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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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High BP, Palpitations Chest Pain, Dizziness, Bloated Feeling

hi I am a 47yr old female 160lbs. I have consistently high BP for last 6 months. It ranges from 140/95 to 155/100. I have palpitations all the time which is worse at night time chest pain , light headed, bloated i have to go to the toilet frequently during the night roughly every 2 hrs. my heart beat ranges from 100-155 BPM. I feel dizzy constantly and feel I will pass out. Recently I have started to break out in cold sweats.I also have difficulty breathing and get chest pain just from walking upstairs. My father suffered from angina and died of a massive heart attack . my uncle had a hole in his heart and also died of heart attack. I am not on med, Gave up cigarettes 2 years ago and rarely drink. I am very concerned that I may have heart problems . What do you suggest I do. Any help would be greatly appreciated. Madge
Mon, 10 Jun 2013
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Cardiologist 's  Response
Hello! After carefully reviewing your problems, there appear some significant aspects,
1) Family history of deaths of first degree relatives &
2) Constant rise of the blood pressure
3) A continuous, intermittent state of symptoms with tendency to increase during night hours
All these symptoms point towards an intra-cardiac conduction defect like SVT (Supraventricular tachyarrhythmias) or a congenital prolonged QT interval.
You must have an immediate ECG & consultation with an eminent cardiologist, as all these diseases are very much treatable, especially if SVT, then you will be cured completely with RFCA (Radiofrequency intracardiac catheter ablation), or if it is found to be a long QT syndrome, an implant of ICD (Implantable cardioverter defibrillator)
Thanks & take care of yourselves!
Wishing you a speedy recovery.
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  User's Response
Dr Ijaz Nasir's  Response

hello after reviewing your questions and symptoms I suggest that your history is very much suggestive of some cardiac problem. You must get your ECG done by some cardiologist and see some cardiologist for evaluation of problem. I would also advice to get this following test done

1.     Blood sugar

•     Fasting

•     Random

2.     Lipid profile

If you will have some ECG problem, you need to be evaluated by Echo and EET for ischemic heart disease

Best regards and good wishes for your health

Dr.Ijaz Nasir




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High BP, Palpitations Chest Pain, Dizziness, Bloated Feeling

Hello! After carefully reviewing your problems, there appear some significant aspects, 1) Family history of deaths of first degree relatives & 2) Constant rise of the blood pressure 3) A continuous, intermittent state of symptoms with tendency to increase during night hours All these symptoms point towards an intra-cardiac conduction defect like SVT (Supraventricular tachyarrhythmias) or a congenital prolonged QT interval. You must have an immediate ECG & consultation with an eminent cardiologist, as all these diseases are very much treatable, especially if SVT, then you will be cured completely with RFCA (Radiofrequency intracardiac catheter ablation), or if it is found to be a long QT syndrome, an implant of ICD (Implantable cardioverter defibrillator) Thanks & take care of yourselves! Wishing you a speedy recovery.