Thank you for your question. Your symptoms are not classic for a heart attack, but it is still important for you to see a physician for a complete physical examination and history. A sharp pain that radiates to the back provoked by lifting is likely a muscle strain, but it also can represent an injury to the large artery that leaves the heart, the aorta. From a medical perspective, we need to look at the most emergent possibilities first, and that means a physical examination and appropriate testing of the heart and aorta.
Thank you for your question. If you experience chest pain it is important to tell your physician. Even if the pain is not what you think may represent your heart, it actually may be as we all feel heart pain differently. Heart pain can be felt on the left, right, in the back, jaw, or not at all. Isodril helps to relax the coronary arteries and lower blood pressure, but if you have significant blockages in any of your coronary arteries you can still have pain. I would recommend to contact your physician and receive a complete history, physical examination, and appropriate testing.
Thank you for your question. If you experience chest pain it is important to tell your physician. Even if the pain is not what you think may represent your heart, it actually may be as we all feel heart pain differently. Heart pain can be felt on the left, right, in the back, jaw, or not at all. You have one risk factor for early coronary artery disease in that you have high cholesterol, so again, contact your physician and receive a complete history, physical examination, and appropriate testing.
Thank you for your question. When you take a hot shower, our blood pressure can go down because the blood vessels around our body and skin begin to dilate. When the blood pressure drops, then our heart will beat faster and more forceful. Usually this is the cause of an elevation in heart rate with a hot shower. You can try to take a shower with warm water or minimize the time you spend in the hot shower. If your heart is really having to work to keep up your blood pressure in a hot shower, then you may feel chest pain and anxiety. Pruning of the hands and feet does not reflect the heart function, but likely suggests you are spending more time in the shower than you realize. You can help your body by not taking very long hot showers and staying hydrated. If your heart begins to beat suddenly in other occasions that to you seems abnormal or out of place, you should talk with your doctor. We often use heart monitors that you wear from days to weeks that tell us exactly what the heart is doing when you get your symptoms.
Thank you for your question. When your mother experiences an sudden raise or acceleration in her heart rhythm, we need to have her wear a heart monitor that allows her to push a button when you get the symptoms and she needs a electrocardiogram. These tests allow your doctor to know the heart rhythm associated with her symptoms. Heart rates and suddenly race and suddenly stop, often reflect an abnormal heart rhythm called a supraventricular tachycardia. There are many ways to treat a supraventricular tachycardia so you donít experience symptoms, but the first step is diagnosing the problem. As we get older we do not tolerate fast heart rates as well as we do when we are younger. As such, symptoms can get worse and include shortness of breath, chest pain, dizziness, and at times passing out. When people experience shortness of breath, we also want to get an ultrasound of the heart to make the heart function, heart valves, and heart chamber sizes are normal.
Thank you for your question. The first step is to find out why your heart rate is high. This can be done with a electrocardiogram (ECG), ultrasound of the heart, and depending on those studies a heart monitor that you wear for 24-48 hours. If it appears that the fast heart rate comes from the normal pacemaker cells of the heart (normal location) then there are the possibilities that something else is telling your heart to go fast or the pacemaker cells are from some reason in you inappropriately fast. If the fast heart rate is from another location of the heart, then your doctor can use medications or other treatments to treat this area of the heart.
Thank you for your question. When you experience an sudden raise or acceleration in your heart rhythm, we need to have you wear a heart monitor that allows you to push a button when you get the symptoms and you need a electrocardiogram. These tests allow your doctor to know the heart rhythm associated with your symptoms. Heart rates and suddenly race and suddenly stop, often reflect an abnormal heart rhythm called a supraventricular tachycardia. There are many ways to treat a supraventricular tachycardia so you donít experience symptoms, but the first step is diagnosing the problem. The skipped beats are often extra beats from the upper or lower heart chambers. Extra beats from the upper chamber we call premature atrial contractions (PACs) and those from the bottom chambers premature ventricular contractions (PVCs). The heart monitor will let your doctor know from which chamber and location these beats are coming. These extra beats when you feel your push often arenít felt. When you have an extra beat the heart will then pause to allow the heart to have more time to fill up with blood and make up for the early extra beat. This makes you feel like the heart missed a beat and then the next beat feels hard or more forceful. Again, the first step is to see your doctor and diagnose the problem.
Thank you for your question. Anemia is a cause of an elevated heart rate, but it should not make your heart beat go up suddenly. We only see sudden changes in heart rate when you have a lot of blood loss suddenly. If you have anemia from day-to-day or month-to-month, your body and heart adjust to the lower blood volume. If you are change position quickly, your body has to bring up your blood pressure quickly so you donít feel lightheaded. If you are anemia or dehydrated, the heart has to work extra hard when you change position quickly so you donít get lightheaded or pass out. The heart does this by beating faster and more forceful. However if you experience a sudden increase in heart rate at times when you are not doing anything to provoke it we usually want to have you wear a heart monitor. The heart monitor tells us what your heart rhythm is when you are experiencing symptoms. In patients that develop chest pain, we usually like to have you see your doctor to get an ultrasound of the heart and have a heart monitor study performed. Chest pain in women is more variable than in men. Even though your chest pain is on the right, we have to be more careful in women than me, to exclude the heart since women often have different manifestations of heart disease or heart strain.
Thank you for your question. You need to see your doctor for an electrocardiogram (ECG) and if this is normal then wear a heart monitor. As a diabetic you are at higher risk for problems with your heart. A common abnormal heart rhythm in diabetic patients is atrial fibrillation, which can make your heart rate go fast for many days. Your doctor needs to know if you are experiencing this heart rhythm because it can cause stroke, heart failure, and other problems with your heart. Often you will be able to maintain your normal activity with an abnormal heart rate for the first few weeks, but if your heart rate stays above 100 beats per minute for many days to weak, the heart muscle can fatigue and develop heart failure.
Thank you for your question. Your history sounds like you are having either extra beats from the upper chambers (premature atrial contractions, PACs) or lower chambers (premature ventricular contractions, PVCs). The 48 hour ECG will help to count how many you are having and from what chamber and what locations. Usually these extra beats are suppressed with you are exercising and as such do not present a threat to your during exercise, even during a marathon. However, as your resting heart rate goes down you make experience extra beats afterward. Before you run the marathon, you need to make sure that your symptoms are truly either PACs or PVCs and that they are suppressed when you exercise. If they accelerate or increase during exercise, then you will likely need to be treated with a medicine or another means before high level exercising. If they are PACs or PVCs make sure that you stay well hydrated, replace you electrolytes when you exercise (potassium, sodium, calcium, and magnesium) and sometimes taking extra magnesium up to 400 mg a day can help. All of this should be done including your doctor.