Heart Palpitation

[speccy]

Hi
I read with interest this forum as my mom is suffering from Heart palpitation for past few years & Drs are unable to find any problems with her heart & physical condition.
However due to palpitation, she is anxious abt her wellbeing & spends most of her time resting by lying on a bed.

I will be obliged if you can give your comments on the pathological reports and her condition as observed by me of
my mom..

Complaint : Feels exhausted/weak and has Palpitation
Sex: Female      Age : 70+ yrs.
Weight : 52 Kg (constant for last so many years)
BP : 150-190/76-90,    Pulse Rate : varies from 80 to 120/125
Palpitation is invariably noted when she is exhausted/tired or has inadequate sleep. Gets sleep only for 5-6 hours/day on taking sedative, namely, (a) Stressnil 0.5 mg (contains Alprazolam0.5 mg and Melatonin 3 mg) in night/bed time.
(b) Trika 0.25 mg (contains Alprazolam 0.25 mg) in day as and when palpitation increases-mostly in afternoon around 1600 hrs. Sleeplessness is existing since last 10 years, however, she is taking sedative listed at (a) for last 6-7 years and has started taking sedative listed at (b) since last 2 years due to palpitation of heart.
General Condition :
[1] Get tired/fatigued after every 2-2½ hrs. She has to take rest for 2 hrs appox. Before she can again move around. Sometimes, feel extremely weak/exhausted, and hence continues to take rest-lying down. Also Palpitation increases.
[2]  Pathalogical Test :
            (a)  For Thyroid Function/Profile Results:
___________________________________________________
Test                              on                         on
                                Nov 24,2008       August 3, 2010      Unit
____________________________________________________
Triiodothyronine(T3)        142                  147.4                ng/dl
Thyroxine (T4)                   11.79                 8.4             µgm/dl
Thyroid Stimulating
Harmone (TSH)                   2.75                0.3              µIU/ml
___________________________________________________

[3] Hb & PS:
___________________________________________________
                                          Feb.12, 2010             August 3, 2010
___________________________________________________
Haemoglobin                            12.0                             11.7  g/dl
TLC                                         7100 /cu.mm                    -
Peripheral Blood Smear :
            RBC Morphology         Normocytic & Normochromic
            WBC Series                 WNL
            Platelets                        Adequate/ Adequate on smear
            Parasites                       Not Seen/ Negative for MP
            Immature Cells              NIL/ -
___________________________________________________

[4] Blood Sugar :
___________________________________________________
                                    Feb. 12,2010               Aug.03, 2010
___________________________________________________
Fasting Sugar                     68 mg/dl                       -
Post meal Sugar                 79 mg/dl                       -
Blood Sugar (Random)            -                      89 mg/dl
___________________________________________________
[5] Other tests :
Lipid Profile :   Serum-, HDL-, LDL-, VLDL- Cholestrol,
                         Serum Triglycerides, CHO/HDL Ratio are
                         OK/ Normal – all data within range.
[6] Serum Creatinine :  1.02 mg/dl
[7] S.G.P.T. (Kinetic) : 25 µ/l

You are therefore, requested to please offer your frank opinion and what to do in future.
Thanking you in anticipation.

[speccy]

Hi there....
Anyone can pl throw some light on to my Mom's problem?? Will appreciate that..
Thanks

[speccy]

Thanks..
1. What is basic lab & close lab?
2. ACTH Adrenal test - what it is suppose to indicate?
3. Vitamin levels are normal. She is taking Vit B & Homo-16M Capsule regularly.
What I am trying to ask is that what could be wrong?

[stella5349]

I wish there was a concrete answer here but these are basic labs on certain things and nothing truely stands out.

I feel further testing on thyroid is best - However you need better tests... Free T3 and Free T4 with the TSH is better. She could use autoimmune tests too to determine that - due to close labs.

How about an ACTH adrenal test or 24hr saliva culture? Check the adrenals out.

Also any heart monitor given to see if there's problems ? - a 24 hr holter could track things.

No mention of any vitamin tests like Vit D - calcium - B's - K's either.... should get those w/ iron

That's just a few thoughts but it may take some time for sure

[speccy]

Hi there....
Anyone can pl throw some light on to my Mom's problem?? Will appreciate that..
Thanks

[speccy]

Yes. BP was high.  Inditel-H Tablet (once a day) is for BP.

[jennerfennerbenner]

Do they think her blood pressure is running a little high?

[speccy]

Nope. Above mentioned medicines are the one she is taking right now.
Post tests on 3 Aug'10, she has been asked to take  Inditel-H Tablet (once a day) & Homo-16M Capsule (One a day) for 10 days & 15 days respectively.

[jennerfennerbenner]

Is she on any other meds besides the above mentioned?

[speccy]

No. As per above reports, her Throid test is negative. She is Not on thyroid medicines. And she doesn;t have diabetes.

[jennerfennerbenner]

Is she on thyroid meds?  And does she have diabetese??