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July 31st, 2015
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Hi. If an EKG on a 18 year old female reading is went rate of 48, RR intervals of 1233, pr intervals of 128, hrs duration of 98, qt interval of 414, qtc intervals of 393, qt dispersion of 62 and prt axis reads 27 85 37. with a summery of borderline ECG and notes rsr pattern in v1 and v2 and probable normal variant... what does or could this means. She is having chest pain for over a period of a day and radiates, and feels like she has to take a deep breath all of the time to get enough oxygen . We did go to the ER and was sent home with muscle skeletal pain because they figured it was from auto accident she was in two weeks ago. D-dimer was neg. She is not one to complain about things but was worried and rated pain from 4 to 6 out of 10.please suggest.?
2012-11-28 Answered By : Dr. J.David Burkhardt M.D., F.A.C.C. F.H.R.S.

That EKG sounds mostly normal. There are many causes of chest pain, and the heart is just one. A stress test and ultrasound of the heart are usually are good evaluations of the heart causes. An internist or gastro-enterologist can evaluate other possible causes.

Hello doctor. Myself Paul four days back I had an episode of sudden increase in pulse n then sudden drop..i was taken to the hospital immediately..I had coffee 2 hrs before this n lunch was also outside...when I was admitted doctors told me get ECG done which reflected anxiety and they gave me tryca which calmed me down..but I had increased palpitations n breathing problems n my pulse rate was also high and 127 for 2 days...I still have weakness and gastric trouble.My gases don't seem to pass.and I have shortness of breath n burning sensation.I m scared n nervous as to what to do please help.
2012-11-28 Answered By : Dr. J.David Burkhardt M.D., F.A.C.C. F.H.R.S.

If your EKG showed a normal rhythm when you had symptoms and a fast pulse rate, then this is usually in response to something else. A cardiologist or heart rhythm specialist should confirm that the rhythm was normal. Your gastro-intestinal symptoms are more the field of gastro-enterologist.

Hi doctor, my 45 year old brother in law just passed away. he was found on the floor of his home with blood coming from his nose . the medical examiner said it was a heart attack and they took him to the funeral home. no autopsy . if we wanted one, we would have to pay 4000. which the family doesnt have. my question is, is it normal for blood to be present when someone dies of a heart attack. it was more blood than a typical nose bleed. kindly suggest me?
2012-11-28 Answered By : Dr. J.David Burkhardt M.D., F.A.C.C. F.H.R.S.

Blood from the nose from a heart attack is somewhat unusual but can be seen in severe cases. Patients who suffer deadly heart rhythms can also fall and injure themselves.

Hello doctor, My step father has had a second heart attack 8 yrs ago he had a quadruple bypass. After this last attack we were told that his veins are colgged again. they were going to put stents in his legs and neck but after going in we were told that is not an option, that it would cause to much pressure on his heart. They also said his heart has one vein supplying blood and it has some obstruction as well, giving him a functioning score of 35%. I am 1200 miles away from my family and the doctors at this time and i need help understanding what this means for my dad. do i need to go home?
2012-11-28 Answered By : Dr. J.David Burkhardt M.D., F.A.C.C. F.H.R.S.

It sound like your step father has significant blockages in the blood vessels supplying his heart both the natural vessels and the bypass grafts. It also sounds like he has artery blockages in the leg and neck. The doctors may be concerned about the risk of further procedures. Having many significant blockages and a reduced pumping function of the heart is a serious condition, but people can sometimes do well with medications and diet. The doctors taking care of him or the hospital may have services to discuss his status with you if he gives permission.

Hi. I have this weird shooting pian that starts in my left abdomen and goes through the back of my arm to my elbow . It feels like a shock kind of pain, not stabbing or throbbing. It has happened twice this week. Is this a heart attack or something else. What could be my problem? Please explain??
2012-11-28 Answered By : Dr. J.David Burkhardt M.D., F.A.C.C. F.H.R.S.

There are many possible explanations. I would suggest getting an evaluation by a physician.

