General fitness, health and nutrition · Public discussion

ANNIA - CHANG IS WRONG

Started by Not Dr Chang · · Last activity · 2 posts · 332 views

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General fitness, health and nutrition
Published
12 February 2004
Last activity
12 February 2004
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Not Dr Chang
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  1. smn said:

    Respectfully, I think Dr. Chung was referring to supraventricular tachycardia, which is quite
    different from ventricular tachycardia and presents nowhere near the threat of ventricular
    tachycardia.

    Well, enclosed below are Chungs own words, he aknowledges a possible VT. Anyhow, he (and all you
    others) neglected to say that Annia really should try and present at casualty WHEN she is HAVING an
    episode as so many times routine cardio investigations turn up nothing as Annia's may well do.

    Quoted message said:

    Still and all, the primary source of information and clarification should be the patient's own doc.

    Yes, except his investigation may turn up zero. Hence she should visit ER/casualty When she is
    HAVING an episode of ?VT whatever.

    Quoted message said:

    smn

    Chung said:

    Most likely, supraventricular tachycardia (SVT).

    Quoted message said:

    Could still be ventricular tachycardia (VT).

    Annia wrote:

    Hi, I'm a 20 y.o., female. I don't smoke or drink, weigh 110 lb and have a height of about 5'5. I
    have had some type of arrhythmia for about 7 years now. I finally went to see a cardiologist and
    have done a 24 hour holter monitor test, although I still don't know the results. I'm also scheduled
    for a stress test and an echo within the next little while. I've had several blood tests, a chest
    x-ray and a few resting ECGs which revealed nothing out of the ordinary.

    My arrhythmia seems to be exercise induced based on the observations that it always occurs after
    strenuous activities or sudden movement
    (i.e., after working out, climbing stairs-although not very often, and even suddenly jumping up in
    the air) ...never any other time. It is initiated by two or three "skipped beats" and has
    lasted a maximum of one hour. It is terminated by those same "skipped beats". It makes me feel
    quite fatigued and out of breath ...the fatigue lasts for quite a few hours after the episode.

    I also noticed that my heart rate after walking up a couple flights of stairs goes up to about 180
    beats/minute and I become quite out of breath. I also get dull chest pain sometimes, and have had
    some pretty horrible dizzy spells over the years. I went to my family physician regarding those, but
    a cause for them was never found and she told me that they were probably due to stress (which I
    personally think is BS).

    I know that I cannot get a diagnosis on here, but I would just like to get some feedback before my
    next appointment. Firstly, what type of arrhythmia could this be (if any)? Secondly, is that rise in
    heart rate normal? Any other comments would be appreciated. I'm really worried about all of this.
    Thanks you for your time.

    Annia

    ~~~~~~~~~~~~~~~~~~~~~
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  2. Not Dr Chang said:
    smn said:

    Respectfully, I think Dr. Chung was referring to supraventricular tachycardia, which is quite
    different from ventricular tachycardia and presents nowhere near the threat of ventricular
    tachycardia.

    Well, enclosed below are Chungs own words, he aknowledges a possible VT.

    Correct. Though you'll note I did write that SVT was most likely.

    Quoted message said:


    Anyhow, he (and all you others) neglected to say that Annia really should try and present at
    casualty WHEN she is HAVING an episode as so many times routine cardio investigations turn up
    nothing as Annia's may well do.

    Time has been the best test here. Note that Annia has survived *7 years* of her tachyarrhythmia
    which is consistent with her having a structurally *normal* heart.

    According to the test of time, her tachyarrhythmia probably should not be treated as an emergency
    if/when it recurs. Ultimately, she should follow her doctor(s) instructions.

    Moreover, my earlier comments about Annia probably having a structurally *normal* heart follows from
    3 lines of evidence:

    (1) She is young (20 yo) with no other cardiac history that would lead to having a structurally
    abnormal heart.

    (2) She has been followed by her doctors who have neither diagnosed nor treated her for an abnormal
    cardiac exam.

    (3) She has been seem by a cardiologist who has neither diagnosed nor treated her for an abnormal
    cardiac exam.

    Quoted message said:


    Quoted message said:

    Still and all, the primary source of information and clarification should be the patient's
    own doc.

    Yes, except his investigation may turn up zero.

    It shouldn't. Moreover, if it did, then Annia should be reassured that her condition is not life-
    threatening even if it always feel like it should be.

    Quoted message said:

    Hence she should visit ER/casualty

    Emergency rooms should be reserved for life-threatening conditions.

    Quoted message said:

    When she is HAVING an episode of ?VT whatever.

    Again, would suggest that she follows the advice of her doctor(s).

    Appreciate the discussion, though I sense your agenda is elsewhere.

    Servant to the humblest person in the universe,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    heartmdphd.comheartmdphd.com

    --
    Who is the humblest person in the universe?
    makeashorterlink.commakeashorterlink.com

    What is all this about?
    makeashorterlink.commakeashorterlink.com

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