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Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Cardiology
Satisfied Customers: 55460
Experience:  Cardiology Expert
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I have idiopathic cardiomopathy. My heartbeat is normally

Resolved Question:

I have idiopathic cardiomopathy. My heartbeat is normally irregular, but right at the moment I am having "pauses" in a really fast beat - apex beat 190. Pauses - nothing audible over my apex for a few seconds with my stethoscope (I have been trained to auscultate). Is this normal? When I breathe my o2, the beat seems to be more regular.

I can't feel my radial pulse at all. My carotid is weak but when I listen to my heartbeat I can feel all the beats, so no pulse deficit.

My cardiologist has described how she feels/hear this "morse code" beat from time to time, but now it's constant .. . .. . ... . .. .. ..  ...     ..  .

Submitted: 2 years ago.
Category: Cardiology
Expert:  Dr. Phil, MD replied 2 years ago.
Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
any other medical problems?
Dr. Phil, MD and other Cardiology Specialists are ready to help you
Customer: replied 2 years ago.

I have reactive airway disease - asthma

Expert:  Dr. Phil, MD replied 2 years ago.
how bad is your cardiomyopathy?
Customer: replied 2 years ago.

Not great...

EF 35% really prominent JV pulse, parasternal heave, I'm needing o2 at night, oedema in my ankles, breathless all the time. I can give you my heart measurements but I'd need to look them up.

Expert:  Dr. Phil, MD replied 2 years ago.
when was your last EKG or holter?
Customer: replied 2 years ago.

EKG yesterday, have Holter now because of the pauses in my heartbeat. Deep S and big R Waves on EKG.

Expert:  Dr. Phil, MD replied 2 years ago.
Then this is appropriate workup
There is nothing more you can do right now
Customer: replied 2 years ago.

What are these pauses in my heartbeat? This is what is really frightening me.

Expert:  Dr. Phil, MD replied 2 years ago.
It could be PVCs coming on. The PVCs beat rapidly and then there is a pause
Customer: replied 2 years ago.

Do you normally get a run of really fast beats then?

These pauses are happening all the time now...my heart rate is 170 at the moment.

I'm feeling a bit short of breath...will this show up on the Holter. I am having a few breaths of my o2

Expert:  Dr. Phil, MD replied 2 years ago.
If your heart rate is 170, you need to go to ER right now.
Customer: replied 2 years ago.

I went to Emergency. I was given oxygen for a couple of hours and sent back home after my heart rate came down. I breathed o2 non-stop at home. My resting heart rate is 130 even with that. No heart can cope with this for long...

Customer: replied 2 years ago.

Relist: Incomplete answer. I am so scared with this heart condition. I'm lying down at the moment, breathing o2, and my heart is still beating 130 times a minute.I have idiopathic dilated cardiomyopathy.

I went to Emergency when my heart rate went up to 170 last night, and they just sent me home when it had come down a bit. The beat is really irregular, especially without the o2.

Expert:  Dr. Phil, MD replied 2 years ago.
So what did they recommend?
Customer: replied 2 years ago.

To keep breathing o2, I've had my mask on all day, but my heartbeat is still irregular and 140 at the moment.

Expert:  Dr. Phil, MD replied 2 years ago.
You need to be admitted to the hospital
Customer: replied 2 years ago.

I've just come back from the hospital. They sent me home and told me to use oxygen.

Expert:  Dr. Phil, MD replied 2 years ago.
I can't see how that is correct
IN the US you would be in the hospital
Customer: replied 2 years ago.

What should I do? I'm getting desperate here and it's not helping my heart.

Please believe me, I am sitting here with my o2 mask on and my heart is beating so fast. I can hardly feel my radial pulse, but I can see my heartbeat in my left chest.

Customer: replied 2 years ago.

Relist: Incomplete answer. Nice Doctor Phil said it wasn't good enough. that I was sent home from emergency, but went offline before making a suggestion. I'm sitting here, breathing o2 as they sent me back from emergency to do. My heart is still beating way too fast at 130...radial pulses are weak or not palpable, but I can see my heartbeat in my left chest. I have to press really hard on my carotid to get a pulse, and don't want to.

Expert:  Dr. Phil, MD replied 2 years ago.
Sorry I had to go offline
Your only choice is to go back to A and E
Customer: replied 2 years ago.

I have just got one of my neighbours who is a paradmedic. She's just listened to my heart and has called a doctor she knows. She's with me and I'm keeping breathing o2, but I've started getting chest pains

Expert:  Dr. Phil, MD replied 2 years ago.
I can't stress enough that you need to go to ER
Customer: replied 2 years ago.

This is SI's friend, Val - I called her my doctor, she's very very unwell. Ambulance called

Expert:  Dr. Phil, MD replied 2 years ago.
Okay. Excellent
Thanks you Val
Customer: replied 2 years ago.

I'm waiting outside emergency. She's in resus. her heart stopped beating in the ambulance

Expert:  Dr. Phil, MD replied 2 years ago.
Holy crap!
I'm so glad you took her.
Let me know how it goes
Customer: replied 2 years ago.

They're working on her now. I've got chest pains myself after this.

Expert:  Dr. Phil, MD replied 2 years ago.
I'm worried as well
Let me know what happens
I can't believe the ER sent her away the first time
Customer: replied 2 years ago.

She's being worked on in emergency. I'm getting chest pains just watching and waiting.

Expert:  Dr. Phil, MD replied 2 years ago.
alright let me know how it goes
Customer: replied 2 years ago.

Not good. She's going to ICU/HDU?, can't breathe on her own. Intubated. This is horrible

Expert:  Dr. Phil, MD replied 2 years ago.
This is horrible
I'm sorry this happened.
Customer: replied 2 years ago.

Need to just breathe myself. She's in HDU - end stage heart failure

Expert:  Dr. Phil, MD replied 2 years ago.
Okay go spend time with her instead of posting back to me.
You need to be with your friend now.
Customer: replied 2 years ago.

Not allowed in right now, but I'll spend all night here.

I've got Afib myself, and one of the doctors noticed how breathless I was.and he's coming back...but right now - SI's stable but critical - I feel so powerless.

Customer: replied 2 years ago.
Relist: Incomplete answer.
SI's heart stopped beating again during the night, they managed to get it restarted after about 10 minutes, but if she goes into VF again there's probably nothing they can do. No change this morning.

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