I never had any cardiac problems until 6 months ago when I developed a large pericardial effusion which required the doctor to drain a liter of blood. Since then, I had tachycardia and elevated blood pressure. Echos, 24 hour monitor and a stress test have been normal. In August, I had a cardiac MRI which revealed continued pericarditis and delayed stage one emptying. I was put back on colchicine and ibuprofen to control the pericarditis. The middle of September, for the first time ever, I felt as if someone was inside my chest punching my sternum. My husband was able to feel the hard beat by touching my sternum. This lasted for about an hour when I went to the ER. An EKG and blood work were normal. Palpitations continued. I was put on a calcium channel blocker which has finally controlled the tachycardia. My resting heart rate went from 100 down to the low 80s and my blood pressure returned to my normal 112/70. I still have palpitations but less severe and less frequent.
I have had extensive testing by an immunologist and rheumatologist which indicates an underlying inflammatory condition. I have had high anion gap,IGE,ANC,RDW-CV,ABS mono, CRP , compliment 3&4, and low MCV,MCH since the effusion. No one can pin down what is going on. The immunologist suspects mast cell activation.
Why would palpitations suddenly develop?
Could continued pericarditis cause the tachycardia and elevated heart rate?
Is it possible that I may continue to have pericarditis for the rest of my life?
What are the implications/long term effect of long term pericarditis?
I had a large pericardial window which has prevented the return of the effusion.
I am 44 female, don't smoke, no BP, no diabetes, no cholesterol. I have always had pvc's but they were once in a while. Since the beginning of 2013 I have them more frequently and sometimes the heartbeat is so painful, it's like a knife stabbing me from inside. The pain radiates to the neck and jaw. I just recently had a mibi stress test. Since my pvc's happen at rest 98%of the time, I didn't have any on the treadmill. The pictures of the heart showed no abnormality. I know that I should be relieved, but I am not. I can't seem to get a clear answer to what exactly causes them. I drink one coffee a day, no soda. I do use an asthma medication though. My twin brother died at the age of 22 of a heart attack with no underlying heart problem. I have also read on coronary spasms which have a similar profile to pvc's, they happen mostly at rest, are very painful, pain can be felt in the neck and jaw, but they can't be detected on a mibi stress test if you don't have on during the test. Do coronary spasms show on an ecg? My next train of thought would be to ask m doctor for a holter. What are your thoughts on this? Without a test, is there a way to differentiate between pvc's and coronary spasms? And are painful pvc's normal? Thank you, any help would be appreciated.
Hi, I was diagnosed with having a leaky heart valve some years ago and it was recommended that I have a detailed heart scan every two years. However, they stopped sending for me and i had to visit my G.P just to query why. He advised me to contact the hospital. I did and they were not really helpful.I have recently had to go back to the doctors as I have experienced a butterfly sensation in my chest, much fatigue and I do have a history of over active thyroid. I do worry and get stressed alot but this is somthing I have always had. Recent thyroid tests keep coming back borderline too. Am I worrying over nothing? ThanksDonna
What are the specific foods to stay away from and what are specific foods that would help ? I am 67 year old male and going thru testing on my condition now. My health is good to excellent and I exercise now.
Should I rise the heart rate to standard norms for my age 150 to 160 bpm for a long period ? Thank you
Im a 40 y/o, otherwise healthy adult male. After a long period of palpitations and a high resting heart rate, I saw a cardiologist who performed a ekg and prescribed a 30 day holter monitor. All findings were normal. I still experience some shortness of breath and really fast heart rate when climbing stairs. Would the cardiologist be able to find an enlarged heart on a ekg and 30 day holter monitor? I want to thank you for your service
Hi im a 37 male i have sinus tachy and take 100 mg of atenenol per day to control it. last oct 2012 i went into afib and was converted back with iv meds, with in 36 hours of the onset, there was a battery of tests echo, stress test, ekgs and coritid tests and everything was normal . No known cause therefore no additional treatment was given, im still not on a blood thinner i just take asprin before bed. Now fast forward to oct 11 2013 its 9 pm im laying in bed and my heart goes into afib again, i go to the heart hospital we have on long island and i get meds via iv and am given a pill call rhythymol i was given 450 mg of this and my heart converted about 5 hours after taking the pills. still no cause for the afib , Know both times i had a headache and was dizzy the week before the episodes occured, so i think i had an infection prior to the onset + at the hospital the cbc blood they did showed high wbc but no one said anything to me . if in fact i do have an infection can this cause afib and why can no one find the infection ? im going to follow up with my cardiologist. what tests should i ask for to get to the bottom of this? Thanks
I know a pacemaker will not prevent pvc's but is it any protection from a pvc string? It seems logical that a pacer is to correct abnormal rythms and should thereby interrupt a pvc string before it could become life-threatening by returning rythm back to normal. Is this a valid assumption? Thank you for your response.
I have been having trigeminal pacs for two weeks now. This is new onset for me and is causing me a lot of anxiety and discomfort and maybe an occasional dizziness and chest soreness from the "pounding of my heart." I have gone to a physician and awaiting lab results. They also suggest a stress test. I was going to request an echocardiogram. In the meantime I was hoping you could relieve my anxiety because I am worrying so much. I am an RN with 17 years experience on a cardiac floor so my knowledge is probably not helping my anxiety. I am a 55 year of female. Otherwise very healthy and this started two weeks ago and has not stopped. Thank you!
24 years ago I was told that I had a heart murmur. Within a month of that time I found out I was pregnant. Following up through the pregnancy and after I had the child the doctors still could hear the murmur and could see it on the heart sono (echocardiagram?). Anyway, as time went on, my doctor didn't mention it and I completely forgot about it. Fast forward to today and I have a problem with PVCs. I've had to failed ablation attempts. I also have a big problem with high blood pressure (at my worst I was on 3 different meds twice a day). 7 months ago I had bariatric surgery and my pressure went down, I dropped to one pill (Cardizem 240) once a day. Within the last couple of weeks my pressure has shot up again (at my cardiologist direction, I take my pressure twice a day). My PVCs are now back along with dizziness and shortness of breath. My heart rate is now regularly in the upper 40s - low 50s. Yesterday my sister called to inquire about my heart murmur history (she just found out she has one) and reminded me that I had been diagnosed years ago. I've never mentioned it to any of my current doctors and I've had multiple stress tests and surgical and dental procedures. After all of this time I'm embarrassed to tell my doctor that I forgot about having a heart murmur years ago. I'm assuming that it just went away. Is this something I even need to mention at this point?
I cannot believe your doctors don't know about it - even without you telling them, but then, anything is possible I guess. Be that as it may, your new symptoms are of concern and should be evaluated. I also think you are overmedicated with cardizem 240 mg/day and should ask to be have your meds changed for a start. Patients whose ablation procedures have failed are in a special category anyway and should be followed very carefully.