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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sudden Pounding Heart Rate, Dizziness, Ringing In Ears, Tingling In Right Hand

2 days woke up withpounding heart rate,dizziness,ringing in ears,tingle in R hand. VSS 98.2 86 20 130/70. Have IDDM,Hypothyroidism,Arthritis,Depression
Tue, 29 Sep 2015
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that your symptoms may be related to anxiety.

The tingling in your right hand may be caused by a pinched nerve during sleeping (a mild form or Saturday night palsy). It is usually transitory and recovers spontaneously. But it can be associated with a panic attack in the morning, when you wake up with this feeling.

Depression and hypothyroidism are closely related to anxiety.

I would recommend consulting with a neurologist and performing a nerve conduction study to exclude possible pinched nerve in your upper limbs.

Did you experience other symptoms like difficulty speaking, head spinning etc?

A transitory ischemic attack could also cause this symptomatology. Your past medical history is really concerning and every suspicion shouldn't be underestimated.

I recommend performing a Doppler ultrasound of the neck vessels, to examine the blood flow to the brain and some other blood lab tests:

- complete blood count
- PCR, sedimentation rate (inflammation)
- coagulation tests
- fasting glucose
- cortisol plasma levels
- kidney and liver function tests
- blood electrolytes, etc.

If all the above mentioned tests result normal, the main cause of your symptomatology would be just anxiety.

Hope to have been helpful!

Best wishes,

Dr. Iliri
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Sudden Pounding Heart Rate, Dizziness, Ringing In Ears, Tingling In Right Hand

Hello! Welcome and thank you for asking on HCM! Regarding your concern, I would explain that your symptoms may be related to anxiety. The tingling in your right hand may be caused by a pinched nerve during sleeping (a mild form or Saturday night palsy). It is usually transitory and recovers spontaneously. But it can be associated with a panic attack in the morning, when you wake up with this feeling. Depression and hypothyroidism are closely related to anxiety. I would recommend consulting with a neurologist and performing a nerve conduction study to exclude possible pinched nerve in your upper limbs. Did you experience other symptoms like difficulty speaking, head spinning etc? A transitory ischemic attack could also cause this symptomatology. Your past medical history is really concerning and every suspicion shouldn t be underestimated. I recommend performing a Doppler ultrasound of the neck vessels, to examine the blood flow to the brain and some other blood lab tests: - complete blood count - PCR, sedimentation rate (inflammation) - coagulation tests - fasting glucose - cortisol plasma levels - kidney and liver function tests - blood electrolytes, etc. If all the above mentioned tests result normal, the main cause of your symptomatology would be just anxiety. Hope to have been helpful! Best wishes, Dr. Iliri