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Medical Forum / General / Cardiology / May 2008

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SVT's while laying on side

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stryped - 02 May 2008 14:11 GMT
I can induce SVT's whan I lay on my right side. I have had a normal
echo in the past and several normal halter monitors and ekg's.

I am an avid runner and just completed a half marathon. I am running a
5 k next weekend.

Heart disease runs in my dad's family but blockages, not irregular
heartbeats. My dad has had bypass. He has been overweight most of his
life.

Every once in ahile I will have a twinge of pain in my chest but it
goes away after a minute. SOmetimes I feel it is hard to catch my
breath. These things almost never occurr while running though.

I am 6 feet 163. I run about 15-20 miles a week.

Any advice?
J666 - 02 May 2008 14:25 GMT
> I can induce SVT's whan I lay on my right side. I have had a normal
> echo in the past and several normal halter monitors and ekg's.
[quoted text clipped - 13 lines]
>
> Any advice?

See your doctor for advice or referral to a cardiologist - far too important
a question not to be seen and examined in person by a practicing doctor
stryped - 02 May 2008 14:36 GMT
> On Fri, 2 May 2008 8:11:12 -0500, stryped wrote
> (in message
[quoted text clipped - 22 lines]
>
> - Show quoted text -

I have seen a family doctor and I saw a cardiologist. The cardiologist
was 2 years ago but the same thing was happening.

By the way, my family doc had me wear a holter monitor this past
December. I ran 13.2 miles with it on. He said the resutls were
normal. Would this be the same roughly as a stress test?
J666 - 02 May 2008 14:51 GMT
> I have seen a family doctor and I saw a cardiologist. The cardiologist
> was 2 years ago but the same thing was happening.

You seem to be looking for reassurance which is normal  

Ask your family doctor to be seen by a different cardiologist for a second
opinion.  Seeing a cardiologist for an office visit is the thing to do.

At some point, if doctors say everything is normal and you keep needing
reassurance, then that can be a problem and that may need treatment.
Andrew B. Chung, MD/PhD - 02 May 2008 14:55 GMT
http://HeartMDPhD.com/Charlatansatan

<><

http://HeartMDPhD.com/TruthBeatssatan
Phobos - 02 May 2008 15:07 GMT
QED
Andrew B. Chung, MD/PhD - 02 May 2008 15:23 GMT
http://HeartMDPhD.com/Convicts/PrayForPhobos

<><

http://HeartMDPhD.com/HolySpirit/Love
tension_on_the_wire - 04 May 2008 23:17 GMT
> QED

I see what you mean.

--tension
Andrew B. Chung, MD/PhD - 05 May 2008 00:11 GMT
> > QED

http://HeartMDPhD.com/Convicts/PrayForPhobos

> I see what you mean.

We, who are Christian, see the Builder in all that HE has created.

<><

http://HeartMDPhD.com/HolySpirit/ProofsByGOD
Andrew B. Chung, MD/PhD - 02 May 2008 14:54 GMT
> satan via a sockpuppet (corporeal demon) despairingly posted:
> >
[quoted text clipped - 15 lines]
> >
> > > Any advice?

Ignore satan and his sockpuppets as they loiter about here and there.

> > See your doctor for advice or referral to a cardiologist - far too important
> > a question not to be seen and examined in person by a practicing doctor

Many thanks, much praise, and all the glory to GOD for HIS compelling
satan to unwittingly display his ignorance of your condition here in
this thread and for HIS using you to make satan look the fool that he
is.

Laus Deo ! ! !

http://HeartMDPhD.com/LausDeo

> I have seen a family doctor and I saw a cardiologist. The cardiologist
> was 2 years ago but the same thing was happening.

Yes, I recall your situation.

> By the way, my family doc had me wear a holter monitor this past
> December. I ran 13.2 miles with it on. He said the resutls were
> normal. Would this be the same roughly as a stress test?

No, a holter monitor typically does not have either the number of
channels nor the sensitivity of the equipment used for a stress test.

Would suggest you ask either your family doctor or your cardiogist to
order an EKG, where you are allowed to position yourself in the manner
that brings out your symptoms so that they can capture the
tachydysrhythmia if any.

Be hungry... be healthy... be hungrier... be healthier:

http://TheWellnessFoundation.com/BeHealthier

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://HeartMDPhD.com/HolySpirit/DiscipleNow
Phobos - 02 May 2008 15:04 GMT
> Ignore satan and his sockpuppets as they loiter about here and there.

As there are crazies like Chung which is evident from his post.

