Welcome, Guest. Please Login
YaBB - Yet another Bulletin Board
  News:
  HomeHelpSearchLogin  
 
Pages: 1
Send Topic Print
Racing Heart Please Help (Read 7905 times)
80shellbell
Junior Member
**
Offline

Heart Palpitations
Forum

Posts: 38

Gender: female
Racing Heart Please Help
Mar 02nd, 2012, 3:11pm
 
Hi I am New and this is going to seem like a long post.
It all started with a women's problem I had where my uterine lining got too thick and my gp found this on an ultrasound I had been getting really heavy periods, she told me this may of been down to not ovulating properly, this made me very worried as it seemed like a problem older women get?? however i was placed on birth control rescanned and it had decreased. I was so worried about the whole episode but glad it was over, however one night in bed I started to get rapid heart rate and sweating. I immediately went to my gp, as i assumed it was related to my pill. She listened to my heart and told me it was anxiety from my gynae related issues. I was then placed on citalopram 40mg and 80mg of propranol. The beta blocker worked for a weak in slowing my heart rate and then it started to race again, my gp upped the dose to 160mg but again this did not really help. I have been to A&E twice ECG shows sinus rhythm (sinus Tachycardia) caught 117 bpm, they repeated the ecg in an hour and it came down to 90bpm. I have since been referred to a cardiologist who has decreased my propranol to 80mg again and is doing an echo in 4 days. I am so worried!!!! I am still getting the racing heart especially in the morning. I would really appreciate your input as I am really scared I watched my dad die of heart disease 2 years ago and this is stuck in my mind can anyone relate ??? have suffered with anxiety in the passed and panic attacks but not racing heart for days on end. Sorry for the long post I just need some answers im only 31 and this is taking over my life  Sad Regards Michelle
Back to top
 
 
  IP Logged
RLR
YaBB Administrator
*****
Offline

Retired Physician

Posts: 2057

Gender: male
Re: Racing Heart Please Help
Reply #1 - Mar 2nd, 2012, 3:43pm
 
Welcome to the forum and I've read your posting and complaint.

Endometrial hyperplasia is actually quite common and results from estrogen production in the absence of progesterone production, or sometimes simply an imbalance in this context. Progesterone expression is necessary for the uterine lining to shed and in the absence of doing so, causes a thickening of the endometrium.

It's important when making inquiry to specifically state the type of birth control you have been prescribed, since I am unable to discern enough information from taking the "pill." Regardless, initial therapy of this type can induce physiological manifestations, on occasion inappropriate sinus tachycardia. I will share with you, however, that a rate of 117 is extremely mild and rates well above 160 have been observed with no harmful effects and frankly, the act of exercise can regularly induce heart rates in this range and higher with no risks.

Indeed, anxiety and panic disorder can cause sinus tachycardia of the type described and measures to control this factor most often results in a corresponding reduction in physical symptoms as well. If any gastrointestinal disturbances are present, then this also constitutes a potential causal factor.

At 31 years of age, the absolute last concern you should have is the possible presence of heart disease or anomaly in that regard. This is not a sign of heart trouble whatsoever, so you can take a breath and relax.

I see nothing of your description that would suggest anything serious to be wrong with you at all. You need to relax and work with your primary care physician or specialist until measures are found that provide relief and again, realize that tachycardia of the type you are experiencing is not life-threatening in any context. You'll be just fine.

Best regards,

Rutheford Rane, MD (ret.)
Back to top
 
 

Best Regards and Good Health
  IP Logged
80shellbell
Junior Member
**
Offline

Heart Palpitations
Forum

Posts: 38

Gender: female
Re: Racing Heart Please Help
Reply #2 - Mar 2nd, 2012, 3:53pm
 
Thank you so much for coming back to me

I was originally placed on cilest b.c but have been put on a milder form of birth control now femodette to see if this helped usually given to older women but, this has not changed the situation. My cardiologist does not seem concerned but is going to see me in four days to carry out an echo I will re post if anything further is found , but once again thank you for your help. In interest with the endometrium thickening is this a fertility problem that I may face in the future ??

regards
Michelle
Back to top
 
 
  IP Logged
RLR
YaBB Administrator
*****
Offline

Retired Physician

Posts: 2057

Gender: male
Re: Racing Heart Please Help
Reply #3 - Mar 2nd, 2012, 4:15pm
 
Endometrial hyperplasia is treatable by using specific forms of progesterone to which the patient responds best. Unless significant scarring of the uterine walls has occurred or another condition is present, then EH alone would not place you at risk of infertility.

