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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for severe heart palpitations with dizziness

Am 29 yr old lady,working as nurse.last week suddenly i had chest heavines and slight dizzy during my work.my bp was low that time 100/60 accompanied with sweating.dr order to,put o2 and make,ecg.ecg was normal.after that i became alright.after 2 days i experienced the same again.bt my chest heaviness is not going away.and also palpitation.i consult a dr.he prescribed betablocker.bt my condition is not improving and also its worsening.now the heaviness is in my throat also and its radiating to my jaw and teeth.sometimes its going to my back and my left side.when i am,using stairs and doing hard work,the heaviness is too much and also started breathing difficulty.my resp in 1min more than 40.my pulse is irregular.i make ecg again its normal.bt the t wave is inverted v1,v3.what is my condition dr?plz give me an answer.
Wed, 11 Jan 2017
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General & Family Physician 's  Response
Hi,

I do understand your pain and discomfort.

a) As per your history T wave inverted in V1 and V3 sometimes normal and some times abnormal in MI also so it is not a specific clinical sign to establish at a point.

b) Do check your Hb% if low correct by injectable (Iron sucrose)

c) Do check your Vitamin b-12 if low take weekly injection 3-4 up to one month then once a month in (IM)

d) Do Check your liver & Kidney function test

e) Do check your Fasting blood sugar and TSH

f) As you have already done ECG so do a (ECHO) and Coronary Angiography Test to rule out heart valve and coronary artery blockage present or not

g) Check your vital sign (BP, Respiratory rate, Pulse rate, Temperature) and record it regularly.

I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best for tests reports.

Thanks,
Dr. Uday Nath Sahoo
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