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Regarding ecg
Five months ago echo done which is normal but i feel strange paliptation , dizziness on exertion sometimesonly , can hypertrophy cardiomyopathy can develop in this five months and if I do ECG and tmt if it's comes normal means no chances of hypertrophy cardiomyopathy or can hypertrophy cardiomyopathy can develop in five months
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It’s unlikely. But can be due to some hormonal issues like some dr mentioned already. Also sometimes panic attack manifests like that. Has such episode happened in past? If no, lie down and consult- hormonal profile and electrolytes.
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Can contact any time. Tc
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Why straightforward HCM? This is most common symptoms from stress or anxiety. Still if you have doubt consult a cardiologist.
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see a physician for anxiety and basic workup
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It is unlikely to develop HOCM in five months.
You should get thyroid profile done.
Ecg and 2D Echo from another centre, if found any abnormality review with cardiologist.
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HOCM Cannot develop in 25 months.It is a disease dur to mutation OF BETA 2 MYOSIN GENE.
Please get your thyroid profile and Followup ecg and TMT from reputated place.
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Get a followup Echocardiography done from another center.
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Consultation advised.
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Get your vitamin D levels checked
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HOCM does not develop in 5 months, it usually takes years to build. So it is very unlikely.
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Get Thyroid profile done, another ECG and an ECHO/TMT is better. Get serum electrolytes done too. Keep hydrated .
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HOCM is very unlikely to develop in 5 months. Palpitations are commonly caused by thyroid imbalance, anxiety, stress, or lack of sleep.”
Next Steps
-Get a thyroid profile and an ECG done.
- If palpitations are frequent or associated with chest pain/dizziness, consult a cardiologist for TMT & 2D Echo.
Health Tips
Maintain proper sleep, hydration, and stress management.
Don’t panic,most palpitations are harmless, but get checked if symptoms keep recurring.
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keeping your age and history in view most likely you are having panic attack .
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Hypertrophic cardiomyopathy (HCM) usually develops slowly over years, not within 5 months if echo was normal.
A normal ECG/TMT does not fully rule out HCM — ECHO is the gold standard for diagnosis.
If symptoms persist/worsen, repeat ECHO + cardiology review is advised for reassurance and safety.
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I understand your concern — palpitations and dizziness on exertion can feel worrying, especially when you’re thinking about heart problems like hypertrophic cardiomyopathy (HCM).
Here’s how to look at your situation:
---
1. Can HCM develop in 5 months if echo was normal before?
True HCM is usually genetic and develops over years, not within a few months in a healthy adult heart.
In someone with a completely normal echocardiogram 5 months ago (no thickening, no obstruction), it’s very unlikely for significant HCM to appear suddenly unless there is a rare secondary cause (e.g., severe uncontrolled high blood pressure, some metabolic diseases, or high-performance athlete heart changes — but even then it’s gradual).
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2. Can ECG and TMT rule out HCM?
ECG can show indirect signs (abnormal voltage, repolarization changes) but can be normal in early HCM.
TMT (treadmill test) checks exercise tolerance, rhythm, and blood flow but does not definitively exclude structural problems like HCM.
Echocardiography (or cardiac MRI) is the main test to detect HCM.
So, if ECG and TMT are normal, that’s reassuring, but they don’t 100% rule out HCM — a normal echo is the key evidence.
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3. What to do now
Since you had a normal echo just 5 months ago, and symptoms are intermittent:
A repeat echocardiogram is not usually necessary unless symptoms are worsening, or your doctor hears a murmur, or there’s a strong family history.
You can ask for a Holter monitor (24–48 hr ECG) to check if the palpitations are from an arrhythmia.
Also check thyroid function, hemoglobin, electrolytes, as these can cause palpitations and dizziness.
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Hypertrophic cardiomyopathy does not develop in 5 months if your echo was normal. Your symptoms are more likely from other causes. Still, doing an ECG, TMT, or repeat echo is a safe approach. With normal tests, there is no need to worry about HCM right now.
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Hypertrophic cardiomyopathy (HCM) is usually a condition that develops slowly over time, often due to genetic reasons. It does not typically appear suddenly within a few months if your earlier echocardiogram was normal. Since you are still having symptoms like palpitations and dizziness, it is important to rule out other causes such as anxiety, dehydration, thyroid problems, or simple rhythm disturbances.
Next Steps
Repeat an ECG and consider a Holter monitor (24–48 hrs ECG recording) to check for abnormal heart rhythms.
• If symptoms are frequent, a repeat echocardiogram can be done for reassurance.
• A TMT (stress test) can help assess heart function during exertion.
• Consult a cardiologist for detailed evaluation.
