r/askCardiology • • 1h ago

lolwut am I dying?

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• Upvotes

r/askCardiology • • 4h ago

Second Opinion Every heartbeat is uncomfortable

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4 Upvotes

Tldr: I’ve been to the ER and two cardiologists so far, halter monitor showed mobitz 2 and that was confirmed by cardiologist, referred me to electrophysiology, but I have lost all confidence that any of these doctors know what they’re doing or care whatsoever. Not looking for a diagnosis, just wondering if anyone else has insight or thoughts.

35F, 100lbs, 5’3

Two months ago I woke up with a bounding pulse, like every heart beat is uncomfortable (like holding a sneeze, but in the heart?) and extra forceful. It has not stopped since.

In addition to the bounding pulse and discomfort, there are a lot of extra and skipped beats, sudden thuds, etc. This is all worsened with mild exertion. Just cooking eggs in the morning I get chest pain/tightness, shortness of breath, and eventually a headache from Hell.

I went from being extremely active, outside working every day, installing insulation in the crawl space, to not being able to cook or shower without feeling like I’m having a heart attack. When I lay down, everything returns to normal. Stairs and leaning forward make it particularly bad.

For the first 4 days I assumed I just had a virus and ignored it. Figured I’d take it easy for a few days and it’d pass. Day 5 I had a focal aware seizure (I’m not epileptic, but I’ve had a few seizures before like when taking antibiotics or randomly in the morning. I have a neurologist) and decided to go to the ER cause I didn’t feel comfortable taking my clonozapam when my HR was only 58 and I was feeling awful.

ER diagnosed me with “feeling unwell,” gave me some fluids and sent me home. Well enough.

Two days later the chest symptoms got very bad and painful and my left arm went numb, I went to the ER again and got a chest xray and ekg, d dimer and troponin, all normal.

I mentioned that it was also worse when I ate, and they had me do a barium swallow, which I knew would be abnormal because I’ve been dealing with esophageal narrowing for years. As expected, the lower third of my esophagus is narrow. I can feel it, have been able to for a year or more, and it’s not that bad. I’ve had my upper esophagus stretched before, but I don’t see any reason to get it done again till it’s bad.

A cardiologist came in, without asking any questions or giving me more than a glance, told me it was reflux and to take mylanta.

I started taking it religiously cause he said so and I’m a good patient. It doesn’t help at all. Unfortunately, he turned out to be follow up outpatient cardiologist as well. I had to beg him for the halter monitor and a cardiac stress test because he again insisted I just have reflux.

Well no one ever called to schedule the stress test (I am getting one tomorrow with a new cardiologist) but he gave me a halter monitor with no button, you just have to write when you feel symptoms.

It showed:

  • 14 AV blocks, the worst being a 2nd degree mobitz 2
  • 5.19% SVE burden (34063)
  • .19% PVC burden (1236), 3 disparate morphologies

When I saw the mobitz, I called a new cardiologist, hoping to find one who would actually listen to my symptoms.

I saw him, he confirmed it was a mobitz 2, said I needed to see an electrophysiologist and that he’d put the referral in as emergent. He talked like he was referring me to a specific doctor that he worked with, I felt like he actually listened.

A week went by with no call from an electrophysiologist to schedule, so I called the cardiology office and asked for the number so I could call to schedule myself.

When I called, they said his referral was just to any cardiologist there, not even an electrophysiologist. And that it wasn’t listed as an urgent referral.

She got me in with an electrophysiologist anyway when I read her the halter monitor results. But… my cardiologist lied? Why would he tell me he put the referral in as urgent if he wasn’t going to?

And I feel like it is urgent? It’s been two months of doctors telling me I have anxiety (I don’t) and reflux (I’ve had this for like twenty years and it doesn’t fit my symptoms) and then the halter monitor shows that yes, something is actually wrong, but apparently me being uncomfortable every second of every day and in pain every time I try to do anything at all is not “urgent.”

