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Medical Forum / General / Cardiology / September 2006

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Heart palpitations / discomfort in arms etc...

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Renster - 29 Aug 2006 13:09 GMT
Folks,

Firstly, please accept my apologies if Im going over old ground here :)
Oh, and secondly, when replying, please bear in mind I'm in the UK
here, so try to avoid any "country specific" advice (eg, what drugs to
take) unless of course its UK specific! Thanks :)

Anyway...

For about 3 months now my girlfriend has been having occasional (almost
daily) heart palpitations also, until recently this combined with
stomach / chest pain and a certain amount of back pain. The main GP at
her local surgery is worse than useless, and has done little other than
throw more tablets at her in what seems to be just an attempt to simply
"mask" the symptoms (ant-acid tablets, beta blockers, triazapan (excuse
spelling!) etc). Thankfully, trips to A&E, and visits to see other GP's
have netted slightly better results - in that she has had 101 blood
tests (for I dont know what!), urine tests (for over active adreno
function), electro-cardiograms, and (as of today) an echo-cardiogram
(for which we apparently now have to wait the results). All tests have
failed to show anything so far.

At this point it may or may not be worth mentioning that the past 12-18
months have seen her endure a lot of stress - family bereavement, and a
somewhat "nuisance" ex etc... - she has a habit of being one of those
strong silent types - getting her to talk about whats bothering her
isnt easy!

Thankfully over the last few days the attacks *seem* to be less
frequent and not so severe (not reducing her to tears every time), and
the stomach problems seem to have gone (or so she says!). However, when
she does have problems she now tells me she feels a certain...
"numbness" and discomfort around the armpits, arms and fingertips. When
she has an "attack", she finds the betablockers, together with aspirin
seem to help alleviate the symptoms.

As I mentioned she has just had an echo CG. She also apparently has to
repeat the 24hr urine test, and has had yet more blood taken. Other
than that she has been told she has to wait 3 months, unless the ECG
shows anything "wrong". However, given a somewhat typical night such as
last night, where the stress and discomfort is causing her to get
little more than 4 hrs sleep a night, I find this 3 month wait
unacceptable - and feel sure the NHS should be treating this more
urgently. Life threatening it may not be, but life ruining it certainly
is.

She is eating about 1/2 - 2/3 what she normally does (tho thankfully,
doesnt seem to be losing weight - she's tiny as it is!), and simply
isn't her usual cheerful self. Its getting her down, and its soooo
frustrating for those around her who simply cant help.

I read with interest earlier an old thread about a similar case that
was down to an enlarged left ventricle. I guess this could be a similar
thing - but any other thoughts / comments / suggestions welcomed.

Thanks indeed to all those far more knowledgeable than me, that reply!

Steve
Paul - 29 Aug 2006 18:53 GMT
>Folks,
>
[quoted text clipped - 54 lines]
>
>Steve
Don't inspire confidence does it ?.

I am being treated for high cholesterol and high bp, when I mentioned
chest pain to my GP I found myself admitted to hospital immediately,
they seem to take the words CHEST PAIN very seriously.

They ran blood tests + ecg, trippled my bp dosage (bp was 169/85) and
concluded the pains were muscular in origin, however on disharge they
issued me with an angina spray (Nitrolingual) with instructions if
chest pain did not go away after 2 puffs call an ambulance,what for
muscle pain ?.

I also mentioned I was having palpitations to the hospital doc but it
elicited no reaction or comments.

I am about to see my own doctor again re the palpitations .

Keep nagging them, best of luck.

Paul
Pramesh Rutajit - 30 Aug 2006 05:49 GMT
>>Folks,
>>
[quoted text clipped - 74 lines]
>
> Paul

Magnesium Citrate has been used successfully by people on the
PeoplewithPVCs@yahoogroups.com email list to eliminate or minimize
palpatations.

Signature

Pramesh Rutajit - p2976221tongue@newsguy.com - remove tongue to reply.

Andrew B. Chung, MD/PhD - 29 Aug 2006 20:03 GMT
> Folks,
>
> Firstly, please accept my apologies if Im going over old ground here :)

You are forgiven as far as I am concerned.

> Oh, and secondly, when replying, please bear in mind I'm in the UK
> here, so try to avoid any "country specific" advice (eg, what drugs to
[quoted text clipped - 47 lines]
> was down to an enlarged left ventricle. I guess this could be a similar
> thing - but any other thoughts / comments / suggestions welcomed.

If your girlfriend is taking BC pills, especially if she smokes,
chronic recurring pulmonary embolic events should be considered.

> Thanks indeed to all those far more knowledgeable than me, that reply!

You are welcome.

All thanks a praises to GOD whom I love with all my being.

May GOD help meet the needs of you and your girlfriend, dear neighbor
Steve whom I love unconditionally.

Prayerfully in Christ's amazing love,

Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).

http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed?
Gazchurchend - 06 Sep 2006 16:02 GMT
Hi Steve

I know only too well how she feels. (Bear with me on this one while I
give you some background!)
Firstly I'll say I have a history of heart problems since I was 16.
Im'e 38 now. Back at 16 I was found to have a leaky mitral valve which
I was told was common and shouldn't worry about! Around 2 years ago I
started suffering with more palpitations than ever before, it used to
be a very rare occurance. My life was getting more complicated and
stressful which I think is a major contributing factor. After many
tests last summer I found out last Christmas I also had a hole in the
heart and my valve had moderate leakage. Coupled with the stress I had
in my life at that time It led to a period of serious depression as I
was told open heart surgery was likely. I had further test at the
beginning of this year and have now got to wait until December before
seeing the specialist to discuss what to do about it!!!!

So there is my background, but I have several points to offer you...

1) Firstly from my own research it is clear that healthy people can
suffer palpitations, so don't get unecissarily distressed just yet.

2) A major cause is definatly stress. I am the same, however the route
cause of mine is the defects I have!

3) As for numbness - Chrismas when I hit rock bottom I also started
suffering from numbness and slight tingling sensations in limbs. It
also seemed to move around to different parts of my body. I was so
concerned I hastled my GP about it, assuming it was heart related. I
had an MRI scan to check it out. However as I picked myself up since
Chrismas this seems to have cleared. Again from what I have read about
depression, this can be a symptom. From how you describe how your
Girlfriend feels, this may be a sympton of depression. (I don't see the
neurologist for the results until October)

4) The Echo will show a problem if it exists and I know more than most
about the waiting game with the NHS! Even though they know about my
problems I am not considered a high risk patient hence the wait until
December! The specialist even told me to not worry about "Your heart
won't stop and you are not going to have a heart attack" where his
exact words. I view this as a good thing, its if they ask you to go
straight to the hospital you know you are in trouble.

Lastly) Again from experience it appears doctors don't consider
palpitation to be serious, or life threatening. But for those of us
that suffer with them they can make your life a misery, and can indeed
make you depressed.

Ultimately try not to worry until you have the results. I too have
struggled to find people to talk to about my condition and experiences
(probably why this reply is so long)
I really do think things will improve as stress is reduced. I would be
interested in hearing how things are with you at present and how the
echo pans out.

All the best
Gary

> Folks,
>
[quoted text clipped - 54 lines]
>
> Steve
 
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