Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
155 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

I have lower extremity edema bilat/ tachycardia 100-110 at rest;

Answered by
Dr.
Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 2747 Questions

default
Posted on Sun, 24 Feb 2019 in Hypertension and Heart Disease
Question: I have lower extremity edema bilat/ tachycardia 100-110 at rest; >130 with minimal activity (brushing teeth, rinsing a dish)/ severe shortness of breath with that minimal exertion. When I sit down there is NO palpable pulse in either carotid even though it is pounding in my chest/ if I don't sit down I get lightheaded near passing out. EKG + echo were WNL two weeks ago. Postural hypotension was documented. I was told to be sure I'm hydrated + add salt to diet. Is there any reason to seek another opinion. This tachy has been present > 6 months and all above are getting worse. I feel something else is wrong (I am 72 yrs old + an RN,BSN x 44 yrs.) Thanks. I am 5ft 7, 156#; nonsmoker, no alcohol, sedentary r/t spinal + major joint osteo with grade 4 damage both knees but can't do surgery. Asthma x 70 yrs but lungs clear + controlled with Singulair. No inhaler needed x 3 yrs. On Morphine 15mg TID, Gabapentin 800mg QID, Mobic 7.5th QD, Tramadol 50mg PRN.
doctor
Answered by Dr. Bhanu Partap 2 hours later
Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello

After going through the medical details provided by you I can understand your concern for your health and well-being and I would like to tell you that before giving any opinion I would personally like to review your ECG as well as eco-cardiography reports.

Kindly upload a clean image of both the reports so that I can review them personally.

Also I would like to know have you got your haemoglobin levels checked as low haemoglobin can also be the cause of unexplained tachycardia.

Kindly revert back with the required information.

Kind regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
doctor
Answered by Dr. Bhanu Partap 7 hours later
Brief Answer:
Hello again

Detailed Answer:
Am still not able to see any reports attached with your query.

Kindly upload them from your dashboard or email them to CustomerCare with your id so that they can upload the reports for you.

Kind Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
default
Follow up: Dr. Bhanu Partap 0 minute later
I do not have access to the EKG report or tracing. The results of lab work and the echocardiagram will be attached. Those were all tested in January, 2019. Thank you.
default
Follow up: Dr. Bhanu Partap 1 hour later
The lab reports and the echo result are attached to this question. In case you were unable to receive or read them, I also sent them via email to customer care. Thank you.
doctor
Answered by Dr. Bhanu Partap 16 hours later
Brief Answer:
Hello again

Detailed Answer:
Thanks for the feedback.

All your reports as a whole or over all within normal limits. However as you are giving a history of present copy along with feeble no palpable Carotid artery pulsations so it’s advisable that you should get one carotid artery ultrasound done to rule out Any significant underlying carotid artery stenosis.

Regarding postural hypotension you need to follow the advice given by your treating doctor. Also you can discuss with him about carotid artery Doppler.

Hope to have been helpful.

Kind Regards
Dr Bhanu Partap
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
premium_optimized

The User accepted the expert's answer

Share on