Dr. Muhammad Zohaib Siddiq
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I have been experiencing irregular heartbeat since a year. I consulted a doctor who suggested to undergo ECG (echocardiography) which I repeated after sometimes before taking any medicine. Thereafter, doctor asked to put me on a Holter, after that they transferred me for electrophysiologic studies, and asked me to get ECHO test done before taking any medicine. Kindly share your suggestions.
Hello,
Welcome to icliniq.com.
I have checked your report (attachment removed to protect the patient's identity). ECG (electrocardiogram) is normal. Please share Holter and echocardiography reports. Kindly share the electrophysiologic study report. Please share if you have any other underlying medical conditions.
Patient's Query
Hello doctor,
I will share the holter report with you. The EP doctor suggested to get MRI and TTE. I had undergone TTE but they could not do MRI because my heartbeat was irregular, but based on TTE report and other things he suggested cardiac ablation. He suggested surgery for the same. However, I am feeling better now. Kindly share your suggestions.
Hello,
Welcome back to icliniq.com.
The MRI (magnetic resonance imaging) and echocardiography are normal. Only ascending aorta is slightly dilated. There is no need to worry, just repeat Echocardiography after one year. Holter monitoring shows premature beats 15 % of total beats. For this, ablation is to be done after cardiac electrophysiologic study to prevent heart from weakening and to treat symptoms.
Patient's Query
Hello doctor,
I forgot to mention that my blood pressure are slightly elevated, and the doctor suggested to take half tablet of Coversyl 5 mg half in the morning and Concor 5 mg in the evening. I am also concerned about the pain and the weak prick in my chest. Also, I would like to mention that my heartbeat are usually low even at rest.
Hello,
Welcome back to icliniq.com.
You should take blood pressure medicine to keep it under control. Chest pain is not typical of heart, it may be a musculoskeletal pain. If pain worsens with movement, or if it is tender to touch, it is most probably musculoskeletal pain. Ibuprofen or other NSAIDs (Non-steroidal anti-inflammatory drugs) can be taken for pain control. Pulse oximeter is not reliable to count pulse rate, count manually. If still low heart rate, it can be due to premature beats, which do not pump blood and thus generate no pulse. PVC burden is high, so ablation should be done. Kind regards.
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Cardiology
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