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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Sinus Tachycardia, Extreme Shakiness, Dizziness And Fainting Spells With High BP. History Of Heart Murmur. Cardiologist Evaluation Recommended?

I am 64 yr old female, 116 lbs weight, have sinus tachycardia , heart rates range from 95 when reclined to 155 when standing. I also experience extreme shakiness, dizzines and faint. I was once told that I had a heart murmur. My doctor has run a number of tests recently and she cannot find the cause, my blood pressure is also elevated. Should I have a cardiologist evaluate?
Thu, 9 May 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

There is no doubt that you should see a cardiologist!
It may not be sinus! / Even if it is, when symptomatic, it needs further assessment / especially if there was a murmur...
HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for further management. It may also detect silent (no symptom) ischemia.
     ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots...
      TMT (Treadmill exercise ECG) is done to exclude Ischemia (reduced blood flow).
     LABORATORY work-up is routine - like blood counts, sugar, urea, electrolytes (potassium in particular), thyroid (over-active) and so on.
Your Internist shall suggest based on the situation

Take care
Wishing speedy recovery
God bless
Good luck
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Sinus Tachycardia, Extreme Shakiness, Dizziness And Fainting Spells With High BP. History Of Heart Murmur. Cardiologist Evaluation Recommended?

Hi friend, Welcome to Health Care Magic There is no doubt that you should see a cardiologist! It may not be sinus! / Even if it is, when symptomatic, it needs further assessment / especially if there was a murmur... HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for further management. It may also detect silent (no symptom) ischemia. ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots... TMT (Treadmill exercise ECG) is done to exclude Ischemia (reduced blood flow). LABORATORY work-up is routine - like blood counts, sugar, urea, electrolytes (potassium in particular), thyroid (over-active) and so on. Your Internist shall suggest based on the situation Take care Wishing speedy recovery God bless Good luck