Hello,
Please look into Postural Orthostatic Tachycardia Syndrome (POTS). It is a very unheard of nervous system disorder that prevents the body from being able to properly adjust to the pull of gravity. Therefore, symptoms arise, such as: rapid heart rate upon standing, low or high blood pressure, dizziness, fainting, fatigue, sweating, anxiety-like symptoms, headaches, shortness of breath, inability to exercise, digestion problems, etc. The symptoms are endless and vary person to person day to day. Very few doctors are familiar with this illness and often misdiagnose patients.
Please feel free to contact me if you have any questions.
Best wishes,
Brandi
I agree with Michelle, it's important to examine what the quivering and irregular heart rhythm is.
As she said, most cases of irregular heart rhythm is fairly harmless extra/premature beats. But with hypertension, chance is higher that she can have runs of atrial fibrillation, which may need treatment.
A cardiologist will probably measure her heart rhythm during a long interval (for example 1 week) with a portable monitor. It's very important that she actually has symptoms like quivering or rapid heart rate while carrying the monitor. Afterwards, the doctor will analyze her heart rhythm and provide a diagnosis.
In my opinion, it's more important to examine this than monitoring her home blood pressure. If she has known hypertension, that condition needs treatment and is easily treatable. She already has that diagnosis, no need to examine it further. After a diagnosis, treatment is necessary, not confirming.
I hope she will find out what is causing her irregular heart rhythm. Good luck to both of you.
I have consulted the doctor. They are giving some medicines. her BP is high above 160 usually. So i wanted to monitor BP at home using a Automatic BP Monitoring machine.
Also, I wanted to take second opinion: Since doctors dont say much saying she has irregular heart beat.
What questions i need to ask the cardiologist. How can i find out how serious is the problem
I would highly suggest taking your mother to see a cardiologist. They will be able to monitor her and find out what she exactly has. You personally can't do this. The fact that she senses that the heart quivers is something to be certain to tell the doctor. She may need to be on medications or could possibly be a candidate for a procedure that may correct the issue though she needs to be diagnosed first. Irregular beats can be persistent and all the time but more often than not they come and go but considering she gets episodes at least once a week it would be prudent to have her checked out by a cardiologist if she hasn't been already.
I dont know the answers to your questions.
When you say heart beat is irregular. Does it mean that it is irregular always.
Or once or twice a week.
Can you please explain how do i check which rhythm it is. And how do i check when her heartbeat is irregular.
She has palpitations and pounding and shivering of the heart once a week or so.
First, automatic blood pressure monitors are unfortunately not quite accurate in the setting of an irregular heart rhythm. This has nothing to do with the quality of the monitor, but the fact that an irregular heart rhythm will cause a variable cardiac stroke volume. Blood pressure monitors work by analyzing the variations in the pulse wave while air is released from the cuff. If the pulse waves are variable due to an irregular heart rhythm, the measuring can be wrong, especially the diastolic pressure. Systolic pressure is fairly easy to detect, and if you practice a bit, you can buy a stethoscope and listen for pulse sounds while looking at the pressure on the monitor. Of course, a doctor should teach you how, to make sure you have the right technique.
Do you know which rhythm your mom has when her heart rhythm is irregular, by the way? Does she suffer from atrial fibrillation?
Her doctor can measure her blood pressure even if the heart rhythm is irregular, by the way.