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What Causes Lymphadenitis With Palpitation And Dizziness?
Dear Doctor.
Below is my Medical Summary:
Age 31 Y
Sex: Male
Progress Notes:
HTN (-) DM (-)
H/o left cervical caseating Lymphadenitis + PT - -> S/P ATT 3 yrs ago, took ATT for 1 year
Very brief palpitations of 2-3 minutes on and off 4 yrs with dizzy feeling.
Palpitation goes away with deep breathing
No h/o prolonged palpitation needing medications
TMT Oct 10: Bruce 8 min 9 mets 91% THR, -ve for ischemia/arrhythmia
RPT Holter(27.12.2010): Seven short run of narrow QRS tachycardia-- > regular at 220/min, max for 3 min or so Euthyroid status.
Came for routine review:
Brief palpitations 2-3 minutes
Had palpitation on (17.05.2011)
Holter Min 34/min at 2:30 AM, Max 200/min
Regular narrow QRS tachycardia initiated by 3 VPCs (triplet) at 200/min, no definite P waves, fixed rate + Abrupt termination
? AVNRT,? Orthodromic AVRT (concealed pathway)
Rx:
T.Seloken XL 50 mg 1-0-0 ( to be stopped 5 days prior to EP study)
Plan:
EPS + RFA
1% risk of CHB explained.
Should i proceed with EP in 2d or 3d. My previous Doctor ask me to implant a Pacemaker without an EP study . makes me confused. if so which pacemaker is good for my condition . waiting for your advice.
Below is my Medical Summary:
Age 31 Y
Sex: Male
Progress Notes:
HTN (-) DM (-)
H/o left cervical caseating Lymphadenitis + PT - -> S/P ATT 3 yrs ago, took ATT for 1 year
Very brief palpitations of 2-3 minutes on and off 4 yrs with dizzy feeling.
Palpitation goes away with deep breathing
No h/o prolonged palpitation needing medications
TMT Oct 10: Bruce 8 min 9 mets 91% THR, -ve for ischemia/arrhythmia
RPT Holter(27.12.2010): Seven short run of narrow QRS tachycardia-- > regular at 220/min, max for 3 min or so Euthyroid status.
Came for routine review:
Brief palpitations 2-3 minutes
Had palpitation on (17.05.2011)
Holter Min 34/min at 2:30 AM, Max 200/min
Regular narrow QRS tachycardia initiated by 3 VPCs (triplet) at 200/min, no definite P waves, fixed rate + Abrupt termination
? AVNRT,? Orthodromic AVRT (concealed pathway)
Rx:
T.Seloken XL 50 mg 1-0-0 ( to be stopped 5 days prior to EP study)
Plan:
EPS + RFA
1% risk of CHB explained.
Should i proceed with EP in 2d or 3d. My previous Doctor ask me to implant a Pacemaker without an EP study . makes me confused. if so which pacemaker is good for my condition . waiting for your advice.
Wed, 15 Jun 2016
DEAR FRIEND
the EP study will clearly establish the cause of your palpitation and in case there is an aberrant path which can be ablated. The need for a permanent pacemaker then will not be there,
it is a good idea to undergo EP studies before taking the decision of pacemaker implant
the EP study will clearly establish the cause of your palpitation and in case there is an aberrant path which can be ablated. The need for a permanent pacemaker then will not be there,
it is a good idea to undergo EP studies before taking the decision of pacemaker implant
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