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Doctor insights on: Beat Cfs

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Dr. John Leander Po
309 doctors shared insights

Chronic Fatigue Syndrome (Definition)

Severe fatigue lasting longer than six months for which no underlying cause has been found. Chronic fatigue gets worse with strenuous ...Read more


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Friend 32male is overweight with skipping pulse beat, loud heart beat and skipped heart beat. What's wrong?

Friend 32male is overweight with skipping pulse beat, loud heart beat and skipped heart beat. What's wrong?

Irregular heartbeat: An irregular pulse is usually due to irregular heartbeat which in turn is often due to benign variation in electrical activity of the heart. This is particularly true if not accompanied by other cardiac symptoms, progressive nature or exertional symptoms. However, an ekg is appropriate and required if any other symptoms are present. ...Read more

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Does mirtazapine causes irregular heart beat?

Does mirtazapine causes irregular heart beat?

Controversial: It's a very rare cause of torsades de pointes. An ECG to check for prolonged qtcc ( that may indicate increase risk) should be done every year or every 6 months. Consult your physician. Few studies minimize the risk. ...Read more

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Heart ultra sound shows leaky valve .Stress test heart rate 170 at 2nd stage.Pre mature irregular beats.Almost faint when standing.Tired.Short breath?

Heart ultra sound shows leaky valve .Stress test heart rate 170 at 2nd stage.Pre mature irregular beats.Almost faint when standing.Tired.Short breath?

Leaky heart valve: The symptoms of lightheadedness when standing is often related to a drop in blood pressure and/or heart rate. Since you also have fatigue and shortness of breath, as well as irregular heart beats on the stress test and a leaky valve on the echocardiogram you should be evaluated by a cardiologist. There are other tests that can be performed to help with the diagnosis. ...Read more

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How is postural orthostatic tachycardia syndrome (pots) diagnosed?

How is postural orthostatic tachycardia syndrome (pots) diagnosed?

See syndrome details: Pots is defined as an increase in heart rate on sitting or standing. This is caused my autonomic dysfunction. Please see link below for more information. http://en.wikipedia.org/wiki/postural_orthostatic_tachycardia_syndrome. ...Read more

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Recent diagnosis POTS/dysautonomia;new echoEF 40% hypokinesia no CHF;calling it cardiomyopathy;low salt/fluids but POTS requires increased salt/fluids;treat?

Recent diagnosis POTS/dysautonomia;new echoEF 40% hypokinesia no CHF;calling it cardiomyopathy;low salt/fluids but POTS requires increased salt/fluids;treat?

Treat POTS: Treat POTS first, otherwise a very poorly understood condition that I do not have specific experience with. For whatever reason I believe POTS is at the root of your overall hypokinesia and impaired ejection fraction. ...Read more

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Male 22 laid in bed heart rate 49, sinus rhythem. No symptoms. Average fitness. Any need for treatment? Also has postural orthostatic tachycardia synd

Male 22 laid in bed heart rate 49, sinus rhythem. No symptoms. Average fitness. Any need for treatment? Also has postural orthostatic tachycardia synd

None.: There is nothing abnormal about a resting heart rate of 49/minute when one is lying supine. One with your history should exercise regularly, keep yourself well hydrated and treat only symptoms which might be related to your "pots". ...Read more

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Male 22, resting heart rate 50. Also have postural orthostatic tachycardia syndrome. Will midodrine lower my resting hr even more?

Midodrine is a: Stimulant of Alpha adrenergic receptors. As a side effect can cause severe bradycardia. This drug have been use to treat severe intractable pots. You should be follow by an endocrinologist familiar with pots and all drugs and side effects use for the treatment. You should discuss the above treatment with your doctor, and close follow important if the decision is to use it. ...Read more

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Moms holter test shows ventricular ectopic beats.In 89307 beats total aw 133,isolated 112,pairs 4,abberant 0,runs 3&run beats 13.rhythym is sinus.help?

Moms holter test shows ventricular ectopic beats.In 89307 beats total aw 133,isolated 112,pairs 4,abberant 0,runs 3&run beats 13.rhythym is sinus.help?

Not enough info: What distinguishes the significance of a rhythm disturbance is what the condition of the heart is, not the rhythm per se. Your mother needs an evaluation which includes information about how strong her heart is and whether she has evidence of blocked arteries. Other considerations are what meds she takes, her use of nicotine, alcohol and caffeine, and what symptoms, if any, she has. Warm wishes. ...Read more

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What arrhythmias are associated with an early first beat, erratic beats, tachycardia, dizziness,sob,chest pains, pounding hb, near syncope? Dangerous?

