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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Medication To Cure Shortness Of Breath And Heart Palpitations At Night

Increased resting pulse, slight shakiness, mild shortness of breath during easy activity and sometimes lying down, two short episodes of 100 + pulse, one short episode of heart pounding in night. Upper chest pain, almost like lung irritation X six weeks. Echocardiogram results pending, as new murmur heard. Low risk for CAD: no cholesterol problem, normal weight, no family hx, never smoked; 64 year old female. No ankle swelling; no cough. Thyroid normal within the year, no lump in throat. One episode of pericarditis 20 years ago. Have 25 year hx of rheumatoid arthritis. Tried 10 days of Prilosec without change in symptoms, which have gradually stacked over last two weeks.
Mon, 9 Mar 2020
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Neurologist 's  Response
Hi,

First of all, you should measure your blood pressure and if it was high, you could do an ECG on your heart. Second, the hormonal therapy for contraception or replacement therapy can aggravate cardiac problems, so if you take any of them you should ask a gynecologist for help. Third, oral cortisol for rheumatoid arthritis can cause heart problems, so you should ask you doctor if take it. Fourth, you suffered from pericaditis 20 years ago and now you have suffered from arthritis, which means that you could have an autoimmune disorder, so you should ask an immunologist for further investigations.

Fifth, the lower level of cholesterol in the blood does not necessarily mean that you do not have atherosclerosis, but an CT with contrast on the chest can detect atherosclerosis in coronary arteries. Finally, the digestion problems can compress the diaphragm and the heart causing symptoms like tachycardia and breathless, for example the prolonged use of oral contraceptive pills affect the pile salt secretion making the digestion of fat difficult.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Mustafa, Neurologist
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Suggest Medication To Cure Shortness Of Breath And Heart Palpitations At Night

Hi, First of all, you should measure your blood pressure and if it was high, you could do an ECG on your heart. Second, the hormonal therapy for contraception or replacement therapy can aggravate cardiac problems, so if you take any of them you should ask a gynecologist for help. Third, oral cortisol for rheumatoid arthritis can cause heart problems, so you should ask you doctor if take it. Fourth, you suffered from pericaditis 20 years ago and now you have suffered from arthritis, which means that you could have an autoimmune disorder, so you should ask an immunologist for further investigations. Fifth, the lower level of cholesterol in the blood does not necessarily mean that you do not have atherosclerosis, but an CT with contrast on the chest can detect atherosclerosis in coronary arteries. Finally, the digestion problems can compress the diaphragm and the heart causing symptoms like tachycardia and breathless, for example the prolonged use of oral contraceptive pills affect the pile salt secretion making the digestion of fat difficult. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mustafa, Neurologist