Doctor insights on:
Does Lyme Advanced Cause Heart Rhythm Irregularities
How does Rheumatic Heart Disease lead to rhythm issues? Which ones are common with RHD? How does RHD present on echocardiogram?
Atrial arrhythmia : Rheumatic heart disease results in one or multiple valves becoming stenotic or obstructed thereby leading to increased intracardiac pressures in the upstream chambers. That in turn causes dilatation of the atria And electrical instability (arrhythmia). Valve morphology on echo would be highly suggestive of RHD as it has a tell tale pattern well described. Treat valve disease to heal ...Read more
Rhythm "any regular recurring motion, symmetry may be generally defined as a movement marked by the regulated succession of strong and weak elements, or of opposite or different conditions, this general meaning of regular recurrence or pattern in time may be applied to a wide variety of cyclical natural phenomena having a periodicity or frequency of anything microseconds ...Read more
Does coronary artery disease directly cause ventricular tachycardia or is it after heart attacks and damage etc?
Yes: Cardiac ischemia causes lack of blood flow to the heart muscle and can trigger ventricular arrhythmia. Premature ventricular contraction is common. In severe cases, it can also lead to ventricular tachycardia ( consecutive fast heart beat from the ventricle of the heart). Sometimes with heart attack, fatal ventricular fibrillation (very fast irregular abnormal beats from ventricle) can occur. ...Read more
Yes, it can: Heart failure can certainly cause profound fatigue and weakness, and even increased sleepiness. This is usually as a result of limited forward blood flow out of the heart, for instance to skeletal muscles (limits activity tolerance), the brain and so on. It's also very common for people with heart failure to develop sleep apnea, making their sleep quality suffer and leading to daytime sleepiness. ...Read moreSee 1 more doctor answer
Can significant valve leakage (causing systemic perfusion velocity disturbances) happen sporadically, such that a 20-minute echo wouldn't show it?
Anything's possible: But I think it highly unlikely a 20 min. echo done by a GOOD tech & read by a decent cardiologist would completely miss & not even be suspicion for valve leakage that was SIGNIFICANT based on clinical grounds which should be obvious for symptoms of heart failure or pulmonary compromise depending on which valve we're talking about. HIGHLY UNLIKELY. More questions? www.healthtap.com/dr-drsaghafi ...Read more
Brain Damage: Yes.Get a more detailed answer ›
Does sleep apnea cause heart disease very quickly(few years)? Or is heart disease more associated with long standing sleep apnea(many years/decades)?
Depends on severity: & resulting severity of: hypoxemia, resulting pulmonary hypertension & severity of underlying coronary artery disease (in 1/2 of US citizens by age 7, per >8 decades US autopsy studies; yet asymptomatic for decades; arteries enlarge: http://goo.gl/aRhOU2. Narrowings, most clinically silent, result from sudden plaque ruptures & clots). Thus there is no reliable answer-too many individual variables. ...Read more
PALPITATIONS W/U: CARDIAC WORK UP NEEDS TO Done exam/labs especially TFTS/EKG/Event Monitor/ECHO. If all testing is normal an EPS TEST NEEDS TO BE DONE TO TRY AND PROVOKE TGE RYTHM. While you are waiting eliminate caffeine focus on staying hydrated. If palpitations worsen or syncope develops go directly to the ER stick to a GF diet WholeApproach.com gutbliss.com ANXIETY can also precipitate palpitations ...Read moreSee 3 more doctor answers
Can a 48 hour heart monitor distinguish between anxiety caused Regular palpitations and cardiac abnormality? How?
Yes: Cardiac involvement in sarcoid is not uncommon but most pts experience arrrhythmias that are usually self limited. However some pts cand develop extensive granulomatous infiltration of the heart conduction system and are at risk for suuden death defibrillators have been of some help. Also pts with advanced fibrosi can develop a rv cardiomyopathy with increased potential for arrest. ...Read moreSee 2 more doctor answers
Different people are: more "heart aware" than others. Most people don't feel their heart beating but some are "hyperaware". With normal physiological findings and a normal EKG it is unlikely you need to worry. ...Read more
Does heart failure always happen after a heart attack? What are the symptoms of heart failure and does heart attacks always lead to heart failure?
Heart : Heart failure can cause shortness of breath, which may worsen with activity or when lying down or sleeping. Heart failure can also cause chest pain, fatigue, exercise intolerance, swelling of the legs, abdominal fullness, loss of appetite, weight gain, or heart palpitations. The symptoms are related to water retention and decreased ability for the heart to maintain adequate blood flow to the body's vital organs. Heart attacks are the most common cause of heart failure, but they do not always lead to heart failure. In the modern era, there are several ways to treat heart attacks which minimize the risk of developing heart failure later. If you have had a heart attack, it is crucial to improve your risk factors to help prevent more heart attacks or the development of heart failure. This means eating healthy, exercising, not smoking tobacco, and controlling your blood pressure and cholesterol. ...Read moreSee 1 more doctor answer
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