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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heart Palpitations, Hand Tremors And Blurred Vision?

I realize I need to seek medical attention, but I want to discuss my symptoms before rushing into the ER. I am a 43-year-old female who is under a tremendous amount of stress and occasionally experience irregular heart palpitations; one regular beat, one hard, slow beat followed by no beat at all, and then back to a regular beat. But when I inhale during this time my heart begins to beat very fast, my hands and arms shake, the left side of my throat and jaw tightens, my vision becomes a little blurry, and occasionally I get a sharp stabbing pain in my right temple when I exhale. My question for you is, am I experiencing anxiety or could it be the onset of something more serious?
Thu, 8 Sep 2016
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Ayurveda Specialist,  's  Response
**
Thanks for contacting HCM with your health concern.

1. As you are a young female thus probable cause could be:
. anxiety [stress]
. overactive thyroid
. could be LVH [left ventricular hypetrophy/Arrhythmias] but to exclude these consultation with a Cardiologist or Medicine specialist is necessary

2. Schematic Examination will be:
. first palpate the pulse for tachycardia & arrhythmias. If pulse rate is > 90, look for thyroid swelling, then auscultate the heart for murmurs and look for heaving apex beat of left ventricular hypertrophy

3. If no response to general treatment for Anxiety [beta blockers/ tranquilisers], then
. serum T3,T4,TSH-to rule out hyperthyroidism
. ECG & Holter moniter test: to rule out arrhythmias
. blood sugar to exclude hypoglycemia

4. Avoid excess tea/coffee
. avoid alcohol & smoking
. avoid mental strain
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What Causes Heart Palpitations, Hand Tremors And Blurred Vision?

** Thanks for contacting HCM with your health concern. 1. As you are a young female thus probable cause could be: . anxiety [stress] . overactive thyroid . could be LVH [left ventricular hypetrophy/Arrhythmias] but to exclude these consultation with a Cardiologist or Medicine specialist is necessary 2. Schematic Examination will be: . first palpate the pulse for tachycardia & arrhythmias. If pulse rate is 90, look for thyroid swelling, then auscultate the heart for murmurs and look for heaving apex beat of left ventricular hypertrophy 3. If no response to general treatment for Anxiety [beta blockers/ tranquilisers], then . serum T3,T4,TSH-to rule out hyperthyroidism . ECG & Holter moniter test: to rule out arrhythmias . blood sugar to exclude hypoglycemia 4. Avoid excess tea/coffee . avoid alcohol & smoking . avoid mental strain