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Asking for Self, Male, 23 years old, Islamabad
AoA Sir mera 1 sal pehly clostrol high ho gya taaa 239 pe or triglicied 302 pe te jis ke waja sy bp high hotaa taa 140/90 tak jata taaa then mainy diet plan set kia or clostrol or b.p 2no sy jan churwai but jb mera clostrol 184 pe aya tb mjy heart rate ka prblm strt ho gya 106 tak heart beat rehti on resting mood Then mainy AFIC RwP sy chek up krvyaa Eco,ECG All blood test or cityengography b krvai jo sb normal ty Then dr sahab ny mjy ivatab 5MG or carsal 50 Mg strt krvai. Abhi carsel m use kr raha ivatab chor de hai Jesy he m break fast krtaa hn meri heart beat 106 tak chli jati hai jo carsal use krny k 1.5 ganty bad normal ho jati.is sy pehly mjy subho sham use krni parti tee but ye samj sy bahir hai k issue kya hai kindly help kr dain or iss k sat sat mjy stomach issue b chl raha hotaaa hai
AssalamualaikumMy suggestion is that you come to see me at the AFIC Electrophysiology OPD. We will perform a 24 hour Holter ECG to check your heart Rhythm in detail.Best wishesDr Qurban Hussain KhanConsultant Cardiologist and Electrophysiology fellow
hi
its interesting to know practising behaviours at different places.First of all congratulation for your hard work to get your lipids well within limits .you are young fella and likelihood of anything serious underlying is very less.The important thing is doing this rapid heart rate cause any symptoms ?(racing of heart dizziness shortness of breath chest pain) , does this limits you in any way during activity exercise, is it persistent intermittent/. when you get fast heart rate does it appear regular or irregular.
i am sure you would have basic tests like fbc looking at HB tfts and serum calcium.
do you smoke any excessive tea or coffee, any h/o anxiety?
all above are important to determine if at all treatment is warranted and help to pinpoint cause .i totally agree with Dr Qurban you need 25-hour ecg monitoring the most if your symptoms are daily and persistent.
at this no medications indicated it is typical psyche in Pakistan to over prescribe .if at all needed if you are symptomatic one of your medicine is justified (metoprolol) but it has to be weighed against risk as it can cause tiredness nightmares etc.your blood pressure is borderline and don't pose any risk.if your 24 hour tape and blood are normal i guess reassurance is all that is needed .
and i would urge to continue with an active lifestyle.i am happy to speak if need is felt.
regards
kashif
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