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Diagnostic Cardiac Procedures
Treatment of Endoscopic Sinus Surgery
Treatment of Lumbar Radiculopathy
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Hiv Prophylaxis Post Exposure
Restylane Vital Procedure
Treatment of Shin Splints
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I have pain in my right back neck from last 3 months. Having difficulties in turning my neck. Is this due to sitting work for longer or riding bike using helmet or whatever else. Please suggest what should I do. What may be the circumstances.
I am having pain in my heart from last one week and it was now lesser than the 1st day. But it pains more when I take a deep breath. Please help me.
Dr. My for skin of penis is attached and when my penis is in erect position it is very hard to push for skin back. And after doing sex it causes pain in penis. please advice?
Sir, I'm 20 year old. I have hearing and speech problem from 6 year. I take BTE Aids in both ear from AIIMS, DELHI but I feeling that it's no useful. please help me sir. Thnx.
Sir/Madam I am 28 years runing. I am going to marrie so i want to increase my penise longer and big , stronger and full sex power, due to small of my penise. Is the Japani oil is a good one? Please suggesation Thanks
I have cough and throat infection from last 3 days, is these symptoms are of T. B.? Reply me as soon as possible.
My grandmother suffering from acidity in her chest she have taken medicine but didn't get enough relief how it can be prevent and cure?
I am suffering from diarrhea and vomiting alternatively. Please suggest me proper diet for this condition.
I am 31 years old guy. And suffering from the problem of premature ejaculation. Want to increase my bed time .what should be done?
I had T.B one year ago. Now I have continually cough in my throat and nose. So what to do to solve this energy?
Sinusitis problem. When I eat my nose began to flow with thick fluid. And my right nose is always fill with watery like fluid. Please help me.
My husband has a fatty liver problem what to do about it. He complains about mild pain below right ribcage. Any medication can help, and what tests should be done.
Hi, I have Haemorrhoids I guess, can you please tell is it serious cause right now I am applying ANOVATE ointment and taking PILEX tablets.
My mom age is 46 year old and she is having heart issue, so cardiologist doctor suggested norpace 100 mg medicine, but its not available please suggest what should I do
I am suffering from head ache from last 1 week I have taken lots of medicine but is not working so please help.
My name is Sandeep I am 23 years old I am very worried about the problem that I am suffering from is premature ejaculation I am not able to do proper sex with my partner. I think it is because of access masturbations now I want to cure this inability to enjoy my sex life kindly guide.
I am looking forward to hearing back from you and your friends and colleagues to the right thing to remember the name suggests a good idea of the day..
What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.
Types of palpitations?
- These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc.
- They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.
- These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart.
- These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.
Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.
What to do during palpitations?
- Stay calm.
- Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital.
Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.
Which investigations are used to diagnose palpitations?
- ECG: Taken during palpitations and when the patient is normal is a very helpful tool.
- Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs.
- ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations.
- ILR: Internal loop recorder is attached within the body for recording rhythm for long duration.
- EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat Palpitations.
What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).
It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.
What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient:
- Drug therapy
- Cardioversion where either a drug or electric shock is given to stop palpitations immediately.
Ablations using many sophisticated computer softwares
Device Therapy like ICD (Internal cardiac defibrillator)
Combination of all the above therapies.
Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.
Related Tip: "Why Do You Get Palpitations? How to Get Immediate Relief?"