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Family Medicine (Expert Forum)
Correct Testing for these symptoms?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin Pho, MD
Boston - MA
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Correct Testing for these symptoms?
by #1Nanny, Feb 05, 2007 12:00AM
My past:
44 yr old female, history of fibromyalgia, Trigeminal Neuralgia.Work full time,have long history of stress. My mother died of heart problems at age 50.
I have developed heart (Palpatations?) at least 6 months ago discovered by Red Cross during blood drive. I "skip" a beat, then my rythm changes, sometimes every 10 seconds or so.Accomponied by shortness of breath(can't get full, satisfying breath), find myself yawning, trying to get that feeling of deep breath. I can deffinately feel the heartbeat changes and sometimes have stabbing back pain between shoulder blades and/or heaviness in chest.
My doc had me wear heart monitor for 24 hrs, no results yet (turned monitor in one week ago)
She also did blood work, normal Thyroid test.
I see a homeopathic friend for massage and during a blood screening she performed noticed adrenal 'issues'.
What is the difference between or the correlation of heart,thyroid and adrenal problems? Does thyroid test cover adrenal abnormalities? Am I on the right track, or should I see a specialist?
Thank you for any help you can give
44 yr old female, history of fibromyalgia, Trigeminal Neuralgia.Work full time,have long history of stress. My mother died of heart problems at age 50.
I have developed heart (Palpatations?) at least 6 months ago discovered by Red Cross during blood drive. I "skip" a beat, then my rythm changes, sometimes every 10 seconds or so.Accomponied by shortness of breath(can't get full, satisfying breath), find myself yawning, trying to get that feeling of deep breath. I can deffinately feel the heartbeat changes and sometimes have stabbing back pain between shoulder blades and/or heaviness in chest.
My doc had me wear heart monitor for 24 hrs, no results yet (turned monitor in one week ago)
She also did blood work, normal Thyroid test.
I see a homeopathic friend for massage and during a blood screening she performed noticed adrenal 'issues'.
What is the difference between or the correlation of heart,thyroid and adrenal problems? Does thyroid test cover adrenal abnormalities? Am I on the right track, or should I see a specialist?
Thank you for any help you can give
Doctor's Answer
by Kevin Pho, MD, Feb 06, 2007 12:00AM
, Feb 06, 2007 12:00AM
Heart palpitations is a fairly common symptom. The workup described is fairly common.
Thyroid tests do not test for the adrenal abnormalities. There are specific adrenal tests for this.
I agree with the 24-hr heart monitor (Holter monitor). You can also consider a cardiac event monitor. This is worn over a period of a month and a button is pressed when the symptoms are felt.
I would also consider an echocardiogram to evaluate the structure of the heart.
These options can be discussed with your personal physician, or in conjunction with a cardiologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Thyroid tests do not test for the adrenal abnormalities. There are specific adrenal tests for this.
I agree with the 24-hr heart monitor (Holter monitor). You can also consider a cardiac event monitor. This is worn over a period of a month and a button is pressed when the symptoms are felt.
I would also consider an echocardiogram to evaluate the structure of the heart.
These options can be discussed with your personal physician, or in conjunction with a cardiologist.
Followup with your personal physician is essential.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
Kevin, M.D.
kevinmd_
Member Comments (1)
by bev62, Feb 06, 2007 12:00AM
I was having simular symptom, my heart was skipping and at times it seened like it would totally stop for a few seconds. I was having it every two to three minutes. I went to the ER and they found that my potassium was dangerously low. I was admitted and given potassium thru an IV and everything was fine. I now keep a close watch on it and know the symptons when it starts to get low. The doctor said that it was so low I could have went into cardiac arrest.
