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Thu, Jun 4 7:03am · Need help asap. Was this an Afib attack or PVCs? Anxiety triggered? in Heart Rhythm Conditions

@braziljjay There's no point in guessing what your heart palpitations were. In fact, even if you go to a cardiologist and have an EKG, unless there is something abnormal in that EKG, he or she can't make a diagnosis on the spot. The doctor can do an exam, check the EKG for clues, and look at your family and personal medical history. Then the doctor can likely make an informed decision about whether the palpitations appear worrisome. If the doctor feels more info is needed the physician might have you wear a monitor or smartwatch with EKG program so you can catch the palpitations for analysis. You should contact your doctor due to your concern. The fact you did not faint and this episode seems unusual and not something happening frequently – and has several factors that could explain it – is reassuring. But call your family doctor or internist. A televisit and going over the episode that way or on the phone may be what's needed to reassure you and/or arrange for an in-person visit. Does what you experienced seem unusual or indicative of something serious? Many, many people are frightened by heart palpitations which can come out of the blue yet are often benign… but nobody can diagnose what they are by a description. Again, talk to your doctor and also cut back on stress, drink a lot of water, avoid stimulants and eat nutritious foods – and breathe…

May 25, 2019 · Premature ventricular contractions (PVCs) in Heart Rhythm Conditions

from research presented at the recent American College of Cardiology meeting re: alchol and a-fib: "Alcohol-AF Trial: It is well known that binge alcohol consumption (holiday heart) can trigger atrial fibrillation (AF) and that observational studies show a higher incident of AF with higher amounts of alcohol consumption. This trial was the first ever randomized controlled trial of alcohol abstinence in moderate drinkers with paroxysmal AF (minimum of two episodes in the last 6 months) or persistent AF requiring cardioversion.
Participants consuming at least 10 standard drinks per week at baseline were randomized to abstinence or usual consumption. They underwent comprehensive rhythm monitoring with implantable loop recorders or existing pacemakers and twice daily AliveCor monitoring for 6 months.
Abstinence prolonged AF-free survival by 37% (118 vs 86 days) and lowered the AF burden from 8.2% to 5.6%AF-related hospitalizations occurred in 9% of abstinent patients versus 20% of controls. Those in the abstinence arm also experienced improved symptom severity, weight loss, and BP control. This trial givesprecise numbers to present to my AF patients to show them how important eliminating alcohol consumption is if they want to have fewer AF episodes.

It further emphasizes the point that lifestyle changes (including weight loss, exercise, and stress-reduction) can dramatically reduce the incidence of atrial fibrillation." Source: https://www.medpagetoday.com/blogs/skeptical-cardiologist/78756

Tue, Mar 31 7:39am · ASMR for Anxiety Relief in COVID-19

YES! Of course, not all ASMR "artists" are good at what they do but there are some remarkable ASMR videos on YouTube. I have had spikes in blood pressure that dropped for super high to super healthy low normal within minutes of relaxing with an ASMR video. ASMR stands for autonomous sensory meridian response and it is not woo woo . it is a real physiological response that some people are sensitive to experiencing. There's quite a bit of research being published on ASMR recently, too. Here's a link to a new study. https://www.ncbi.nlm.nih.gov/pubmed/31275748

Sat, Mar 28 10:39am · Bradycardia in Heart & Blood Health

YES! A well-known side effect of Bystolic is bradycardia (slow heart rate). Please contact your doctor and discuss this ASAP. @warpedtrekker

Wed, Mar 18 9:46am · I'm having multiple odd episodes that are keeping me undiagnosed. Help in Brain & Nervous System

This is incorrect information. Having POTS does NOT mean that your "heart is not strong enough…" It means your sympathetic nervous system is – to use non-medical terms – out of whack. In medical terms, POTS describes a common form of autonomic dysregulation characterized by excessive tachycardia (your heart beating over 100) upon standing in the presence of orthostatic intolerance. In other words, when you stand up, your autonomic nervous system doesn't send the correct signals quickly enough to tell the blood in your lower extremities to get it back to the heart to be pumped to the brain in a timely manner.. so you may feel light headed or even faint. Let's be careful not to frighten people into thinking , if they have POTS they have a weak heart. That's wrong. Just being deconditioned is often a cause and slowly getting back in shape can turn POTS around. Please see the NIH for correct information on POTS: https://www.ninds.nih.gov/Disorders/All-Disorders/Postural-Tachycardia-Syndrome-Information-Page

Fri, Mar 13 6:11pm · Heart Rhythm Episodes - AFib; Tachycardia, High Blood Pressure in Heart Rhythm Conditions

The test is a plasma metanephrine test and it has the highest sensitivity (96%) for detecting a pheochromocytoma. However, urine tests are even more specific but a pain to do (collecting urine more than once) – so to rule in or out the possiblity of a pheochromocytoma, doctors usually order the blood test first., Then imaging shows where the tumor is, etc. I can't say if your doctor is going straight to the scan because he is pretty sure that's what you have but that's a guess…Or maybe he ran the blood work but didn't discuss it with you yet? Anyway, good luck. Nobody wants to have to have a tumor – but if you have one, these are usually very small, benign , treatable so your problem could likely be cured.

Fri, Mar 13 3:02pm · Heart Rhythm Episodes - AFib; Tachycardia, High Blood Pressure in Heart Rhythm Conditions

Yes. The tumor is a pheochromocytoma – they are quite rare but not THAT rare… and they are almost always, always benign. They can cause spurts of extremely high blood pressure..There is now an easy blood test to first rule in or out the possibility of the tumor (the little tumor can trigger spurts of adrenaline which shoot BP up). Some doctors are not aware that it is now in the medical literature that you must NOT TAKE any PPIs ( drugs for reflux or heartburn or GERD ) for several weeks before the blood test or you will get a false positive for the tumor.