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Doctor Q&A for Dr. Mark Goldman

A member asked:
Dr. Mark Goldman
Specializes in Cardiology
What are you eating?: Sometimes people can have palpitations after eating sugary foods or a lot of carbs. It is also possible to get palpitations from MSG which is in a lot of Chinese food and evening some Italian food. It could also be caffeine or alcohol. Keep track of what you are doing before the palpitations happen.
A 19-year-old male asked:
Dr. Mark Goldman
Specializes in Cardiology
Probably not: MVP can be associated with chest pain and palpitations but shouldn’t cause shortness of breath unless the valve is leaking a lot. You should see a cardiologist and have an echo to find out how bad the valve is.
A 23-year-old member asked:
Dr. Mark Goldman
Specializes in Cardiology
For the most part no: For the most part, you can participate in competitive sports but I wouldn’t recommend lifting heavy weights that cause you to strain excessively. There is a small risk of damaging the chords that support the valve which could make it leak significantly.
A 17-year-old male asked:
Dr. Mark Goldman
Specializes in Cardiology
Probably: Anything can cause side effects. Any SSRI can prolong your QT. Zoloft could cause palpitations also. People go on these drugs all the time and don’t have a problem. The biggest issue with the QT is when you are also taking other drugs that prolong the QT like some antibiotics or other psych meds. Make sure your other meds are ok and speak with your doctor but it should be fine.
A 17-year-old male asked:
Dr. Mark Goldman
Specializes in Cardiology
Depends : Not sure what you mean by a failing gall bladder. If you’re having gall bladder attacks (abdominal pain after eating fatty foods), pain can definitely cause your blood pressure and heart rate to go up. But if you aren’t anxious or in pain, there could be something else going on. Regardless, you should get checked out to see if you have hypertension and if there is a rhythm abnormality going on.
A 38-year-old male asked:
Dr. Mark Goldman
Specializes in Cardiology
Carbs: Some people get palpitations after having a carbohydrate load. Try to not eat large amounts of carbs during your meals or have a decent sized non-carb meal (meat, fish, etc) and see if this helps.
A 44-year-old male asked:
Dr. Mark Goldman
Specializes in Cardiology
<130/80: The guidelines recently changed. We now want the BP to be <130/80. This doesn’t necessarily mean that you require treatment unless you are considered to be at high risk but lifestyle modification with diet, weight loss, decreased salt intake, treating sleep apnea, etc are recommended.
Dr. Mark Goldman agreed with the answer
A member asked:

Dr. Steven Hill
Family Medicine 23 years experience
Quite common : This happens often - avoid stimulants (caffeine), drink plenty of fluids and try lying on your side. Discuss with your doctor the next time you go in. If you have chest pain, shortness of breath or other symptoms seek care.
Dr. Mark Goldman agreed with the answer
A member asked:

Dr. Mark Stern
Cardiology 46 years experience
Not that I know of: No connection that i know of.
Dr. Mark Goldman agreed with the answer
A member asked:

Dr. Harry De Antonio
Cardiac Electrophysiology 39 years experience
If : If you feel your heart racing and your not exerting yourself this is known as palpitations. If you have these sensations then you may want to go to your physician and he may provide you a monitor or refer you to a cardiologist (or a cardiac electrophysiologist, a heart electrician) who may place a 24 hour holter monitor if you symptoms on a daily basis or an event monitor if you have it less often. Then when you have symptoms you can document the time in a dairy for the holter or activate the record mode on the event monitor and call the recording in so your physicians can correlate what your heart rhythm is during your sensation of palpitations. This is one of our gold standards. I hope this is helpful.
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