Dr. Sagar Ramesh Makode
Cardiology
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Patient's Query
Hello doctor,
My heart suddenly starts beating very fast from the last three years. My echo and ECG are always normal. Nowadays, I can feel the chest pain and some kind of picking in my right arm. My thyroid test is also normal. I do not know what to do. Doctors here do not know what my actual problem is. Can you please help me?
Hello,
Welcome to icliniq.com.
This can be cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. How much is your hemoglobin? Have you ever counted your pulse rate during the episodes? Have you undergone Holter monitoring? Usually, ECG is normal as it is usually done between the episodes. ECG (electrocardiogram) done during episodes will show abnormality. It is better if you can upload your ECG and echo reports for an opinion. Is there any stress or anxiety associated with or prior to the increase in heart rate. Until the time your evaluation is complete, you can continue Concor (Bisoprolol). If none of the above is successful then last option is an electrophysiological study which is an invasive test which can diagnose and treat the arrhythmia permanently in most of the cases. Hope this helps you and get back with some more information.
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Cardiology
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