Abnormal Heart Rhythm

Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Duchenne muscular dystrophy symptoms dmd most commonly appears in children between 3 and 6 years old. Children may have difficulty walking or getting up from a seated position or from lying down. Parents or caretakers may notice weakness of the shoulder and pelvis, abnormal clumsiness and frequent falling. Other symptoms and signs include: •difficulty going up stairs •inability to jump •walking on tip-toe ••leg pain facial weakness, including inability to whistle or close eyes heart problems may include irregular heartbeat and enlargement of the heart muscle tissue. If the spine becomes curved (scoliosis), breathing and lung function may become difficult. Risk factors for duchenne muscular dystrophy dmd is a genetic disease caused by a gene on the x chromosome that mothers can pass on to their sons. The gene affects a protein called dystrophin that muscles require to function normally. Diagnosing duchenne muscular dystrophy after conducting a physical and taking a detailed history of signs and symptoms, noting any occurrence of muscular dystrophy in family members, the doctor examines your child and runs tests, including: blood tests: these include genetic blood tests, which can reveal the gene mutation causing absence of dystrophin in about two thirds of boys with dmd. Muscle biopsy: for those children who have clinical evidence of dmd but who do not show one of the common mutations, a small sample of muscle tissue examined under a microscope can confirm the diagnosis. Electromyogram (emg): this test checks to see if your child’s muscle weakness is a result of destruction of muscle tissue rather than nerve damage. Electrocardiogram (ecg or ekg): a test that records the electrical activity of the heart, an ecg shows abnormal rhythms (arrhythmias or dysrhythmias) and detects heart muscle damage. A genetics counselor reviews the history of disease with each family, discusses the principles of inheritance and helps weigh risks and benefits of genetic testing of various family members, including the affected child and potentially carrier testing for the mother. Duchenne muscular dystrophy treatment a multidisciplinary approach with a team of specialists with experience in treating dmd can offer your child the chance for longer survival and better quality of life. The first line of treatment is corticosteroids, which have been shown in clinical trials to decrease the rate of declining strength in people with dmd. A neurologist will manage this treatment and help minimize medications’ side effects. The neurologist directs your child’s care and coordinates services among the team, which is likely to include additional experts: •physical and occupational rehabilitation professionals design exercise programs for your child and teach stretching activities to minimize limiting contractures. •orthopaedic surgeons with expertise in dmd can treat severe contractures and scoliosis. •pediatric cardiologists track your child’s heart function with ekgs and echocardiograms. •a designated muscular dystrophy association liaison is critically important, offering support to families and schools on a number of levels including social, financial and educational. 

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Dr. Krishna Sumanth DogiparthiMD - Internal MedicineGeneral Physician

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Hello Lybrate user complete blackout for few moments can occur due to decrease in sugar levels, hypotension, heart rhythm abnormalities, or can occur as a early feature of brain stroke or seizures. Pls consult a physician and undergo complete evaluation and take appropriate treatment. Thank you. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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I am sorry to hear about your concern but will be happy to assist you. An ecg is a quick and painless test that records the electrical signals in your heart. It can spot abnormal heart rhythms let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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I am sorry to hear about your concern but will be happy to assist you. Electrocardiogram (ecg) small sticky dots and wire leads are put on your chest, arms and legs. The leads are attached to an ecg machine which records the electrical impulses and prints them out on paper. Your doctor may use an ecg to diagnose a heart attack or abnormal heart rhythms (called 'arrhythmias'). Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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I am sorry to hear about your concern but will be happy to assist you in adults, normal sinus rhythm usually accompanies a heart rate of 60 to 100 bpm. However, it's possible for sinus rhythm to be faster or slower than this and still be considered normal. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you. 

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Dr. Rajeev RanjanB.Sc(zoo) , B.N.Y.S., M.D(Naturopathy) , PG Diploma in YogaYoga & Naturopathy Specialist

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If both the right and the left bundles are blocked, the main complication is a complete blockage of the electric signaling from the upper to the lower chambers of the heart. The lack of signaling can slow your heart rate, leading to fainting, abnormal heart rhythms and other serious complications. Because bundle branch block affects the electrical activity of your heart, it can sometimes complicate the accurate diagnosis of other heart conditions, especially heart attacks, and lead to delays in proper management of those problems. 

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Dr. Rahul GuptaMD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)Sexologist

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Hello- sex, of course, is different, and the excitement and stress might well pump out extra adrenaline. Both mental excitement and physical exercise increase adrenaline levels and can trigger heart attacks and arrhythmias, abnormalities of the heart's pumping rhythm. As per ayurveda, these are the signs of oja kshya/deficiency. According to ayurveda, ojas is a essence present in every dhatu (tissue) and considered as sara of all the seven dhatus starting from rasa to shukra and responsible for the strength of the body. It controls or regulates the whole working system of the body. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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I am sorry to hear about your concern but will be happy to assist you. The causes of bradycardia can vary greatly from one person to the next. The abnormal rhythm can show up after a heart attack or as a side effect of heart surgery. Other things that can lead to it: certain medications, such as those to treat high blood pressure and other arrhythmias, or abnormal heartbeats. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you. 

