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August 29th, 2014
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Hello Doctor, I am 19 years old female. My weight is 169. I am 3 months pregnant now. My heart beat rate is 199...is this in normal condition. I am really worried about my heart beat rate. Will it be a problem at my delivery. Suggest me with some preventive measurements. please help???
2011-11-16 Answered By : Dr. Dhanunjaya Lakkireddy, MD, FACC, FHRS.

A heart beat of 199 is not normal even for a pregnant. So something is obvviously wrong with your heart. So please see a cardiologist or your internist as soon as possible.

Hello, my son is 6 years old. During the day time and even when he fall asleep, his heart beats are very fast. Is he in normal condition? Please suggest me?
2011-11-16 Answered By : Dr. Dhanunjaya Lakkireddy, MD, FACC, FHRS.

Usually when some one is asleep the heart rate should go down. since he doesn't do that you may want to take him to a primary care physician first and figure out what is going on and then consult an EP specialist if needed

Hi sir, Iím 16 years old, female. Have come across unusual heart beats, which scares me. Last week my heart is acting up, itís speeding up at random times, and beating twice etc. Since last two days I am observing the same at school. Now just 5 minutes ago, when I ran up and down the 8 step stairs for my hair band, I could hear my heart beat which was going pretty fast when I kept my hand over my chest. It scared me a lot. Will go to the doctor tomorrow, but what should I say. Can you suggest me with medicine or something. ?
2011-11-16 Answered By : Dr. Dhanunjaya Lakkireddy, MD, FACC, FHRS.

I think you doctor should be able to help you. if any furhter questions you can always write back to us.

I am 18 years old, male of height 5Ē8. Yesterday, when I was jumping up and down trying stuffs in a mall I felt my heart beating very fast as is i just ran 10 miles. I never faced this issue in my life and so scared a little. I turned red and was sweating. I had relaxed for some time and forgot about it after few hours and felt normal. I just had a cup of coffee and ate chips in the morning. Do I need to go for a checkup..?? Please suggest me..???
2011-11-16 Answered By : Dr. Dhanunjaya Lakkireddy, MD, FACC, FHRS.

If this continues to repeat you should see a doctor

Hello sir. I am I am 26 years, old female with my heart rate showing 210. Two months ago, all of a sudden I felt dizziness for about 3 to 4 minutes and my heart beat became rapidly very fast. I felt as if I am going to die at that moment. After 2 hours, everything was normal but body was week later for the whole day. Again I felt the same after a week, which I ignored. Again after 2 months it happened but this time it was for about 3 hours and my heartbeat was continuously fast so I went to hospital, in an emergency they gave me treatment and my heartbeat became normal. The treatments like ETT, echo and thyroid tests were done and they referred me to electrophysiology department. And they said that that there is some problem in your heart current system. He suggested me to take EPS treatment for 100% result, and said 30% of this treatment is successful in medicine. They suggested me to go for EPS treatment. What should I do, I am confused? Which treatment should I prefer? Also please tell me what are the risks if I donít go for EPS?
2011-11-16 Answered By : Dr. Dhanunjaya Lakkireddy, MD, FACC, FHRS.

Looks like you are having SVT (supra ventricular tachycardia). I agree with your doctors assesment. EP study with a possible ablation may actually cure you of the disease. It is not 100% but pretty close. The risks of not doing a definitive therapy is that you will have more symptomatic episodes and may make you feel bad. You should definitely consider the EPS and RFA.

Hi, my chest hurts, whenever I take fatty foods. Earlier I used to have a lot of fatty foods and fried foods, I also smoke, but now I have slowed down taking this fried and fatty foods. When I exercise, walk or do physical work and eat fatty foods, it do not hurt me. Can anyone give me some insight on this? Is it a heart problem or anything related to it? Now, eating lot of boiled foods and have cut down on pork also. I hope itís not serious. Could anyone give me suggestions on how to eat healthier food and all kinds of oils that have less fat?
2011-11-16 Answered By : Dr. Dhanunjaya Lakkireddy, MD, FACC, FHRS.

Sorry. This is outside of my expertise. Please refer a nutritionist for further help.

Hi, I am 22 years old male, height 5Ē7.From past 1 year I am suffering from fast pounding heartbeat, which is observed whenever I climb the stairs, lift little weight, or after walking. It lasts for around 20-25 minutes. It suddenly gets fast then slows down and it freaks me out, I feel thirsty at that moment. And itís like I cannot take even a single step ahead. I have visited the doctor in emergency they did ECG , blood test .they said everything is fine and suggested me to avoid caffine but though I am now anti caffeine person, it still happens to me when I take a little walk ? what this could be? Please help ? Thanks !!!
2011-11-16 Answered By : Dr. Dhanunjaya Lakkireddy, MD, FACC, FHRS.

There is a possibility that you may be having an arrhythmia. It is important to get what we call an event monitor which can monitor your heart for more than 48 hours. Sometimes people can have what we call postural tachycardia and or inappropriate sinus tachycardia and these two diagnoses of exclusion, Keep up your appointments with your doctors and get it resolved.

HI, I am 23 years old male. Last night I got numbness in my left arm and sharp pain in my chest. It happened for about an hour and finally I fell asleep. Next day morning i was feeling good. I think I have had small heart attack. Let me know
2011-11-16 Answered By : Dr. Dhanunjaya Lakkireddy, MD, FACC, FHRS.

This doesn't seem like a heart attack. This sounds more like a heart burn. At your age heart attacks are less common unless you have a strong genetic predisposition or have substance abuse issues that can cause coronary vasospasm.

Hello sir, I am 23 years old male, height 5Ē6. I felt a lot of stress and pressure the last time when I got pain in the middle of my chest and at my back. It almost was like stabbing pain and it was very hard to breathe deep, it hurt too badly. I almost fell dizzy, while I was trying to find my mobile. It was really strong for about 3 minutes. Am better now, but still little uncomfortable. what this could be? Could it be a heart attack?
2011-11-16 Answered By : Dr. Dhanunjaya Lakkireddy, MD, FACC, FHRS.

It is unlikely that this could be a heart attack unless you have a very profound family history of premature coronary artery disease. If these symptoms persist you may be better off by seeing your doctor for furrther evaluation.

Can AF change over time? At the beginning, it was very fast and furious. I have noticed that although I get the same symptoms (eg shortness of breath etc), over the years it probably does not get to the very fast rates (200+) that it did at first and doesn't seem as 'furious'. I still know when I am in NSR or AF but it made me wonder if that is normal. Not sure if it is a good/bad thing or whether it is a case of getting used to it?
2011-11-16 Answered By : Dr. Dhanunjaya Lakkireddy, MD, FACC, FHRS.

As you are aware a small percentage of patients who have AF are relatively asymptomatic. However, bulk of the symptoms may be related to the ventricular rates when you heart goes into AF. In naive hearts when the diagnosis is new this seems to be very disturbing. With time I believe you get used to it and the AV nodal blocking drugs like the betablockers, calcium channel blockers and digoxin may help to attenuate the ventricular rate response there by making it more tolerable.

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