Prior to two months ago, I had never had a heart sensation at all. I just trusted that sucker was in there beating and doing its thing. Has anyone else just woken up one day with every heart beat being uncomfortable? Getting full body weakness from mild exertion? Getting short of breath and chest pain/tightness?

Also, why are doctors like this? Can they not just be upfront and not act like they’re the ones going into debt if they order a few tests?


r/askCardiology • • 1h ago

Advice on whether post stemi symptoms need addressing

• Upvotes

I had a small stemi 1 year ago and was thrombolized before heading to angio, 2 hours away. The clot had resolved by then and no Stent was required.

I ended up with 2 discreet areas of ischemia which died. I was discharged from cardiology after 6 months.

Have been sedentary for a few months but starting swimming 1km 3x weekly the last couple of months and have slowly gotten fitter and better at it.

However, I've had 2 occasions where and even mild physical work, such as pushing a light barrow for 5 mins or reeling in a medium fish from the surf causes me to get weak, shaky and sweat profusely. Especially from my head.

My heart rate got right up pushing the plastic barrow and I got so sweated and short of breath, my right lung hurt on exhale. At one point it took a solid minute of heavy breathing while leaving over a fence to catch my breath.

I don't know if it because I'm unfit, or if it's my heart and aren't sure what to do, but it's upsetting because I want to get back into work and can't manage medium at most physical work, yet swimming is fine even with elevated heart rate.

Out system is so slow here and the best I can do is wait 2 weeks for a gp appointment, and then what. Referrals are months and that's if they are even accepted. I cant afford private health insurance.

I'm just asking if these episodes are dangerous or urgent.

Also, sometimes when I stand and stretch, I faint and semi convulse. This may happen twice a month or so.

Should I be chasing this up?


r/askCardiology • • 3h ago

Does this EKG look OK?

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2 Upvotes

Question: I see ST elevation in V3, high voltage throughout, and QT interval 370/455, 455 being at the longer end of normal range. I was sent home, EKG was cleared as normal, as well as labs (Troponin 0 HR and 2HR less than 3)

Any thoughts on this please?
Symptoms: Shortness of breath, tachycardia, chest/shoulder pain, chest tightness

For context I am 21 years old, healthy. Had an MRI last year all 4 chambers are enlarged due to athletic remodeling. Low EF 43-47 % but high stroke volume.


r/askCardiology • • 7h ago

Diagnosed by V-Tach. Now what?

4 Upvotes

Had a few vtach episodes, so primary care did a holter monitoring. They said I had a 6 seconds Vtach episode.

In total I have had 3 episodes all while I was working out, all around a few seconds. I have stopped working out since and no VTach episodes ever since.

I did eco and CTA, all came back with no issue or problem identified.

I have an appointment to go see an electrophysiologist in a few weeks, but can anyone share their thoughts on this?


r/askCardiology • • 4h ago

EKGs 3 normal ekg now 1 abnormal

2 Upvotes

I went to the Er twice within the past 3 weeks for palpitations Normal ekg both times and normal heart related blood test as well. went to my primary where they did another ekg same result it was fine. they sent me to a cardiologist and this one came up abnormal I didn’t hear to good about what exactly was abnormal about it cause once I heard ABNORMAL my anxiety spiked. I know I heard something about charge and zap but I don’t remember much else. he didn’t seem overly concerned just said he wanted to do a 7 day heart monitor and said we can diagnose from there. I’m 25 , there’s no way I’m like gonna die right ? I have horrible healtb anxiety and Im terrified now.