Health Tips
Most likely this is not hypertrophic cardiomyopathy developing in just 5 months, but it is important not to ignore your symptoms. Please avoid excessive caffeine, alcohol, and overexertion until your evaluation is complete. If you experience severe chest pain, fainting, or sudden worsening of palpitations, seek emergency care immediately.
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You will need to get few test done to confirm the diagnosis n without the test and physical examination no one can confirm a cardiac disease
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So kindly get the test done n for further queries kindly consult me
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Very unlikely to develop new HYPERTROPHY CARDIOMEGALY as is it is hereditary.
But if you feel palpitations or dizziness you should consult a doctor and maybe go for an ECG.
I hope you are not under a stress and having a sound sleep at night. Feel free to consult for further specific management/s.
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Mostly unlikely. You need to rule out other cause of palpitations , dizziness
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HOCM is seen frequently in candidates who do rigrous physical workouts and even in normal people but hocm if had been there would have had been rules put in 2decho and moroever if you get palpitations
1st) get thyroid tests done
2nd) an ecg
And do consider stress/ anxiety related doubts as well
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1st) get thyroid tests done
2nd) an ecg
And consult
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If face breathing difficulty or any anxiety consult
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HOCM is highly unlikely with such short duration of 5 months ...if u have symptoms frequently plz do visit cardiologist get Ecg,Tmt and 2d Echo done
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get ecg ,tmt ,echi done
Health Tips
palpitations can also occur due to strenous exercise ,anxiety and lack of sleep ..try to not worry &change ur life style then u will be good but.. if u have symptoms frequently.. plz do visit cardiologist for safe side
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You are unlikely to get HOCM in 5 months,if the recent test results are normal.To clear your concern that the possibility of having HOCM, consult a cardiologist in your area.
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HCM cannot usually develop in just 5 months if your echo was normal earlier.
A normal ECG + TMT means no major rhythm or ischemia, but they don’t 100% exclude HCM.
If your symptoms are worrying or frequent, the safest next step is a repeat echocardiogram (and possibly Holter monitoring for arrhythmia).
Next Steps
visit your nearest doctor for further evaluation and treatment
Health Tips
Even though hypertrophic cardiomyopathy (HCM) is unlikely to develop within 5 months after a normal echo, any patient with palpitations and exertional dizziness must not ignore these symptoms. They can sometimes signal a serious arrhythmia, structural heart disease, or other systemic issue.
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Nothing can happen in five months. From your obsession with heart a possibility of Cardiac Neurosis is a possibility. Please consult your Cardiologist ( who did 2D Echo) to explore the possibility of a consultation with a Psychiatrist.
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Hi.
I understand you are concerned about hypertrophic cardiomyopathy. I would like to understand what your current understanding of hypertrophic cardiomyopathy is so that I can take care of you better.
Can you please share if you have any positive family history of adverse cardiac events?
Usually an ECG is helpful in preliminary diagnosis of hypertrophic cardiomyopathy but it would require further testing. But a thorough clinical examination is always advisable before assessing the need for an ECG.
Also can you please reply if the dizziness is present when you are standing from a lying down position or is it present after exertion only?
Also do you experience any heartburn or symptoms of acidity?
Answering your question, hypertrophic cardiomyopathy dorsnot develop in 5 days. It is either present (if +ve family history) or it is due to chronic hypertension.
Looking forward to your reply for a better and specific management.
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Monitor Blood Pressure twice daily at a fixed time for the next 7 weeks and chart it.
If Heartburn present then Tab Pantoprazole - 1 tab - once daily before breakfast x 7days.
Follow up with reports of ECG.
Attend ER incase of Left sided chest pain and shortness of breath.
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Get an ecg done
Consult on practo for further diagnosis
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NO NO NO NO... A Big no to everything.
First of all Simple things are first...
1.do u have proper sleep( atleast 6 hours)
2.do u do hard work or sternous exercise
3. Are u binge alcoholic?
4.are u chronic smoker?
If any of the above suits u...
Then correct those errors..
While u have palpitation, do u sweat more?
If u have these two symptoms then do ECG ...most probably nothing to worry..
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Since your echocardiogram 5 months ago was normal, the chances of hypertrophic cardiomyopathy developing suddenly in such a short time are very low. Usually, this condition develops gradually and would have shown some changes on your previous echo.
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If you are experiencing palpitations and dizziness on exertion, it is still advisable to get a repeat ECG, TMT, and possibly a follow-up echocardiogram to rule out any rhythm issues or structural changes.
Other common causes like anxiety, dehydration, thyroid issues, or simple rhythm variations can also cause such symptoms.
Health Tips
If you notice fainting, severe chest pain, or breathlessness, please seek immediate medical care. Otherwise, schedule a cardiology follow-up for reassurance and further evaluation.
