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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Rapid Heart Rate, Tremor And Chest Pain

My 21 year old daughter has a problem where her heart starts beating really fast and hurts. It will get so bad she passes out. This also happens while she is sleeping and wakes her up. She will begin shaking really bad also. Any idea what this might be or if it is serious?
Mon, 2 Nov 2015
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Ayurveda Specialist,  's  Response
1. Going by your history the problem seems to be of cardiovascular in origin:

. Since occur in any position: SYNCOPE either due to Left ventricular outflow tract (LVOT) obstruction: aortic stenosis and hypertrophic obstructive cardiomyopathy

PS. since heart rate is rapid thus Stokes- Adam attacks (SA attacks with bradycardia) can be excluded)

2. Heart rate is rapid: PALPITATION either due to arrhythmiac or PSVT and Pheochromocytoma

3. Ib both the conditions clinical examination with Cardiologist is essential for further line of management

4. Avoid excess of tea & coffee
. Avoid alcohol and smoking
. Avoid Mental strain

5. Ask for Hemoglobin, ECG, X-ray chest, Thyroid and sugar profile.
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Suggest Treatment For Rapid Heart Rate, Tremor And Chest Pain

1. Going by your history the problem seems to be of cardiovascular in origin: . Since occur in any position: SYNCOPE either due to Left ventricular outflow tract (LVOT) obstruction: aortic stenosis and hypertrophic obstructive cardiomyopathy PS. since heart rate is rapid thus Stokes- Adam attacks (SA attacks with bradycardia) can be excluded) 2. Heart rate is rapid: PALPITATION either due to arrhythmiac or PSVT and Pheochromocytoma 3. Ib both the conditions clinical examination with Cardiologist is essential for further line of management 4. Avoid excess of tea & coffee . Avoid alcohol and smoking . Avoid Mental strain 5. Ask for Hemoglobin, ECG, X-ray chest, Thyroid and sugar profile.