What you need to do is to SEE a doctor who you trust and let that doctor take
care of you.

I removed all the religious type groups Chung added of you need more
evidence, unless you are a sockpuppet of Chung which he has done.
Andrew B. Chung, MD/PhD - 02 May 2008 15:06 GMT
http://HeartMDPhD.com/PrayForPhobos

<><

http://HeartMDPhD.com/HolySpirit/Love
stryped - 02 May 2008 16:44 GMT
On May 2, 8:54 am, "Andrew B. Chung, MD/PhD"
<heartdo...@emorycardiology.com> wrote:
> > satan via a sockpuppet (corporeal demon) despairingly posted:
>
[quoted text clipped - 60 lines]
>
> - Show quoted text -

I did that a few years ago, I was able to make it happen to the
cardiolosist. He said it was nothing to worry about.

I guess what made me ask is this mornign I was taking my blood
pressure with one of those new monitors. (Arm monitor) It gave me a
symbol that said it detected an "irregular heartbeat".
Phobos - 02 May 2008 17:16 GMT
> I did that a few years ago, I was able to make it happen to the
> cardiolosist. He said it was nothing to worry about.
>
> I guess what made me ask is this mornign I was taking my blood
> pressure with one of those new monitors. (Arm monitor) It gave me a
> symbol that said it detected an "irregular heartbeat".

If you are going to listen to Chung even after reading his posts, then you
must be a fool or a sockpuppet so then by all means follow his 2PD advice to
get rid of your "black fat" and be cured and live happily ever after.
Andrew B. Chung, MD/PhD - 03 May 2008 11:20 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> > > satan via a sockpuppet (corporeal demon) despairingly posted:
[quoted text clipped - 50 lines]
> I did that a few years ago, I was able to make it happen to the
> cardiolosist. He said it was nothing to worry about.

Would be more than happy to look at that EKG and give you a second
opinion about it.  If you post it on-line after removing any
information that personally identifies you, it would benefit others
too.

Be hungry... be healthy... be hungrier... be healthier:

http://TheWellnessFoundation.com/BeHealthier

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://HeartMDPhD.com/HolySpirit/DiscipleNow
Don Kirkman - 02 May 2008 19:44 GMT
It seems to me I heard somewhere that stryped wrote in article
<04ab154c-e477-4fcb-b3a6-3ca97e6a4e03@w74g2000hsh.googlegroups.com>:

>> On Fri, 2 May 2008 8:11:12 -0500, stryped wrote
>> (in message
>> <d5fdbab7-aa7e-41a9-a865-382b6901b...@s50g2000hsb.googlegroups.com>):

>> > I am an avid runner and just completed a half marathon. I am running a
>> > 5 k next weekend.

I think I've seen your posts in a running group.

>> > Heart disease runs in my dad's family but blockages, not irregular
>> > heartbeats. My dad has had bypass. He has been overweight most of his
>> > life.

Most of the men in my generation and my father's had high cholesterol and many
had heart problems, some fatal.  AFAIK none had irregularities (probably not
tested for back in those days) but I have had them for as long as I can
remember.  My first cardiologist, a runner himself, was not concerned about
mine.

I did have a very mild heart attack ten years ago, three weeks after what turned
out to be my last marathon, but with three stents in place I run about 12 miles
a week for fitness nowadays and walk a round of golf every week (Lipitor be
praised! <G>).

>> > Every once in ahile I will have a twinge of pain in my chest but it
>> > goes away after a minute. SOmetimes I feel it is hard to catch my
>> > breath. These things almost never occurr while running though.

I can't comment on this--no similar experience.

>> > Any advice?

>> See your doctor for advice or referral to a cardiologist - far too important
>> a question not to be seen and examined in person by a practicing doctor- Hide quoted text -

Absolutely the best advice you could get.  Nearly as good:  if Chung responds to
your message simply ignore it.  He has not practiced in several years, pushes
medical intuitions with no scientific backing, and puts his religious beliefs
above scientific knowledge.

Good luck with the running and the heart issues.
Andrew B. Chung, MD/PhD - 03 May 2008 11:14 GMT
http://HeartMDPhD.com/Convicts/PrayForDon

<><

http://HeartMDPhD.com/HolySpirit/Love
tension_on_the_wire - 04 May 2008 08:06 GMT
> I can induce SVT's whan I lay on my right side. I have had a normal
> echo in the past and several normal halter monitors and ekg's.
[quoted text clipped - 13 lines]
>
> Any advice?