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Unlikely
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Hello! Firstly relax. Whatever it is can be sorted. You can get an ecg done. A lot would get cleared by that. Visit your nearby physician and clear your further doubts if any. It ll be easy with examination.
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Go for 12 lead ecg, thyroid profile repeat echo.
At 27 least common to develop cardiomegaly.
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Get ECG, thyroid function tests done, share results online. Repeat a cardiac echo to clear your doubt.
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Don’t worry too much about hypertrophic cardiomayopathy and get an ecg
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ECG
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Get an ECG . The answer to your question is no
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Dr. Vinod Kumar Verma
General Physician
9 yrs exp
Gurgaon
-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as -
-Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history.
Please follow good life style as
• take plenty of fluid and
• take less spicy and fatty foods and
• take home made food only and
do exercise regularly with yoga and meditation and
• keep positive attitude to fight any disease and any problem of your life . ....
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Dr. Aeman Gazdhar
General Practitioner
1 yrs exp
Indore
Get a thyroid profile done and also ecg and echo from another centre.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried food and spicy food
Water intake more
Green leafy vegetables and fruits
Fiber meal
Do connect and consult
Will help you
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Dr. Ram Brahma Reddy
General Physician
6 yrs exp
Hyderabad
No
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Dr. Gayatri Akula
General Physician
Mumbai
Just check if it corresponds to your stress levels for palpating and dizziness
Next Steps
Suggested tests -trop I
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Dr. Manoj Kumar
General Physician
10 yrs exp
Dehradun
Need few more details
Kindly consult
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Dr. Danish Qureshi
General Physician
15 yrs exp
Jaipur
This is very vague.I need detailed history and examination and few investigations to help you further
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Dr. Y Manasa
General Physician
5 yrs exp
Kadapa
Hello,
I understand your concern. You are 27 years old with complaints of palpitations and dizziness. Since your ECG and 2D Echo done 5 months ago were normal, hypertrophic obstructive cardiomyopathy (HOCM) is less likely, as echo is the main test to pick up HOCM.
However, palpitations and dizziness can have many other causes – anxiety, thyroid issues, anemia, dehydration, electrolyte imbalance, or certain heart rhythm problems that may not show up in a single ECG.
Next Steps
Repeat 2D Echo if symptoms are persisting/worsening, to rule out structural heart problems.
Consider a Holter monitor (24–48 hr ECG recording) to detect rhythm disturbances missed on routine ECG.
Get basic tests like CBC, thyroid profile, electrolytes.
Health Tips
Avoid excess caffeine, alcohol, and ensure proper hydration and sleep.
Please consult a cardiologist in person for examination and, if needed, further evaluation. Don’t panic—HOCM is rare, and your previous normal echo is reassuring.
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Dr. Siddesh Venkatraman
General Physician
1 yrs exp
Mumbai
Hypertrophic cardiomyopathy (HCM) is usually a genetic condition and does not develop suddenly within a few months. If your echocardiogram was normal 5 months ago, the chance of new HCM developing in such a short time is extremely low.
Palpitations and dizziness can be due to many other common causes (thyroid, anxiety, anemia, electrolyte imbalance, dehydration, arrhythmia, etc.).
An ECG and TMT can help detect rhythm issues and exercise tolerance, but the best test for HCM is echocardiography.
If your ECG/TMT are normal and echo was normal recently, HCM is very unlikely.
What to do:
If symptoms persist, repeat an echocardiogram and get basic tests (CBC, thyroid, electrolytes).
Consult a cardiologist for a detailed evaluation.
Bottom line: HCM does not appear suddenly in 5 months if a recent echo was normal. Your symptoms are more likely from other causes, but follow-up with your doctor is important.
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Dr. Kamlesh Kalsariya
General Physician
6 yrs exp
Ahmedabad
Ecg
Next Steps
repeat ecg
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Mithravinda Rajana
General Physician
8 yrs exp
Kolkata
2 D Echo alone isn't sufficient to diagnose arrhythmias.
Consult a cardiologist and get a holter done.
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Dr. Namisha Sharma
General Physician
2 yrs exp
Chandigarh
Get an ECG and Echo Done.
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Dr. Irfan Farooq
General Physician
1 yrs exp
Delhi
Get a Repeat ECG and Echo done. Share your ecg will discuss. Moreover get TFT done also.
Stop worrying about this.
And tell me the basis why do you feel you have hypertrophic cardiomyopathy ?
Next Steps
ECG, ECHO
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Do a 12 lead ecg, it is enough to tell you about RVH AND LVH.
TAKE TAB. PETRIL PLUS ONCE DAILY AT NIGHT, IF YOU HAVE ANXIETY OR CAN'T SLEEP DUE TO PALPITATIONS.
Next Steps
Visit a cardiologist for ecg interpretation.
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