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Husband with heart skipping beats
His morbid obesity (his Body Mass Index, BMI=42), Hypertension, peripheral edema (swelling), palpitations, all confirm what you already know: a heart attack waiting to happen. Sleep apnea diabetes, positive family history for heart disease all contribute to this prognosis. Loosing 7 lbs is a very minor beginning of the 150 lbs he has to get rid off.
Diet, exercise, wight loss. Without that, nothing else will be effective. His palpitations probably will need to be re-evaluated.
You can read more here:
The first thing to find out is whether his heart is healthy otherwise, so he will need to have some blood tests (including Thyroid), an EKG and 24 hour monitoring. That will determine the basics.
You can read more about heart rhythm here:
Calculate his risks:
More about diet:
Hope this helps,
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