In the same breath, however, I will share with you that I'm a retired neurologist and when it comes to issues relating to pregnancy, such information lies beyond the traditional scope of this forum and I'm drawing upon some rather dated general medicine training where such topics are of concern. Such specific questions are best directed to your gynecologist.

Best regards,

Rutheford Rane, MD (ret.)
Back to top
 
 

Best Regards and Good Health
  IP Logged
80shellbell
Junior Member
**
Offline

Heart Palpitations
Forum

Posts: 38

Gender: female
Re: Racing Heart Please Help
Reply #4 - Mar 2nd, 2012, 4:31pm
 
Thanks again you have really made me feel better.

I guess im just stuck really as medically I need to be on bc but if it is causing my heart to race then i cant cope with that so i will await my results from the cardiologist and then take it from there. Also why do the beta blockers not work ???
I have been stupidly looking into why this is happening and convinced myself of all sorts including adrenal tumor which my gp outright refuses to test me for. I just want it to go away or indeed find a cause.
Thanks
Again Smiley
Back to top
 
« Last Edit: Mar 3rd, 2012, 3:39am by 80shellbell »  
  IP Logged
RLR
YaBB Administrator
*****
Offline

Retired Physician

Posts: 2057

Gender: male
Re: Racing Heart Please Help
Reply #5 - Mar 3rd, 2012, 4:27pm
 
Well, let's just take it for granted that your physician knows more medicine that the patient, if you see my point. Diagnostic testing is guided purely by evidence-based need and not to comfort the irrational fears of the patient. I merely point this out because you seem to characterize your physician's reluctance as stubborn resistance.

Pheochromocytomas present with very clinically specific and characteristic symptoms, the nature of which cannot simply be drawn from finding similarity in searching online information as though it were word association. Realize that the sheer complexity of human medicine causes persons to be forced to survey available information and do so as though it represents all that actually exists with respect to facts relevant to a search.

Whenever you encounter yourself making this type of error, you must employ a factual and logical barrier from acting upon what you've discovered by awareness to the fact that the ability to accurately practice clinical medicine requires more than a decade of specific secondary education and practical residency under the guidance of seasoned physicians before attaining the accuracy in diagnosing symptoms of human illness and disease. Surely, this inescapable fact cannot somehow be supplanted by merely searching the internet and looking for features which are described similarly. It is the unwitting attempt to find an answer using an irrational and illogical approach.

Your symptoms are limited in nature and pose no actual risk to your heart or health and while troubling, you must continue to work closely with your doctor to obtain suitable treatment options. You're going to be just fine and you're in no danger. Selective beta-blockers were not established for the mere purpose of attenuating sinus rate, but rather cardiac force, or the work necessary by the heart to perform its function. It is no surprise that the drug does not have the intended effect.  

Best regards,

Rutheford Rane, MD (ret.)
Back to top
 
 

Best Regards and Good Health
  IP Logged
80shellbell
Junior Member
**
Offline

Heart Palpitations
Forum

Posts: 38

Gender: female
Re: Racing Heart Please Help
Reply #6 - Mar 4th, 2012, 2:37am
 
Thanks again

I will see the cardiologist on wednesday and then speak to my gp if nothing is found from him. again thank you for your response it certainly makes me feel better. Although I cant see what else they can do for me to calm my heart down are there other options ??

In your opinion could birth control cause this?? because when I suggested this to my gp and the cardiologist they said no as lots of women are on it and they have not heard of it before.

Regards
Michelle
Back to top
 
 
  IP Logged
80shellbell
Junior Member
**
Offline

Heart Palpitations
Forum

Posts: 38

Gender: female
Re: Racing Heart Please Help
Reply #7 - Mar 7th, 2012, 12:21pm
 
Hi

I had my appointment with the cardiologist today echo was fine although my ecg still shower slight tachycardia even though im on 80mg of beta blockers the cardiologist is testing me for an adrenal tumor but does not want to see me again, he also suggested in his opinion that i didn't need to be on beta blockers and that some peoples heart rate is just faster but other than that my heart is fine, he even said he would do a ct scan to check my arteries if I wanted him too but I told him I trust him and if he says my heart is fine then thats good enough for me. So now i just have to do the 24hr urine test which I am really scared about my blood pressure was high in the hospital too, but after that basically there are no more tests for me to have so I guess the tachycardia is something im going to have to live with and except as anxiety and learn to deal with that issue instead if nothing medically can be found.

Just wondering what your thought are ? after this I will not be posting only to reread your posts to reassure myself if I wobble but other than that I am going to try and get on with life and ignore my heart.

Many Thanks Again I await your response

Michelle

Huh
Back to top
 
« Last Edit: Mar 7th, 2012, 2:17pm by 80shellbell »  
  IP Logged
Pages: 1
Send Topic Print