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Increased heart beat, queasiness, tiredness. EKG, blood work, chest x-ray normal. Next step?

Hi, my dad woke up w/ racing heart rate in middle of night last night. After couple hours of it he took himself to ER. When we got there his HR was 117 and his BP was 194/63. They did EKG , blood work, and chest x-ray . All came back fine. Got HR down to 100 and BP down to 130/76. They released us. Now he s feeling queasy and very tired. What s our next step and should I keep a close eye on him?
Asked On : Tue, 26 Mar 2013
Answers:  2 Views:  39
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

He needs to be investigated for arrhythmia / Coronary Artery Disease.
HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / TMT (Treadmill exercise ECG) / further LABORATORY work-up – may all be necessary for further assessment and assistance.

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Wed, 27 Mar 2013
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Cardiologist Dr. Hemant Kumar's  Response
in night accelerated hypertension leads to tacycardia , which subside with hypertension
Accelerated hypertension is a disease characterized by a rapid and sudden increase in blood pressure over the baseline level , one-half have essential or secondary hypertension caused by kidney failure, or by high blood pressure in the kidneys (renal hypertension) due to narrowing of the renal artery, toxemia of pregnancy, or vascular disorders. It can occur among cocaine users and in people who take certain medications such as appetite suppressants, birth control pills, certain cold medications, corticosteroids, and migraine medications.

quesyness and tirdness may be due to antihypertensive medicines side effects
consult with cardiologist, go for detailed examination and ask for change of medicine if tirdness is too much
Answered: Wed, 27 Mar 2013
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