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Dr. Tanmay PalsuleMD - Homeopathy, BHMSHomeopathy Doctor

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Heart palpitations are abnormal or irregular heartbeats that cause a thumping or fluttering feeling in your chest — sometimes also described as "missing a beat. Palpitations can occur with heart rates that are too rapid or too slow. They can be triggered by stress, exercise, diet, medication and sometimes by a medical condition. Although heart palpitations can be a worrisome or a strange experience, they're usually harmless. In most cases, it's possible to find the cause and address it in order to reduce palpitations. Rest and take a break. Some people experience heart palpitations due to physical overexertion or being too active; however, an increased heart rate from exercise or anxiety (called tachycardia) is not the same as palpitations. Both can happen at the same time, although palpitations are defined best as unusual heart beats, not just fast heart beats. If your palpitations seem to be sometimes triggered by exercise, then stop what you're doing and rest for five to 10 minutes and catch your breath. Alternatively, reduce your exertions or change your exercise to something less strenuous. Walk instead of jogging, for example. Lift smaller weights. Gently tread water in the pool instead of doing strokes. Resting heart rates vary between people, but it's typically between 60 and 100 beats per minute. Palpitations can occur above, below or within the normal heart beat range. Reduce your stress/anxiety. Moderate-to-high levels of stress and anxiety are relatively common triggers for heart palpitations due to the release of too much "stress hormones" into the bloodstream. Thus, you may be able to prevent or reduce your palpitations by managing how you react or respond to stressful situations. Stress-relieving techniques like yoga, tai chi, deep breathing, visualization, meditation, biofeedback and aromatherapy are all helpful for promoting relaxation and better heart health. Ask at your local gym or health clinic about joining a yoga or tai chi class. Taking deep breaths can naturally lower your heart rate and reduce the occurrence of heart palpitations, especially if you practice positive visualizations or guided imagery. Buy some relaxing aromatherapy candles (lavender scented, for example) and light them in the evenings prior to going to bed. Don't forget to get enough sleep — at least eight hours per night, although some people need a little more. A chronic lack of sleep can lead to anxiety and heart palpitations. Remove yourself from stressful situations, such as arguments. Quit focusing on financial problems. Stop watching scary movies or shows. Avoid consuming stimulants. There are a number of substances that affect your central nervous system (cns) and can trigger heart palpitations, including alcohol, caffeine, nicotine, illicit drugs (such as cocaine and amphetamines) and some over-the-counter medications (particularly cold and cough medicines. Thus, if you're having periodic heart palpitations, consider what you're putting into your body on a regular basis, because it could very likely be the cause. Vagal maneuvers are simple actions that you can do at home to affect your vagus nerve, which is the primary one that regulates your heart rate.] vagal maneuvers can slow your heart rate down and stop palpitations within seconds if done correctly. The valsalva technique involves holding your breath and bearing down as if you're having a bowel movement for about 15– 20 seconds — it increases your intrathoracic pressure and stimulates the vagus nerve. The valsalva technique can change the rhythm of electrical impulses in your heart, help your heart rate return to normal and reduce palpitations. The valsalva maneuver shouldn't be done if you have heart disease or are advanced in age, as it may increase the risk of stroke. Activate your diving reflex. The diving reflex gets activated when your head or face gets cold for more than a few seconds — your heart rate slows down to reduce blood flow in an attempt to survive, which is helpful when submerged in cold water. To trigger this survival reflex, place very cold water or an ice pack against your face for about 10 seconds. Your heart rate and palpitations should reduce pretty quickly. Dip your face or submerge your head in cold water. Put a wet face cloth in the freezer for 30 minutes then press it against your face. Alternatively, drinking a glass of very cold water will cool the hard palate of your upper mouth and also mildly trigger the diving reflex. Vagal maneuvers are simple and generally quite safe to do, but they should be done as soon as you realize you're experiencing palpitations for best results. Do not attempt vagal maneuvers while standing — they can sometimes cause dizziness and fainting. Ry coughing a bunch of times. You can also try coughing forcefully (or clearing your throat) multiple times in efforts to move your diaphragm, increase intra-thoracic pressure, and stimulate your vagus nerve. In essence, coughing creates the same physiological effects as bearing down (the valsalva technique), but some people may find it easier to perform. When coughing, it must be forceful enough and sustained — a single, light cough won't likely trigger a vagal response. Make sure to completely swallow any food you're eating or beverages you're drinking in order to prevent the risk of choking. For medication consult online in private. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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I am sorry to hear about your concern but will be happy to assist you this grouping of symptoms and signs can be evidence of many issues, namely cardiac or neurologic, such as tremor, abnormal heart rhythms, and low blood pressure. Hypotensive episodes can also come with sweating, dizziness, and nausea. Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you. 

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