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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes chronic insomnia in a heart patient?

I recently had an ECG after an abnormal EKG. The ECG showed vent. rate 108bpm Sinus tachycardia, PR interval 158 ms, possible left atrial enlargement, QRS duration 88 ms , nonspecific ST abnormality, QT/QTc 368/493 ms, abnormal ECG, P-R-T axes 70 48 58 and prolonged QT. The cardiologist didn t seem very concerned and felt the abnormality was because of the medication I was taking - remeron for sleeping; I suffer from chronic insomnia. I have been on this medication for over two years and have never had any side effects or problems with it. In the past three-four months, however, I have been experiencing chest pains, some severe which is why I went to my physician to get the first EKG which showed a fast heart beat and was referred to the cardiologist for an ECG, EKG and a stress test. I was only on the treadmill for maybe 4 1/3 minutes before I experienced SOB and chest pains. They repeated the ECG and I was told it was abnormal and to discuss my medications with my psychiatrist and that I had nothing to worry about. When I see abnormal ECG, EKG and am taking nitro tablets with a family history of heart disease (father COPD, CHF and angioplasty; grandfather died of a heart attack), I have a tendency not to believe the doctor. I have not even been contacted by my physician for a follow-up visit. Should I be concerned. Cancer also runs in my family; my father died of colon, liver CA and I am breast cancer survivor. I d appreciate your comments. Should I seek another opinion? Thanks, Mary Kopco YYYY@YYYY I am a 61 y.o. white female, 137 lbs w/ hx of cancer (bilateral mastectomy and hysterectomy for CA of uterus), osteoporosis and osteoarthritis, high cholesterol (328), allergic to any statin drugs, being treated with Zetia 10 mg 1 x/day. Presently taking nitro tabs for chest pain, oxybutityn for overactive bladder, clonazepam 1mg 3x/day for anxiety and depression. I look forward to your response. Thank you.
Fri, 14 Dec 2018
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Pulmonologist 's  Response
Hello,

It is your right to get another opinion but in my belief, you should only believe in your treating doctors. The problem is yours instead.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Jnikolla, Pulmonologist
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What causes chronic insomnia in a heart patient?

Hello, It is your right to get another opinion but in my belief, you should only believe in your treating doctors. The problem is yours instead. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jnikolla, Pulmonologist