Your heart rhythm

My son is 3 years old and has airway problems. He had a Type 3 Laryngeal cleft repair in 2012. Otherwise, he seems to be fine. A few months ago we noticed that his heart rate started dropping into the 60's and 50's during the night and staying there. EKG was done and was normal. His oxygen stays in the 96-100 range, no issue there. While in the hospital, I noticed on the heart monitor it kept saying "Sinus rhythm", "SV Rhythm", and SV Brady. His heart rate did not drop down though like it does at home & I think it's due to his albuterol and recemic epi breathing treatments there as well as steroids. He is on Amoxicillin and Prednisolone currently. The dr's do not take me serious when I ask them about this issue. Any advice?

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 slow heart beat ave about 63-66 at rest. I have a finger pulse meter that I use. The initial  visit the doctor found irregular heart beat and PACs with underlying sinus rythm. ordered holter monitor for 24 hours which noted supraventicular tachycardia with average heart rate of 68. wanted to use a beta blocker but I was concerned about heart rate. so a month later went back and did an echo whic showed left ventricle mildly increased and low left systolic function (ejection fraction 50-55%). Saw elecro cadriologist and said he did feel he would anything unless I started getting palpitation. I go back and see him in a couple days. I am now using supplemental oxygen when I walk and have noticed that heart rate will run 110-115 during walk but lately has dropped to 65-70 for a few minutes then return to 110-120. Do I need to ask the doctor anything since I feel more tired and drowsy and more episodes of light headiness but no really chest pains.

I recently had a minor procedure under general anaesthetic (manipulation of jaw following previous op 6 weeks before). Soon after I was discharged I started to suffer from frequent skipped heartbeats, more than 100 over the course of a day (yes, I counted!). It is now more than two weeks and while they are not constant, I do have spells over the course of a day where I'll get that skip and bump every few minutes.

Some background info that may or may not be relevant: about 3 years ago a started suffering from frequent chest pain (short bursts of deep pain in my chest when undertaking mild exercise like walking up a flight of stairs or a slight incline).  Investigations, including angiogram, showed lbbb, but no underlying condition. I had this pain many tmes a day for about two years before it began to get less severe, and now it happens very infrequently. I had a single episode about 4 weeks ago, for example.

Should I be concerned about the skipped heartbeats? Could they be an indication of anything more serious going on?

Thanks for your time.

Dear Dr. I am urologist in IRAN 64 years old and since 1983 until now with a sever anxiety and depression and treatment had no effect.from 10 years ago i had PAC 1-5 days per week and last 3 to 12 hours (2 to 10 pac per min.). In 2011 with a sever PAC(2normal and one PAC)I hospitalized in ccu and discharched after 4 days and I had no PAC for 6 months after that I had PAC once or twice per week 2 t0 10 pac per min. and some times I had no PAC for 10 to 20 days since2011 I use propranolol 10 mg. TDS .

all my exam. are normal no diabets and cholestrol 290 with ldl 190 and hdl 35 .BP 90/60.pulse 60-85 per min..Echo  normal EF=60 with mild mitral prolapse and no chest pain.I am 57 kg. and163 cm hieght Ilost my job because of anxiey and I am at home. What must I do? Please Please help me.

Thank you

Answer:

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 conditions, which has been excluded with the tests you have had. Read this:

http://www.cardiachealth.org/premature-atrial-contractions-pacs

Dr T

Reading a recent medical report I noted the following:"bifascicular block", sinus bradycardia", Right bundle branch block", this after an EKG last week for short period of pain in the middle of the chest. (I feel OK now, swam slowly for 30 minutes this morning (3 times a week for the last several years - and feel better afterward - - but if I dig some dirt in the yard for planting holes of tomatoes or other plants - I can become exhausted quickly (while swimming 30 minutes slowly does not tire me) - I don't know what physical limits I should place on my self?  I take atenolol, losaran, 1/2 pill hydroc.thiszd, and hytrin.  I generally feel OK everyday. DOB 8/27/33.  Thank you very much for any advise or suggestions.  Chris.

I was diagnosed with WPW when I was 13 and shortly after diagnosis I had a radio ablation and was considered cured. I recently have been dealing with some anxiety and have tried exercise. I become very short of breath and my heart has been reaching the 190s which is not as severe as before. I am exhausted all the time. I have been dealing with headaches and just a feeling of being run down. Do I need to find a new cardiologist?

I suffered an MI almost two years ago. A single stent was installed. I recovered well with little damage to my heart. I have recently began experiencing trigeminy that has gone on for over a month now. The cardiologist says it is nothing to worry about however when it is very strong I have a hard time concentrating. It has become very worry some. Is there a treatment for this?

I noticed in the past 3 years I get shortness of breath and a dizziness feeling after repetitive bending down.  It doesn't happen until after I stop bending down. Where I work I have to been down every once in a while for long periods.  I do have anxiety and panic attacks but didn't know if this was causing this because ive had anxiety for about 11 years and this has never happened. I did get diagnosed with being anemic 2 and a half years ago but they have said im no longer anemic. So I was just wondering what can cause this because once it happens I feel bad for a long time after.

I dont smoke, nor drink, I am 37 yrs old fem with 3 children, 2 natural births, 1 c section. have hashimotos thyroiditis since i was 20yrs at which time was also diagnosed with mitral valve prolapse and mild regurgitation "not significant". Since then I've had 3 more echos , 1 said again mild regurgit , 1 was completely clear!!!! , and one last year said mild regurg in 3 valves really don't know what to think . all echos were done in different labs. also have gerd and erosive gastritis. I exercise on the treadmill or in a stadium nearby for 30mins to an hour doing fast walks.i also live on the second floor with no elevator so i climb about 40 steps. I watch my diet, and have very normal high hdl (61) low ldl and very low triglykerides.

question today i was taking my son to the hospital for a dermatologist apptment. I climbed 53 steps and i got something like a chest pain which scared me to death!! on the way back OF COURSE it didn;t happen again so I don't know what to make of it. no heart disease in my family. I suffer from anxiety/panic disorder with flashbacks of disturbing and intrusive thoughts ever since last year after a surgery i had where i had panic in the o.r (i was left to wait alone). anyhow, i am too scared to go to the doctors so i would appreciate your opinion.