What arrhythmias are associated with an early first beat, erratic beats, tachycardia, dizziness,sob,chest pains, pounding hb, near syncope? Dangerous?

Worrisome....: The symptoms of chest pain, shortness of breath and near syncope are worrisome. Many arrhythmias can cause the symptoms you describe. The best way to diagnose an arrhythmia is with a Holter monitor, which will record your heart continuously for the time prescribed. See your doctor or, if your symptoms are severe, go to the ER for diagnosis and treatment. ...Read more

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Halter monitor for palps.No pauses, no ventricular ectopy. Symptoms did not correlate with ECG changes 62 BPM bradycardia episodes no answer for palp?

Halter monitor for palps.No pauses, no ventricular ectopy. Symptoms did not correlate with ECG changes 62 BPM  bradycardia episodes no answer for palp?

Anxiety, palpitation: if a Holter shows normal ECG correlated accurately with symptoms present then anxiety likely is responsible for your symptoms ...Read more

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Are palpatations skipped beats or an awareness of heart?don't get skipped beats but heart pounds,body moves w it.able to count pulse by looking @chest

Are palpatations skipped beats or an awareness of heart?don't get skipped beats but heart pounds,body moves w it.able to count pulse by looking @chest

Palpitations: Palpitations are what a person experiences as feeling the beating of the heart. It can be associated with skipped beats, but not always. It can also be associated with a fast heart rate. ...Read more

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Blood Pressure: 117/68 Resting Heart Rate Sitting: 75bpm - 85bpm Exercise everyday. Friend's sitting resting heart: 70bpm - 75bpm why? Heart Disease?

Blood Pressure: 117/68
Resting Heart Rate Sitting: 75bpm - 85bpm
Exercise everyday.  Friend's sitting resting heart: 70bpm - 75bpm why? Heart Disease?

Variation: There can be a lot of variation between individuals resting heart rates. In general, the more "fit" you are cardiovascular wise, the lower your resting heart rate will be; so you friend may be a bit more "fit" than you. But in reality that's a very small difference and if many factors may contribute to day to day variations. Neither of those heart rate ranges suggest "heart disease". ...Read more

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24 y/o make occasional heart thumping hard/palpitations when laying down.Echocardiogram clear ekgshows sinus arrythmia. Doc says that's normal.Advice?

24 y/o make occasional heart thumping hard/palpitations when laying down.Echocardiogram clear ekgshows sinus arrythmia. Doc says that's normal.Advice?

Less stress: Up to 6 abnormal beats per min. Are considered normal.The more you think about it the more stress you have;and more pac's.And avoid caffeine as in coffee and many soda drinks like monster, bull, and energy drinks. ...Read more

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What causes tachycardia/pounding heart wheb laying down? Not anxiety

What causes tachycardia/pounding heart wheb laying down? Not anxiety

See a doctor: arrhythmia,which mean abnormal heart beat,could be simple tachycardia easy treat it with medication. or it could be complicated and with consequences, like atrial fibrillation could cause a clots to the vital organs in the body like brain with stroke or kidney or guts. or it could be a bad tachycardia that could lead to fibrillation and cardiac arrest. so please see a doctor ...Read more

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Symptoms: heart sinking, nrrvousness anxiety loss of gocus panic attacks depression restless leg syndrome psychosomatic pain anger. Meds advice.

Symptoms: heart sinking, nrrvousness anxiety loss of gocus panic attacks depression restless leg syndrome psychosomatic pain anger. Meds advice.

See a psychiatrist: This is a complex problem, and you need a good evaluation before any medications are prescribed. Please see an experienced psychiatrist for this evaluation, and allow him or her to make treatment suggestions for you. ...Read more

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Holter- 24 run superventricular events 20 beats 88bpm 3 beats 99 BPM 5 beats 86bmp. Longest rate 128 BPM 0:01:48. Echo, ecg, angio normal. Concerned?

Holter- 24 run superventricular events 20 beats 88bpm 3 beats 99 BPM 5 beats 86bmp. Longest rate 128 BPM 0:01:48. Echo, ecg, angio normal. Concerned?

No need to worry....: Findings appear benign. You do not have any structural heart disease or coronary artery disease and have benign electrical findings based upon the information provided. However discuss with your cardiologist. ...Read more

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Fast heart beat, insomnia, shortness of breath, anxiety, feeling weak while taking welbutrin. Is this normal?

Fast heart beat, insomnia, shortness of breath, anxiety, feeling weak while taking welbutrin. Is this normal?

Side effects: For wellbutrin (bupropion) do include insomnia and a few other nervous system symptoms. If you have only recently been started on the med and are feeling these symptoms, you should contact the prescribing doctor and inform them. ...Read more

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