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Mu name soukaina. 31 years old. 2 time I get umergency I…

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Hello, Mu name soukaina...

Hello, Mu name soukaina. 31 years old. 2 time I get umergency I have an elevated heart rate when standing or waking or just setting I do eco and Holter it is fine just I have high quality recording 234773 beats. Predominant rhythms average rate beats 84 and min rate beats 43 and Max rate beat 164 beats. I have symptoms of anxiety, nervosit and depression,

Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?

I saw cardiologist in umergency he give me another analyses the album calcium d-dimer and I take sandoz diltiazem 120 Mg

Submitted: 5 months ago.Category: Neurology
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Answered in 1 minute by:
11/19/2017
Neurologist: Dr. Mo, Board Certified MD replied 5 months ago
Dr. Mo
Dr. Mo, Board Certified MD
Category: Neurology
Satisfied Customers: 1,868
Experience: Board Certified MD
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Hi, Dr. Mo here with JA. Please let me review the information and I'll reply shortly.

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Neurologist: Dr. Mo, Board Certified MD replied 5 months ago

Thank you for the information you provided. Please let me know what questions you have regarding your health and I'm happy to address it for you.

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Customer reply replied 5 months ago
I have like postural orthostatic tachycardia syndrome symptom
Neurologist: Dr. Mo, Board Certified MD replied 5 months ago

POTS is a possibility though we would want to get your standing and sitting pressures and pulses which can help a little more. However, if POTS is suspected your doctor can switch you from the calcium channel blocker medication to a beta blocker medication which should help a lot.

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Customer reply replied 5 months ago
Sitting pressures 100/71 and pulses 91. Standing pressures 115/73 plans pulses 135 if I m waking is more
Neurologist: Dr. Mo, Board Certified MD replied 5 months ago

And when this happens do you also feel lightheaded or dizziness or weakness?

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Customer reply replied 5 months ago
Cardiologist he sad maybe I have something in blood that why give d-dimer analyses Tuesday I know result
Neurologist: Dr. Mo, Board Certified MD replied 5 months ago

I think the chance of it being something more serious is less likely. Perhaps they are worried about embolic issues such as a pulmonary embolism but I don't think that will be abnormal.

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Customer reply replied 5 months ago
I can t waking. One week at home I can t do anything I stopped my job in Starbucks. Because my heat is faster 140 pulses
Neurologist: Dr. Mo, Board Certified MD replied 5 months ago

Maybe your doctor might agree to give you some medication to slow down your heart rate such as atenolol or metoprolol instead of the medicine you are on now. That would help lower your pulse.

However, with POTS we usually encourage our patients to walk more to help lower the pulse. It might take a while to get to walking longer distances but that can help your heart lower the pulse itself.

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Neurologist: Dr. Mo, Board Certified MD replied 4 months ago

Please let me know if I can expand on any of the information I have provided.

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Neurologist: Dr. Mo, Board Certified MD replied 4 months ago

I hope I provided you with a 5-star service.

Feel free to ask any follow up questions by returning to this question thread for free in the future.

Dr. Mo

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