Answered by Dr. Salam Salloum

Answered by Dr. Salam Salloum

Can one have a fast heartbeat with a normal heart rate?

Hi doctor,

I am 46 years old, on no medication apart from Zinc daily that seems to help with my low testosterone. BP averages about 110/63 mmHg, resting pulse between 58 and 65 bpm. My height is 5' 10" and weigh about 165 pounds. About five years ago, I noticed odd heart rhythms after playing two hours of badminton. I ignored them for months, but one day after stopping and bending over I had a large clonk in my heart and it took off like a rocket (about 140bpm), after five to ten minutes it clonked back to normal speed. This happened about four times over two to three weeks, and has never happened again for the past four years. I had a stress test, 12 lead ECG and echo and two weeks Holter. All was fine and no more SVT's. I had a repeat ECG and echo a few months ago, and all is well apart from the odd strong ectopic. I do however still have an issue, every now and then (like the past two weeks) for no reason at all my heartbeat becomes very strong (still steady and not fast in the 60's at rest), and I feel it almost all the time to the point I can see my handshake to my heartbeat whilst holding a phone, etc. I feel fine, but it is very hard to relax and sleep as it is banging really hard. I am generally aware of my heartbeat, but this is on a different level. It is not linked to stress or any external influence that I know of, and I have checked my BP whilst it feels strong and it is the usual 110/60 mmHg. My question is, are there any physical reasons for this (e.g. my dad had angina and triple bypass), and is there anything I can do to help it? Also, if I had blocked arteries would the ECGs, stress test and echo's have picked this up at all? I was offered beta-blockers by my GP which I refused as my heartbeat is not fast.

18 Apr 2024 - 1 min read

How can pulmonary regurgitation with dilated pulmonary artery be treated?

Hello doctor,

My child had critical pulmonary stenosis and had balloon dilation at three months. She is now 13 years old. She has moderate pulmonary regurgitation, her LV ejaculation fraction is 69 %. She has a mildly dilated RV and pulmonary artery. She gets breathlessness. Should I be concerned?

19 Feb 2024 - 1 min read

Should I consult a doctor for fluctuating blood pressures?

Hi doctor,

My age is 26 years and I have an issue with my blood pressure. It keeps on variating. Sometimes, it is high (150/90 mmHg, 140/85 mmHg, 130/90 mmHg) and sometimes, normal (120/80 mmHg, 110/60 mmHg). I want to ask that do I have to consult a doctor and have some test? If yes, can you recommend those tests? Or do you think it is fine to have this much BP?

25 Jan 2024 - 1 min read

Is deep bradycardia always a sign of disease?

Hello doctor,

Why is deep bradycardia (35 BPM) a disease for some people and for other people is a sign of fitness and health? What makes the difference in the deep bradycardia (35 BPM) between disease and fitness?

25 Jan 2024 - 1 min read

Which drug can be advised to a hypertensive in whom spasmodic foods raise BP?

Hello doctor,

I am a 57 year old female with a weight of 158 pounds. I have hypertension with a reading of 138 mmHg of systolic, 80 mmHg of diastolic, 82 beats per minute of heart rate. Spasmodic foods (like yogurt) cause higher hypertension. Antispasmodic foods (alkali, basic foods) do not cause higher hypertension. Which drug can I take?

23 Jan 2024 - 1 min read

Dr. Salam Salloum
Cardiology

Education

MRCP., MD. ADVANCED HEART FAILURE., ADVANCED HEART FAILURE., GENERAL CARDIOLOGY., CARDIAC MRI

Specialties

Cardiology

Specialized Treatments

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