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Rhythm majorly fluctuates with hot flash, sweating and chest pain
48 yr old female, normal weight. Chest pain constant with pvc's. Heart rhythm goes crazy with hot flash, sweating through clothes and lightheaded but my heart rate doesn't drop during these. However, my HR drops in the 40's at times with increased pain, I'm usually 60's. I've been to 2 different hospitals and admitted, wore a monitor for 2 wks, had a echo (3 wks ago) and no results have been discussed with me. One doctor prescribed Imdur and I thought I was going to die on the 1st dose... What I do know is I'm bradycardia with a gls of -14.1, right axis deviation and low precordial leads. My brother died due to the mother of the widow maker at my age now. I'm scared, hurting, tired and keep having to fight for answers. Abnormal tests and then I'm told my test were exceptionally good! I'm in awe,. Please, any help or direction will be appreciated 🙏🏼
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I'm not a physician, so take what I say with a heavy dose of skepticism: it could be something quite unrelated to your heart but that is obviously affecting your heart. Serum ferratin levels, micro-nutrient deficiency or an overabundance, same for elements like potassium or magnesium, even calcium (too much or too little, in all cases), adrenal gland problems/tumour, something an endocrinologist would find like problems with the thyroid, adrenal gland, pituitary gland, hypothalamus...I could go on but you're seeing the picture. While they found that you have some apparently heritable conditions/defects/abnormalities in your heart and in its function, they may only be red herrings...if you follow.
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2 ReactionsBridgette0325, hello and I’ve gotta say you’re awfully young to have such problems and I’m sorry for what you’ve gone through. It seems terribly unfair that you’re experiencing what I am but I’m fixing to turn 71. So, have you considered seeing an electrophysiology dr and or lab? Might want to look into that as it concerns heart rhythm and they may be more qualified to treat your condition. Like the other person said, I’m no doctor but I can relate to the pain the sweats and of course the fear that comes with it. But you are reaching out to a fine group of people that are much more knowledgeable than I and I’m surprised by the low responses to your issues, but if you haven’t reached out to an EP dr or lab I really believe that they might be your best bet. Sincerely, Robert
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1 Reaction@gloaming thanks for all the info. I've done a 24 hr urine for endocrinology and it came back normal. I've had significant blood work and nothing alarming. It's so frustrating but I appreciate the alternate road because at the end of the day... It has to be something ❤️
@chebo1954 I'm sorry you're going through this as well. It's been 2 weeks and another hospital stay with no return call from my cardiologist. I have to be referred to electrophysiology. I'm hoping my next appointment on the 23rd will reveal something or get that referral because that is exactly what I'm struggling with. I so wish I could share video of my monitor on here to show the drastic changes. Chest pains and my HR drops, I can literally tell them when it's going to happen. You are so right on how scary it is because how do I know if I'm having a heart attack or it's just another day. You're in my prayers ❤️
When you say your rhythm goes 'crazy', what exactly do you mean? I assume that a measurement shows a tachyarrhythmia, so rapid rate, but you also mention bradycardia. Have you assessed your rhythm so that it shows clearly that it IS an arrhythmia and not just tachycardia? IOW, a Holter monitor worn for several days should show fairly definitively what, if any, arrhythmia it is. Most people don't know when they're in flutter, which is a resistant arrhythmia and tends not to go away once it starts. It requires a cardioversion at the very least, or an ablation. The other tachyarrhythmias, if it's a high rate, are numerous and they, too can be cardioverted in many cases....or again....treated via ablation.
It's the pain and sweats that had me wondering about endocrinology, although increased adrenaline tends to reduce pain so that you can do the 'fight' part unimpaired if you are in danger. Is this pain cardiac, pericardial, is it like angina...if you have any experience with that?
@brigitte0325 Thank you young lady and demand that referral because I know how they can run you around in circles and that’s so wrong to roll the dice with someone else’s life. Good luck, Robert
Your hot flashes rang a bell with me! I have A-Fib, have a “Watchman” device…but had a small stroke (not small to me! ) in June. I had to stop wearing Estrogen patches because of stroke risk. (I have worn an HRT patch since I was 50 years old -now 70- after my total hysterectomy & ovaries removed….plus for bone health due to limited choices of meds I could take; Fosamax gave me Jaw Osteonecrosis.) Severe hot flashes started after a few days off HRT, with it were heart palpitations and more A-Fib episodes. I was put on Gabapentin 100mg (3 x a day) which has helped with the A-Fib & palpitations…and reduced most of the hot flashes. I follow up with the Women's’ Clinic & my Cardiologist at Mayo in January.