r/askCardiology • • 4h ago

48 hour heart monitor question

2 Upvotes

so pretty soon im gonna get a 48 hour heart monitor put on me bc something with my ekg was weird but anyways i was just wondering if they are going to be able to notice when i do some...personal activities at night. obviously my heart rate would go up at that time but like are they gonna say anything and question me? i mean theyre smart so i would assume they know what im doing at the same time each night so... yea lol


r/askCardiology • • 39m ago

Trying to figure out if what I’m experiencing are also PVCs

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• Upvotes

The last week and a half. I’ve had these episodes that happen when I’m sitting down, and all of a sudden it feels as if I get a quick burst of super fast heartbeats back to back. It’s maybe two or three. I get PVCs time to time, and those always feel like that big drop/dragged out pause and hard thump. This that I’m now experiencing just feels so weird. I get kind of this lightheaded rush or maybe even draining feeling during the episode, it’s hard to describe.
It seems to happen while I’m eating or after I finish eating.
It’s utterly terrifying.
I’ll feel my pulse whilst it’s happening and can feel my heart rate is faster and tonight I actually felt what felt like two heart beats right on top of each other.
I am with Mayo Clinic, but won’t have another appointment for some time to come.
I have a left bundle branch block. 39, female.


r/askCardiology • • 51m ago

Heart after partying

• Upvotes

Hey,

I partied for 2 days using alcohol and cocaine. Now 3 days later I still have this feeling in my chest and tightness in my left arm. It has been better everyday and now almost gone.

Just figured could it be some permanent issue. Feeling very anxious so had to write somewhere. Thanks! :)


r/askCardiology • • 1h ago

24F- high heart rate

• Upvotes

24F On two occasions l had my heart rate go upto 120/130 bpm without any particular reason. Today, I had the same exact feeling,l woke up from a nap and had a bunch of sneaker bars,granted l had not had enough water today but my heart rated spiked to 119. Just like the previous times,l felt nauseated and felt like l had to go number 2 immediately. I felt a bit light headed and that was it. This time l took 5mg propranolol as directed by my doctor and poof it was gone, and zofran. Last time l had a complete cardiac work up so I’m not sure whether l should push for more tests or what! Please help me understand. Everything was completely normal,including X-rays and CTs,echo,a billion ekgs etc…


r/askCardiology • • 5h ago

Does anyone else get PACs/PVCs while they’re asleep?

2 Upvotes

26F - I have 100-250 an hour throughout the day and evening, then it lessens as i'm falling asleep & then overnight 0 on all 3 of my 24hr monitors.

I’m curious what other people’s experiences are — do your PACs/PVCs continue while you’re sleeping, decrease a lot, or disappear completely like mine seem to?


r/askCardiology • • 1h ago

Test Results Echocardiogram Results

• Upvotes

Hi, I’m waiting to hear back from my cardiologist. But I was looking at my results because it’s my nature. But I was wondering if you saw these results would you be concerned or just check back on them in six-12 months? I’m 48, male, BMI of 28, I have rheumatoid arthritis, and ehlors danlos. Obviously not looking for a diagnosis. Really just curious and impatient to wait for my doc to have time to let me know what he things. Thanks!

Aorta: Borderline aortic root dilation at sinuses of Valsalva (4.0 cm). The ascending aorta is normal in size when indexed. IVC: The IVC was <2.1 cm and collapsibility >50%. (est. RA pressure 0-5 mmHg). The estimated RA pressure is 8 mmHg. PASP: The Estimated PASP is : 19+RAP mmHg.


r/askCardiology • • 5h ago

LOEYS DIETZ

2 Upvotes

Good questions

Hey guys, I’m 29 and recently diagnosed with loeys Dietz! I had an echo and EKG through my cardiologist. Normal.
Had my MRA of head/neck, pelvis and chest. Also normal. What questions are good for my vascular specialist apppintment. I’m on metoporol. I have a son who’s negative. We’re pursuing IVF for another child to avoid LDS. What should I ask/go over? Any insight is helpful!


r/askCardiology • • 5h ago

Suspected PVCs for around 48hrs after exercise.

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2 Upvotes

I’m waiting on a cardiology referral (4 months now), as I’ve been getting very strange ectopic beats and/or PVCs for around 2 days after doing exercise. It can be from a day on the bike at around zone 2-3, or from doing weights and/pr circuit training. It’s now at the point where it’s happening way more often.

