A Holter monitor is a portable device used to measure and record the heart's activity continuously for 24 to 48 hours. It is used to pick up irregularities in the heart rhythm that an ECG missed. Arrhythmias of the heart can be diagnosed using a Holter monitor.
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Why am I having terrible upper back pain and left shoulder pain?
Query: Hi doctor, I am a 32 year old male, and I have a terrible upper back and left shoulder pain from past two years. The pain is radiating to the left side of the chest also. Whenever I move my neck, I hear some sound. With this pain, I feel drowsy and light-headed full day. I am not able to do routine... Read Full »
Answer: Hello, Welcome to icliniq.com. I would like the following details. Did you take any x-ray? Have you tried physiotherapy? Was the MRI with or without contrast? Do you feel missed heartbeats when you feel drowsy? Do you get sweaty or get a sinking feeling? If yes, then you need a 24- hour Holter ECG (... Read Full »
Can my cardiac issues cause sudden cardiac death?
Query: Hello doctor, I have a long, complicated cardiac history and currently seeing a cardiologist. It started with chest pains, and I ended up having an episode of NSVT last year. I am now on Bisoprolol and Amlodipine. The cardiologist thinks my condition is coronary artery spasm and just an ectopic focu... Read Full »
Answer: Hi, Welcome to icliniq.com. An excellent narrative history. I think you had only one episode of tachycardia of ventricular origin, which was nonsustained. Other reports of few years are not justified with the ventricular tachycardia. You might be having an idiopathic origin of ventricular t... Read Full »
I have a LAD lesion. Is it causing my tachycardia?
Query: Hi doctor, I have tachycardia (resting heart rate 125 bpm) while just walking around the house and not doing much. My heart rate was about 160 bpm. I do get chest pains and tightness. I also have a 70% LAD lesion. My question is would the lesion be causing my tachycardia? Should I consult my cardiol... Read Full »
Answer: Hi, Welcome to icliniq.com. Blockage of 70% is referred to as noncritical blockage. I suggest tablet Ecosprin 75 mg (Aspirin) every night, so that the blockage will not progress in the future. Tachycardia can be because of a large number of causes varying from anxiety, stress, anemia, decreased coro... Read Full »
Should I worry if my heart rate increases with exertion?
Query: Hi doctor, I have a severe doctor phobia. I am unable to go in for care, but I need to understand something happening better and if it is normal for my health. I had an episode of something a couple of months ago. I got extremely sick, started vomiting and sweating horribly, has chills and massively... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all, there is no need to worry and relieve your anxiety. In all probabilities, you are having obstructive sleep apnea as all your data fits into it. Do you have any symptoms like snoring, interrupted sleep, unrefreshing sleep, morning headaches, daytime sleepin... Read Full »
What can cause sudden blank out in a diabetic patient?
Query: Hi doctor, My father is 77 years old and a known diabetic for over six years. His height is 5'5" feet and weight is 143 pounds. This is regarding his recent angioplasty. He got it done before three months when he had a kind of seizure or fix. He was hospitalized for a week and got discharged with st... Read Full »
Answer: Hi, Welcome to icliniq.com. I want to assure you do not worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case history, reports (attachment removed to protect patient identity) and can well understand your genuine health conce... Read Full »
Why do I have dull cramping with continuous chest pain?
Query: Hi doctor, I am 37 years old and normally take Hydrochlorothiazide for diastolic blood pressure and Zebeta for S node dysfunction. I am also on Metformin. My HbA1c is 6.1 %. Two days ago, I started experiencing dull cramping chest pain that was not continuous. I went to the ER and all the tests came... Read Full »
Answer: Hi, Welcome to icliniq.com. We are here to help you. From the way you are describing, it seems either you had an arrhythmia that time or you had angina pain. Since your blood pressure and heart rate are in normal ranges without medicines, you should avoid any medicines at this time. I would recomm... Read Full »
Can low testosterone cause fatigue and increased heart rate?
Query: Hi doctor, I am a 21 year old male, and I am studying nutritional science. Over the past year, I have been experiencing these symptoms. I have a fast pounding heart, especially after a night of drinking. The following morning, I always wake up early to a pounding heart, and it scares me. This happen... Read Full »
Answer: Hello, Welcome to icliniq.com. As your BMI (body mass index) is 34, in obesity, the decreased levels of testosterone-binding protein cause a decrease in the total testosterone levels, but not the normal free level. Before we evaluate you for low testosterone, we need to confirm it by doing free te... Read Full »
Query: Hello doctor,I am a 35 year old male weighing 218 pounds. I have a blood pressure of 110/75 mm of Hg, a resting heart rate of 60 to 70 bpm, and a total cholesterol level of 118 mg/dL. I suffer from anxiety and gastroesophageal reflux disease. I take Zoloft 150 mg and multivitamins daily but was prev... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read the query, and I can understand your concern. I understand your concern about anxiety and suspicion of underlying heart disease. So PVCs (premature ventricular contraction) are the ectopic beats that come from the ventricle muscle cells instead of the n... Read Full »
I feel dizzy, heaviness in my chest, and weakness. Please help.
Query: Hi doctor, I am 33 years old. Sometimes, out of nowhere, I start feeling dizzy, pressure in the chest with heavy breathing and weak legs and hands. Sometimes, I have headaches. No arm or chest pain. It was happening to me when I lay down and now it happens when I am standing too. I took medicine for... Read Full »
Answer: 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. Blood pressure falls during these episodes and one has dizziness, fainting, chest pain or disc... Read Full »
I fell twice, followed by dizziness and profuse sweating. Why?
Query: Hi doctor, I am a 41 year old female with regular periods. I am 5'4" and weighs approximately 165 pounds. I have fainted this morning and almost exactly a month ago. The first time was in the middle of the night. When I woke up to use the bathroom, and while I was in the toilet, I broke out in a cla... Read Full »
Answer: Hi, Welcome to icliniq.com. It looks like a cardiac issue. It is most probably occurring due to fall in blood pressure and which is mostly due to either a vagal reflex or low heart rate. These can be vasovagal syncope. During urination, one can get syncope because especially if one is straining dur... Read Full »
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