SVT's that are self-limited and with no hemodynamic effects are not
uncommon and not dangerous.  If you have been fully studied while
being able to reproduce them, then odds are that you do not have a
dangerous arrhythmia.  Make sure to ask that long QT syndrome was
ruled out, since you are an athlete, but that type of arrhythmia
results in lethal ventricular dysrhythmias, not SVT.

If you are having chest pain, that needs to be evaluated as a separate
problem, with a completely different set of potential diagnoses.  Even
if you have been assessed fully for arrhythmia, you want to get
reassessed for this.  Holter monitors do not substitute for a stress
test.  Your description of the brevity of the pain does not sound like
typical angina, but there are many, many variants of normal.  As a
runner, be safe, check it out.  If the pain in your chest happens
simultaneously with that occasional shortness of breath you mention,
get it check out sooner rather than later.

Good luck

--tension
Andrew B. Chung, MD/PhD - 04 May 2008 09:55 GMT
> > I can induce SVT's whan I lay on my right side. I have had a normal
> > echo in the past and several normal halter monitors and ekg's.
[quoted text clipped - 16 lines]
> SVT's that are self-limited and with no hemodynamic effects are not
> uncommon and not dangerous.

Correct.

>  If you have been fully studied while
> being able to reproduce them, then odds are that you do not have a
> dangerous arrhythmia.  Make sure to ask that long QT syndrome was
> ruled out, since you are an athlete, but that type of arrhythmia
> results in lethal ventricular dysrhythmias, not SVT.

His EKG would not be normal with long QT syndrome (LQTS).

Moreover, with LQTS would be associated with symptoms of near-syncope
while upright and not with palpitations while supine.

> If you are having chest pain, that needs to be evaluated as a separate
> problem, with a completely different set of potential diagnoses.  Even
> if you have been assessed fully for arrhythmia, you want to get
> reassessed for this.  Holter monitors do not substitute for a stress
> test.

Largely correct.  However, sometimes we can spot ST segment depression
in someone wearing a 3 channel digital holter monitor and can call it
inducible ischemia if there is exertional chest pain.

> Your description of the brevity of the pain does not sound like
> typical angina, but there are many, many variants of normal.

A minute of chest pain could very well be angina but because it is
atypical, we would call it variant angina rather than angina (the
terminology typical angina is not used).  The reason it is not typical
chest pain is because it has not been reportedly exertional.

> As a runner, be safe, check it out.

He has reportedly consulted with a cardiologist already.

> If the pain in your chest happens
> simultaneously with that occasional shortness of breath you mention,
> get it check out sooner rather than later.

It could be variant angina.

> Good luck

No such thing as luck either good or bad (Proverbs 16:33).

Be hungry... be healthy... be hungrier... be healthier:

http://TheWellnessFoundation.com/BeHealthier

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://HeartMDPhD.com/HolySpirit/DiscipleNow
stryped - 05 May 2008 14:52 GMT
On May 4, 3:55 am, "Andrew B. Chung, MD/PhD"
<heartdo...@emorycardiology.com> wrote:

> > > I can induce SVT's whan I lay on my right side. I have had a normal
> > > echo in the past and several normal halter monitors and ekg's.
[quoted text clipped - 75 lines]
>
> - Show quoted text -

How would I post a copy of the ekg?

Does the fact than I am able to run make a blockage seem less likely?
I am 36 but there are heart probalems in my family in there 50's.

I hardly ever get pain in chest while running. I do sometimes seem to
get out of breath but it goes away. I ran 8 miles yesterday.

Thanks for your help!
stryped - 05 May 2008 15:06 GMT
> On May 4, 3:55 am, "Andrew B. Chung, MD/PhD"
>
[quoted text clipped - 91 lines]
>
> - Show quoted text -

One last thing, I have noticed sometimes on my runs that after a eriod
of time I have an episode where I get sick at my stomach, a feeling of
fullness in my chest with a weird feeling up my thorat into the back
of my mounth, sort of like acid relux, only lasts a few seconds.
Happened to me yesterda after about 45 minutes and while I was going
uphill and pushing it.
yamantaka@aol.com - 05 May 2008 16:09 GMT
> > On May 4, 3:55 am, "Andrew B. Chung, MD/PhD"
>
[quoted text clipped - 98 lines]
> Happened to me yesterda after about 45 minutes and while I was going
> uphill and pushing it.

See your physician and get a referral to a cardiologist so you can
discuss these symptoms. You need more information. Better to get it in
a real, clinical setting rather than from Chung who is a disgraced
cardiologist. He was kicked out of his first and only real post-
cardiology fellowship job after about  3 months. He has bizarre, non
standard ideas and suffers from delusions and mental illness.

