Time to see your doctor! At your age (46 years) these symptoms could have many causes and be related to these palpitations, or an underlying heart problem (or nothing serious). Without a consultation and testing there is no way to diagnose whether you have a problem that requires treatment, or whether these are related to early menopause. You should check your cardiac risks and calculate whether you are at risk...
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Hi Fred,
Has coronary artery disease (CAD) been ruled out? It seems you have a number a cardiac risk factors for CAD, assuming your COPD/sleep apnea as related to heavy smoking in your past. These variations in your heart rate - if related to these new symptoms of fatigue and lightheadedness - are definitely something that needs further investigation and probably treatment. The slow heart rates you describe are usually not a cause the...
Hi P,
Hi Louisa,
An 80% obstruction of the ramus branch of the circumflex coronary artery means you have coronary artery disease, but not necessarily that your chest pain is angina, caused by this blockage. For that, other tests such as a stress test are necessary. Considering this lesion was discovered in 2011 and the ramus is as small as described by you, the volume of blood that flows through is also very small and therefore unlikely to cause much trouble even now, and an even less likely reason for angina since 1996. Meanwhile, you should review ...
- An aortic valve repair should be considered first. If possible, this is the best solution, but it requires an experienced surgeon.
- For aortic valve replacement the choice between tissue vs. a metal valve depends first of all...
As a physician you should already know the answer: You don't have anything to worry about. The great majority of PACs are completely benign and require little if any treatment at all. In rare cases, PACs may be a sign of underlying heart disease.
PVCs...
Hope this helps,
Dr T
Yes! You need to be checked out and have an EKG & blood work, including a cardiac echo and perhaps another EP study and ablation. Your new fast arrhythmia and symptoms are suggestive of another ...
Ask Doctor T. Blog
Chest pains in the middle and nausea. I wake up some nights sweating, heart racing and skipping beat and stomach pains and nauseau. I get light headed and just don't feel right in my chest area with chest pangs and generally discomfort in the chest area.
I am a 63 year old male. 5 feet 7 inches tall and weigh 170 pounds. I have sleep apnea, copd and went to see cardiologist due to irregular heart beat and what I thought was...





