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Random pulse spikes & weird symptoms
For last 3-4 months I'm experiencing pulse spikes to 100-110 & symptoms like shortness of breath...vertigo.. uneasiness...Sometimes a weird feeling in hands arms & legs...A few times i feel like pin point pain in my chest...All this makes me panic a lot like is this heart attack type emergency & usually lasts for 30-60 mins then becomes normal both pulse & symptoms... Sometimes the symptoms and spike is really strong and may last for 60+ mins sometimes they become normal in 15 mins
BP: Always normal 110-120/70-80
ECG: Tested twice both times normal
Blood sugar/Hba1C: Always normal
Troponin/Lipo A/B 12/Apo A & Apo B (Heart risk markers):all normal
Rest kidney..liver etc normal
Abnormalities:
Lipid: High TG (231)...high LDL(102)..low HDL (31)
Haemoglobin: consistently around 12 with microcytic cells
HS CRP (3.36) & Homocysteine (15.2)
why is this happening?
Answers (20)
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Hi , this is Dr Rooman
Mostly it’s panic or anxiety disorder or hypervention syndrome very common
You should go for 24hr holter monitor
Iron deficiency may causes fast heartbeat, breathlessness.
Your Triglycerides high this may causes long term cardiovascular risks
Next Steps
Health Tips
If you have chest pain more then 15-20 mins and pain radiating to arms , jaw, neck and back immediately go to hospital
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This may be anxiety disorder, need full further history..
Next Steps
need psycholocial consultation
Health Tips
take healthy diet, sleep well
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You are getting Anxiety Neurosis.
Take:
1. Clonazepam 0.25 mg twice daily for 5 days.
2. A to Z tablet - 1 tablet daily for 30 days.
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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Get thyroid profile , cardiac echo done and share results.
Take fat free, low sugar diet. Do regular physical exercise and relax adequately. Tab Rosuvastatin 10mg one after dinner for 4 weeks and repeat lipid profile after that.
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Anxiety
Cipla la20 one after breakfast when ever you need for three to five days.
Pin prick sensation
Assessment of vitamin d3 b12 t3t4tsh mg crp cbc esr
Its not at all heart attack.
Keep
Isosorbid nitrite with u
Put one tab under toung it will prevent heart attack, u can use two at a time.
SIDE EFFECT
HEADACHE
TREATMENT
HALF CUP OF BLACK COFFEE.
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Your episodic symptoms â pulse spikes, breathlessness, vertigo, tingling in limbs, chest discomfort, and panic lasting 30-60 mins then fully resolving with normal ECG and cardiac markers â are very characteristic of Panic Attacks with an anxiety component. However, your investigations reveal contributing factors: microcytic anemia (Hb 12) can cause palpitations and breathlessness; elevated homocysteine (15.2) suggests B12/folate deficiency which causes nerve symptoms like the tingling in arms/legs; and mildly elevated hs-CRP indicates low-grade inflammation. Addressing these deficiencies may significantly reduce episode frequency and severity.
Next Steps
Get serum ferritin, B12, folate, and thyroid (TSH) done. See a physician to address the anemia and homocysteine. For the panic episodes, a psychiatrist or cardiologist (for a Holter monitor) consultation would be valuable. Please consult me directly on Practo for a detailed evaluation.
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It looks like a panic attack..you might have anxiety..so try following yoga meditation everyday for around 30 min .stay stress free .your lipid levels are deranged which needs to be addressed .try changing your lifestyle with good diet and exercise
Next Steps
lifestyle modification
if problem persists kindly consult a doctor for more detailed evaluation
Health Tips
avoid oily foods
daily meditation and exercise
avoid stress
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You may have panic attack. You need further evaluation
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Your heart rate is obviously going above when you are having palpitations, vertigo, shortness of breath. First you should rule out cardiac conditions. It would have been nice if you have attached your ECG. Have you checked your BP when you had symptoms??? Conditions that may cause your symptoms
1. Cardiac - unstable paroxysmal SVT or AF
2. High BP or fall in BP with abnormal heart rythms
3. Thyroid issues
4. Panic attacks
5. Electrolyte abnormalities
6. Drug or alcohol abuse
The list continues.... Better to evaluate yourself with a cardiologist
Next Steps
take remedies for high cholesterol
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This is likely anxiety common at your age. 😊 Address lipids and consider stress management.
A consultation can evaluate fully. Feel free to book one.
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You need to improve your lifestyle modifications.
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It is frightening to experience those pulse spikes and physical sensations, but the reports suggest your heart health is stable for now. However, we do see factors like high cholesterol, inflammation markers, and signs of potential anemia that may be contributing to how you feel. These episodes are draining, and you deserve a clear plan rather than just enduring them. I would like to review your history in detail. Please book a consultation so we can address this.
Next Steps
Your lab results indicate lipid and blood profile abnormalities that require clinical correlation to explain these recurrent episodes. Please book a consultation so we can review these findings together and create a comprehensive plan to address your health.
Health Tips
Minimise the intake of caffeine, prioritise nutrition
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As per the details mentioned above, chances of any heart conditions pretty low but since your body weight is on a higher side and your lipid profile suggests high triglycerides
, I would suggest you to modify your life style by making some changes to your diet and indulge in some activities so as to help you lower your body weight. While the blood picture and symptoms don’t necessarily suggest a physical cause of worry, I would like to know how you are doing mentally.
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Gaurav Jaiswal
General Physician
7 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
Will help you
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Improve lifestyle modifications
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Dr.Mohit singh
General Physician
3 yrs exp
Jhunjhunu
Based on your history and normal ECGs, a heart attack is less likely. Your symptoms could be related to anxiety, panic episodes, or an intermittent heart rhythm problem that may not appear on a routine ECG.
Next Steps
I would recommend consulting a cardiologist for a 24–48 hour Holter monitor and an echocardiogram.
Health Tips
Also, your low hemoglobin should be evaluated, as anemia can contribute to palpitations. If you develop severe chest pain, fainting, or persistent breathlessness, seek emergency care immediately.
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Due to.life style
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