Your symptoms need more evaluation by a credible, competent
cardiologist.
Andrew B. Chung, MD/PhD - 05 May 2008 18:08 GMT
> > Andrew, in the Holy Spirit, boldly wrote:
> >
[quoted text clipped - 65 lines]
> >
> > How would I post a copy of the ekg?

You will have to scan the EKG into a JPG file and upload it onto a
webserver;

For example:

http://HeartMDPhD.com/SermoExposed

> > Does the fact than I am able to run make a blockage seem less likely?

Jim Fixx, an avid runner, died from a coronary event.

> > I am 36 but there are heart probalems in my family in there 50's.
> >
> > I hardly ever get pain in chest while running. I do sometimes seem to
> > get out of breath but it goes away. I ran 8 miles yesterday.
> >
> > Thanks for your help!

Laus Deo !

http://HeartMDPhD.com/LausDeo

:-)

> One last thing, I have noticed sometimes on my runs that after a eriod
> of time I have an episode where I get sick at my stomach, a feeling of
> fullness in my chest with a weird feeling up my thorat into the back
> of my mounth, sort of like acid relux, only lasts a few seconds.
> Happened to me yesterda after about 45 minutes and while I was going
> uphill and pushing it.

That does sound like possibly variant angina.

Would suggest you inform your cardiologist about this.

Be hungry... be healthy... be hungrier... be healthier:

http://TheWellnessFoundation.com/BeHealthier

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://HeartMDPhD.com/HolySpirit/DiscipleNow
stryped - 05 May 2008 18:34 GMT
On May 5, 12:08 pm, "Andrew B. Chung, MD/PhD"
<heartdo...@emorycardiology.com> wrote:
> > > Andrew, in the Holy Spirit, boldly wrote:
>
[quoted text clipped - 114 lines]
>
> - Show quoted text -

It seems I have had alot of tests over the last 5 years, echos stress
test, ekg's. What is left ?
Michael F. Poellot - 05 May 2008 18:46 GMT
>It seems I have had alot of tests over the last 5 years, echos stress
>test, ekg's. What is left ?

Exercise cardiac scintigram, angiography, cardiac MRI are left.

MP
stryped - 05 May 2008 18:54 GMT
On May 5, 12:46 pm, Michael F. Poellot <michael.poel...@arcor.de>
wrote:

> >It seems I have had alot of tests over the last 5 years, echos stress
> >test, ekg's. What is left ?
>
> Exercise cardiac scintigram, angiography, cardiac MRI are left.
>
> MP

I had a chest ct scan last year. WOuld that have shown something?
Michael F. Poellot - 05 May 2008 19:00 GMT
>On May 5, 12:46 pm, Michael F. Poellot <michael.poel...@arcor.de>
>wrote:
[quoted text clipped - 7 lines]
>
>I had a chest ct scan last year. WOuld that have shown something?

MRIs seem to be more accurate than CTs according to
http://www.radiologyinfo.org/en/info.cfm?pg=cardiacmr&bhcp=1

Anyway, you should get a referral to a cardiologist for further
evaluation.
J666 - 05 May 2008 19:13 GMT
> I had a chest ct scan last year. WOuld that have shown something?

It seems you want assurances that you will have a tomorrow.  Do you really
expect to find that in an Internet Google group.

You need to see another cardiologist in person and if still unsatisfied,
maybe seek some counselling so you can get on with your life and not spend
time looking for a guarantee that does not exist.  You do not want to be so
fixated on this that you cross the street not looking and get hit and killed
by the proverbial Mack truck.
Andrew B. Chung, MD/PhD - 05 May 2008 22:34 GMT
> Andrew, in the Holy Spirit, boldly wrote:
> > > > Andrew, in the Holy Spirit, boldly wrote:
[quoted text clipped - 104 lines]
> It seems I have had alot of tests over the last 5 years, echos stress
> test, ekg's. What is left ?

Simply repeat EKG which can remain abnormal after an ischemic episode
for 24-48 hrs in order to determine if possibly the fullness in your
chest that happened yesterday has its origins from your heart.

Be hungry... be healthy... be hungrier... be healthier:

http://TheWellnessFoundation.com/BeHealthier

Prayerfully in the infinite power and might of the Holy Spirit,

Andrew <><
--
Andrew B. Chung, MD/PhD
Lawful steward of http://EmoryCardiology.com
A latter-day disciple of the KING of kings and LORD of lords.
http://HeartMDPhD.com/HolySpirit/DiscipleNow
 
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