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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Rapid Heart Beat And Pain In Arms?

I have had 4 strokes, I guess mild because I have very little residadul from the old ones. I have also had multiple tia s. last night I kept feeling really dizzy and sick when I sat by a campfire. I would get away for awhile and my heart would beat fast and my right arm at one point started hurting me. I thought I got too much sun and went to bed since the feeling kept coming back longer and longer each time. I did not sleep too long bc I was in a cabin with many people. when I got up I felt out of it aabit but thought I was just tired. my arm thought hurt from my neck to my finger tips. I went home and went to sleep for abit, neck to arm still hurts and head still feels weird. my last stroke I thought I slept wrong and went to the dr and they sent me to hospital I guess I had a disessection of my carotid which I gues was small and they watched and it healed. I am on Coumadin since they can not determine why I throw clots. my problem is if I call my dr for an appt and tell them how I feel they, everytime it could be stroke related they send to the er and sometimes the er drs make me feel like a fool bc it is something else and they are like why did you come. if I am invasive when making appt and get in they send me to the er by ambulance. I don t think it is a stoke I am on my meds but I don t want to automatically be sent to er for no reason, I like that they are taking precautions but it could be other things they don t have to jump to the stroke conclusion everytime. I do always get tired easily. so ok what else could this be so I am prepared to bring them up or could I really just be having another one. I love my drs and used to work with them and I think that is why they are so cautious but I hate to waste time of theirs or er. should I give it so days even though I don t think I did anything physical it was a busy weekend and I could of over did it and my body just wants to rest. I am scared not to ask them bc they tell me I have to stop not coming when I don t feel could and waiting so long bc one day it may be too late. and I don t want to end up bad.
Fri, 27 Mar 2015
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Psychiatrist 's  Response
Hi welcome to hcm
I understand your query and concern.
Your symptoms are suggestive of an Evolving Myocardial Infarction.Get an ECG,2 D Echo,lipid profile,hs CRP immediately to confirm the diagnosis.I advise you to consult your cardiologist immediately.Drugs like Anti platelets,lipid lowering drugs,anti hypertensives,Pantop 40 should be taken to prevent progression of the disease.Also get your blood pressure and heart rate monitored immediately.Also get a CT scan brain as a part of routine screening of your brain as you have childhood history of carotid dissection.Avoid smoking and alcohol.Avoid fatty foods.Fruits like apple,pomegranate and fiber rich low salt diet is helpful.Coronary angiogram with or without stenting is the procedure of choice.Consult your cardiologist for expert management.
Post your further queries if any,
Thank you.
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What Causes Rapid Heart Beat And Pain In Arms?

Hi welcome to hcm I understand your query and concern. Your symptoms are suggestive of an Evolving Myocardial Infarction.Get an ECG,2 D Echo,lipid profile,hs CRP immediately to confirm the diagnosis.I advise you to consult your cardiologist immediately.Drugs like Anti platelets,lipid lowering drugs,anti hypertensives,Pantop 40 should be taken to prevent progression of the disease.Also get your blood pressure and heart rate monitored immediately.Also get a CT scan brain as a part of routine screening of your brain as you have childhood history of carotid dissection.Avoid smoking and alcohol.Avoid fatty foods.Fruits like apple,pomegranate and fiber rich low salt diet is helpful.Coronary angiogram with or without stenting is the procedure of choice.Consult your cardiologist for expert management. Post your further queries if any, Thank you.