Hi doctor I am 40years old, female, 1.69m, weighing a lot more than i used to 80kg. I have noticed my heartbeat is a bit faster than normal all day, when i go to sleep i can feel it. I have Polar heart monitor and my normal rate is 57 when i am in bed but now is around 66 and 72!!! I have been to the doctor here and i was given a heartbeat monitor overnight but unfortunately the problem had stopped at the time so it was around 57. Now it is all the time faster!!! I wonder what is wrong with me. it will be helpful if anyone can provide the information about this?
2012-11-28 Answered By : Dr. J.David Burkhardt M.D., F.A.C.C. F.H.R.S.

Those heart rates are within a normal range. Heart rates can vary quite a bit. If you have gained weight, then this may be one of the causes. Regular exercise will slow your heart rate over time. Thyroid problems are also associated with weight gain and changes in heart rates.

Hi. My brother is 21 and had his pace maker removed after a week of being fitted due to infection, his heart is very complex and i am concerned about having another fitted on the other side as he is suffering from regurtation to the lungs and they don't know if the regurtation to the lungs may get worse, but maybe OK with a complex pace maker which they were unable to insert all the wires previous ,also his arm is swelling now and is on a suction to loose the virus at the moment.please help?
2012-11-28 Answered By : Dr. J.David Burkhardt M.D., F.A.C.C. F.H.R.S.

I am sorry to hear about your brother. I am not sure I understand the question, but a pacemaker is used for slow heart rates and occasionally to improve heart failure symptoms. Infection is one of the most common complications. The arm swelling could be from a clot that formed when the wires were placed in the vein for the pacemaker. Blood thinners are usually used to treat this.

Hi doctor, my sister had triple by pass surgery on Friday. That day she was doing so good in the evening that they were able to take her ventilator out. She was talking and talking and very alert. Very sore throat , but very alert. By the next day say lunch time, they were trying to get her in a chair to sit up and she was talking great. All numbers were good. She passed out or something they don t know. She is a diabetic, but they are watching her sugar very closely. She is also by polar. They are now cutting her meds back to get her to wake up, it does not look good for her. They have not moved her, or turned her. Her hands are tied down because today she woke up a little and she is struggling to have the vent back in. You can see the look in her eyes is fear. Don t know what to look for or what questions to ask!! Please help
2012-11-28 Answered By : Dr. J.David Burkhardt M.D., F.A.C.C. F.H.R.S.

Patients having setbacks after major surgery is not that uncommon. I would suggest that you be around when the doctors round to get an update. The nurses and hospital chaplains are also very helpful in communicating and explaining what is going on. Talk with them. I wish you the best.

Hi doctor, my mom is 60years old born with leaking valve a year ago had a colon opperation done due to abcess, never had heart symptoms before that. Recently getting angina pains often and tires our easily, she s going for angiogram tuesday but I m so worried. Could her valve be getting worst? Her sypmtoms are fatigue and chest pains when she wakes up in the morning and sometimes during the day and very tired at times.What could be my problem? Please explain??
2012-11-28 Answered By : Dr. J.David Burkhardt M.D., F.A.C.C. F.H.R.S.

Angina is usually associated with artery blockages but can be seen without major blockages. She should be evaluated for blockages. Regarding valves, angina is usually only associated with a very tight valve and not leaky valves as often. Cardiologist usually evaluate the valves by physical exam and ultrasound.

Hello Doctor,does anybody out there know about warfarin- the anticoagulation therapy drug? if someone had a stroke and they were put on a normal dose of warfarin, do you think it would be safe for them to take a ginseng supplement (to improve momory), if not, what would you advise them to do.
2012-11-28 Answered By : Dr. J.David Burkhardt M.D., F.A.C.C. F.H.R.S.

There is some suggestion that ginseng may interfere with Warfarin. It is recommended not to take both. A neurologist has other medications that may help, that can be used with Warfarin.

No.of Questions Asked in All Sessions: 1021
No.of Questions Answered in All Sessions: 1020

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