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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Sweating, Breathlessness And Palpitation

My mom had a bad night 2 days back
when she reported sweating/ breathing trouble and palpitation.. .this happened at around 3:30 AM. Later in the morning i took her for an ECG at around 9:30 AM.... and report shows Low Heart Voltage...... and since then she is feeling little low......

Once in 2006 she was reported with Angina and Mild cardiac arrest... which was treated and then after she never encountered any such issue..... The reason of the then cardiac issues were stomach gas... and ischemia.....

After then something bad like that happened 2days back...
Note:
1.) She is Rehmatoid artheritis patient since 25 years almost now

Also, she is Vit D deficient where the level is 13.2...... and she is already on the treatment for it... can you tell me what should i do at this stage
Thu, 16 Jul 2015
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Internal Medicine Specialist 's  Response
Hello..
Your details are unclear. As i got from your description that Your mother is known case of Angina (Stable/Unstable) since 2006. But you did not mention regarding any regular medicines for that. Also your mother is known case of Rheumatoid arthritis for which she is taking medicines regularly. Now she suffered acute onset palpitation, sweating and breathlessness early in morning and ECG suggestive of almost normal that has been done after 6 hours..
So in my opinion your mother is suffering from Unstable angina. And my advise to go for Streess Echocardiography and Angiography to confirm it. Mean while if such episodes occur then give her Tab sorbitrate 5mg sublingual stat.

Thank You
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Suggest Treatment For Sweating, Breathlessness And Palpitation

Hello.. Your details are unclear. As i got from your description that Your mother is known case of Angina (Stable/Unstable) since 2006. But you did not mention regarding any regular medicines for that. Also your mother is known case of Rheumatoid arthritis for which she is taking medicines regularly. Now she suffered acute onset palpitation, sweating and breathlessness early in morning and ECG suggestive of almost normal that has been done after 6 hours.. So in my opinion your mother is suffering from Unstable angina. And my advise to go for Streess Echocardiography and Angiography to confirm it. Mean while if such episodes occur then give her Tab sorbitrate 5mg sublingual stat. Thank You