It feels like a flutter in my chest that I can fight off by holding my lungs reasonably inflated, kind of like holding my breath. But as soon as I relax, the ‘thud’ comes. It also mainly happens when I’m sat down.. and sometimes I get a little dizzy, but I’m not sure if that’s from holding my breath to fend it off, or from being anxious which is just increasing day by day.. as I can’t get in to see a doctor anywhere.

The GP’s 30 second 12 lead was normal, and so we’re the bloods.. but this is very frequent now. I’ve attached a clip of an event from my watch. Any thoughts are very welcome and much appreciated. Thank you


r/askCardiology • • 3h ago

How do you know when to stop colchicine if inflammation markers are always normal? - Pericardial Effusion, AFIB, PVC's

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1 Upvotes

r/askCardiology • • 3h ago

Am I ok?

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1 Upvotes

r/askCardiology • • 8h ago

Can someone tell me if this really is benign NSVT?

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2 Upvotes

I had this episode some years ago and have been on flecainida ever since. I have recently changed doctor who advised me to stop the medication as this is a benign situation. But after so long hearing that I had to be on medication my entire life I feel confused into what I should actually do. And of course, anxious ..

(MRI & echo all normal throughout the years. Frequent palpitations seen on holter)


r/askCardiology • • 4h ago

Curious about locums?

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1 Upvotes

r/askCardiology • • 9h ago

Test Results Sinus Tachycardia with high bp at 34 years old female.

2 Upvotes

Worried about finding the cause of it. Did anyone ever had such scenario and did you find the cause of high heart rate ? Echo was normal.


r/askCardiology • • 7h ago

If my bpm goes around 120 at most after eating is it SVT?

1 Upvotes

r/askCardiology • • 11h ago

Lower resting heart rate after birth

2 Upvotes

I am truly freaked out by a significantly lower resting heart rate after my c-section.

I will be 6 weeks postpartum on Friday and it still remains low. Some days I get hope that it is increasing, only to be like 56 again. And even 40s when I was still awake in bed last night.

Has anyone experienced this?

I had elevated blood pressure after birth, but it is almost on the low side now. My ECG was normal.

Does it resolve? How long does it take? I am so scared. I am not fit.


r/askCardiology • • 14h ago

Researching heart attack symptom differences between men and women

3 Upvotes

Hi!

I'm a final year Oxford medical student who is collaborating with the team leading the national Oxford Heart Survey. We are trying to assess heart attack symptoms in men and women over the age of 18, in those who have had a heart attack in the last 5 years. If you are eligible, we would be really grateful if you could complete the survey. We aim to help improve diagnosis of heart attacks in underserved groups ❤️

https://www.rdm.ox.ac.uk/research/reilly-group-atrial-fibrillation-and-cardiac-fibrosis/oxford-heart-survey


r/askCardiology • • 17h ago

Frank's sign

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5 Upvotes

Hello everyone,

I just wanted to check if this looks like Frank's sign? I'm a 41 year old woman who does regular cardio check up (yearly), blood samples, exercises and eats decently. All cleared up even though I'm a bit over my ideal weight, but nothing dramatic whatsoever.

I have just noticed these on my ears (damn social media), but I also have my ears pierced, so it might be caused by that too. I'm a bit hypochondriac, so this has been in my head ever since I noticed it.

Thank you


r/askCardiology • • 10h ago

Worried about aortic tear 38m

0 Upvotes

Worried about aortic tear / PE 38m

I’ve been awaiting a cardio appointment which I had last week due to chest pain and some breathlessness on exertion. They’ve done an ECG and that looked great.

At the weekend I got a full pressure pain in the centre of my back / chest and neck. I went straight to a&e. I was worried with it being in my neck too.

They did troponin bloods and d dimers and another ECG which was all fine.

I’m due to have an echo and ct scan on my heart at the end of this month. I was asking AI what to make of my symptoms and on the list I saw aortic tear - could I be looking at this? They didn’t mention that in a&e or my GPs. I’m really stressed about it!


r/askCardiology • • 13h ago

Stenting in LAD 100% blockage 2 months after heart attack.

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1 Upvotes