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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Palpitations, Enlarged Prostrate. Diabetic, On Medication. Possible Cause ?

It is 3-1/2 months since my angioplasty.I am experiencing palpitations most of the time when ever I go to urinal at night and lie down.This palpitation lasts for about 1-3 minutes and I dose off. I am having slight enlargement of prostrate which I am told by my urologist is age related as I am 64 Yrs.I am taking Dynapress 0.4 again now for some time as advised by the doctor to check whether this is causing the palpitations.

I am diabetic and under drugs for the last ten yrs.The sugars levels are under control the recent A1c being 6.4 which was ranging from 7.2 -7.8 earlier.The drugs I take for the Heart is Prasudoc 10 1-x-x,telma 20 1-x-x,Ecosprin 150 x-1-x,concor 5 x-x-1,Atorsave 10 x-x-1.

Yesterday(today early morning) I had been to urinate at 2.0a.m and the palpitation was there as usual,but this time it was there for more than 30 min.So I checked the sugar and it was 83 and BP was 150/90 pulse 65.Cross checked again BP was 145/85 pulse 63 on the digital meter.I took some sweet cream biscuits to pep up the sugars.The palpitations reduced but was there till morning and I felt it more while lying down on the side.
But for the palpitations at night I am okay and on regular walks for 50 minutes daily.I do not have breathlessness or any other discomfort.This palpitations was there a few days before my angioplasty also and I was asked to take Concor 2.5 and later 5.Do you thing that the palpitation is due to the Concor 5 which I am taking.Can you please let me know what needs to be done and if it is a cause for worry?.My Physician has suggested that I take the Holter Test to find out the problem. I do not notice the palpitations during the day,but it may be that I am at work and not lying down to experience the palpitations.Please help out.Thanks in advance
Mon, 3 Jun 2013
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Cardiologist 's  Response
Dear Sir
Thanks for your query to us.
1. If you ever had loss of consciousness/ blackout/ dizziness associated with palpitation? If yes, you need to see your cardiologist on priority.
2. We must know what kind of rhythm is there at time of palpitations and since they last for few minutes, holter is a good option, provided that they must occur on the day, your wear holter. Further work-up, treatment, prognosis will depend upon the type of rhythm we get.
3. Most of the palpitations are premature contractions. If they turn out to be premature contractions only, we will look at your ECHO. If ECHO is normal or near normal, we will adjust the dosage of one of the drugs you are using. In most case scenarios this will suffice.
4. In the meantime avoid coffee/tea/smoking (especially near bed time).
Hope this helps.
Sincerely
Sukhvinder
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Palpitations, Enlarged Prostrate. Diabetic, On Medication. Possible Cause ?

Dear Sir Thanks for your query to us. 1. If you ever had loss of consciousness/ blackout/ dizziness associated with palpitation? If yes, you need to see your cardiologist on priority. 2. We must know what kind of rhythm is there at time of palpitations and since they last for few minutes, holter is a good option, provided that they must occur on the day, your wear holter. Further work-up, treatment, prognosis will depend upon the type of rhythm we get. 3. Most of the palpitations are premature contractions. If they turn out to be premature contractions only, we will look at your ECHO. If ECHO is normal or near normal, we will adjust the dosage of one of the drugs you are using. In most case scenarios this will suffice. 4. In the meantime avoid coffee/tea/smoking (especially near bed time). Hope this helps. Sincerely Sukhvinder