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Heart Disease (Expert Forum)
Episodes of Tachycardia
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Episodes of Tachycardia
by Rochelle73, Dec 03, 2004 12:00AM
Hi,
I am 31, female, 5'6, 168lb, don't smoke or drink, not taking any meds. I gave birth in May. Since then, I've had chest pains every day of differing types, lots of PVC's (which I never felt before giving birth) and I keep having bouts of tachycardia, which start ususally when I'm resting or asleep. These will come on suddenly and last for a few hours, sometimes a day or so. My resting pulse is usually 80 and during the tachy episodes it will go to around 150. The other day when walking, I got a heavy pain in my chest above my left breast which stopped when I rested, then started again as soon as I started walking. So my questions are: 1)What is causing the chest pain - could it be angina. 2) What does 'Q-wave III' mean (this was on my notes following a recent EKG). 3)What is triggering the tachycardia and is it dangerous to keep having these episodes? These episodes are making me anxious and afraid, I have constant palpitations and can always hear my heartbeat in my head. I would be grateful for some advice - I am seeing a cardiologist next week and can you offer any advice on the questions I should ask. Many Thanks.
I am 31, female, 5'6, 168lb, don't smoke or drink, not taking any meds. I gave birth in May. Since then, I've had chest pains every day of differing types, lots of PVC's (which I never felt before giving birth) and I keep having bouts of tachycardia, which start ususally when I'm resting or asleep. These will come on suddenly and last for a few hours, sometimes a day or so. My resting pulse is usually 80 and during the tachy episodes it will go to around 150. The other day when walking, I got a heavy pain in my chest above my left breast which stopped when I rested, then started again as soon as I started walking. So my questions are: 1)What is causing the chest pain - could it be angina. 2) What does 'Q-wave III' mean (this was on my notes following a recent EKG). 3)What is triggering the tachycardia and is it dangerous to keep having these episodes? These episodes are making me anxious and afraid, I have constant palpitations and can always hear my heartbeat in my head. I would be grateful for some advice - I am seeing a cardiologist next week and can you offer any advice on the questions I should ask. Many Thanks.
Doctor's Answer
by CCF-M.D.-MJM, Dec 03, 2004 12:00AM
Hi Rochelle,
Congratulations on your new child!
1)What is causing the chest pain - could it be angina?
You are not the typical angina patient (young, no risk factors mentions like high blood pressure, diabetes, family history, smoking, cholesterol), but anything is possible and deserves to be worked up a physicain. A face to face interaction is usually necessary to decide how far to take the work up for chest pains in a young person. Hopefully your physician is addressing your concerns.
2) What does 'Q-wave III' mean (this was on my notes following a recent EKG).
an isolated Q in lead III means very little. It depends on the other leads.
3)What is triggering the tachycardia and is it dangerous to keep having these episodes?
The first step is to document the tachycardia with a monitor (24 hour holter monitor, event monitor, or preferrably a 12 lead EKG). Once its documented, we have a better idea of the cause. The differential is quite broad. More information is required to narrow down the options. It sounds like they haven't started the basic work up yet--I am sure your cardiologist will do that.
I hope you feel better soon and good luck.
Congratulations on your new child!
1)What is causing the chest pain - could it be angina?
You are not the typical angina patient (young, no risk factors mentions like high blood pressure, diabetes, family history, smoking, cholesterol), but anything is possible and deserves to be worked up a physicain. A face to face interaction is usually necessary to decide how far to take the work up for chest pains in a young person. Hopefully your physician is addressing your concerns.
2) What does 'Q-wave III' mean (this was on my notes following a recent EKG).
an isolated Q in lead III means very little. It depends on the other leads.
3)What is triggering the tachycardia and is it dangerous to keep having these episodes?
The first step is to document the tachycardia with a monitor (24 hour holter monitor, event monitor, or preferrably a 12 lead EKG). Once its documented, we have a better idea of the cause. The differential is quite broad. More information is required to narrow down the options. It sounds like they haven't started the basic work up yet--I am sure your cardiologist will do that.
I hope you feel better soon and good luck.
Member Comments (2)
by Rochelle73, Dec 03, 2004 12:00AM
To: Doctor
Sorry, I forgot to mention I often feel faint and nauseous with a sense of foreboding, although the faintness and nausea never lasts long.
