit a psychologist who could deliver cognitive behavioral therapy (CBT). It would enable him to accept his limitations and to better adapt and deal with his limitations.
Regards
XXXXXXX had a 24 Holter monitor when he was 10 years old and wore it for a complete month. He had two monitor flare ups but nothing else. The was done by a pediatric cardiologist. The determination was the Pre-Cordial Catch Syndrome. Could this actually have been the Sick Sinus Syndrome but misdiagnosed? XXXXXXX had various attacks from age 10 to last year when he just turned 16 years old lasting in duration about the same amount of time as the current attacks and some much shorter. In July 2015 he had a dehydration issue and then just before all the fainting spills started, etc. he had a moderate dehydration in August 2015 with required two iv bags given by the hospital, an elevated blood pressure and a heart rate of over 100 (they gave him a pill to reduce his heart rate). He often has higher blood pressure readings according to his pediatrician now of about 130/80+ which she says is high for a teenager.
A cardiologist did a EKG and Echocardiogram in December 2015 and said everything looked fine. He administered a fit test and said that he had only 80% lung capacity and diagnosed him with asthma, which he never had before. Could the cardiologist misdiagnosed the Pre-Cordial Catch Syndrome almost 7 years ago?
Please advise.
Thank you.
Get the tilt table test done.
Detailed Answer:
Thanks for writing back.
Precordial catch syndrome is not a diagnosis. The 'diagnosis' of precordial catch syndome is not something that is being misdiagnosed since it is just a composite name of the symptoms (it is analogous to the 'diagnosis' of fever when you have high temperature). The underlying cause is not definitely known but could possibly relate to the outer covering of the lungs.
I would insist you to go for a tilt table test. I feel that could give you an actual diagnosis.
Regards
Tilt table test needs to be done.
Detailed Answer:
Thanks for writing back. An endocrinologist is not the right person to be able to diagnose schizophrenia; you need to visit a psychiatrist for the same. Moreover, schizophrenia IS a medical condition. The DSM-5 (the primary index book of XXXXXXX Psychiatry Association) classifies all psychiatric or psychological ailments (including ADD or ADHD) to have organic (physical) basis. On a personal note, I do not think your endocrinologist is pointing to the right direction but for confirmation you would need to visit a psychiatrist.
Once again let me emphasize on the significance of tilt table test. I am quite certain that you should get this test done.
Regards