What should I do next if I'm prone to fainting and dizziness spells?

Thank you for your question. For your case, vasovagal syncope is triggered by straining, long periods of standing, or stress. This can cause a sudden drop in your heart rate and blood pressure. There are a couple of things you can try before seeing your cardiologist: Don’t stand for too long If you’re not feeling well, exhausted or stressed, go get some rest. Drink more water as your cardiologist suggested You can practice elevating your legs above your heart, with your body lying flat on your back.

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Human

Are there any precautions I need to take after my child has recovered from Kawasaki Disease?

I’m glad to hear that your child has recovered well. Short answer: The good news is that most children treated for Kawasaki disease recover fully with no long term complications, and will not need further treatment. The earlier he was treated, the better. Recurrence of Kawasaki disease is uncommon. He should, however, continue to follow a healthy diet, and adopt healthy lifestyle habits to reduce the risk of future heart disease (this applies to all children, not just those who have Kawasaki disease).

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Human

When do I need to go to the A&E for low blood pressure if I'm pregnant?

it's quite normal for blood pressure to drop early in pregancy as the blood vessels dilate and blood volume also increases to accomodate the growing baby. Blood pressure in fact reaches the lowest point somewhere in middle of second trimester and then starts to rise again and returns to normal after childbirth. Some women may experience dizziness and lightheadedness due to this but if symptoms persist you may have to see your obstetrician as there maybe other reasons too ie anemia, dehydration, heart or endocrine issues and that the pregnancy is proceeding as expected.

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Answered By

Dr Nandakumar Ramasami

Cardiologist

Could I have a heart problem if I have a heavy heart, weary legs, and ECG T Wave inversion?

I’d strongly suggest that she visit a GP for a formal consultation. As pointed out, she has clear risk factors for heart disease, especially in the context of experiencing symptoms such as a heavy heart and fatigue. It’s worth noting that certain ECG abnormalities can be non-specific. I’d still suggest for you to bring the actual recording of the old ECG down for the consultation (as well as all her other old medical notes/laboratory results) – it’s very helpful for the doctor to compare any current ECG readings against the old one that was taken.

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Human

Should I be worried about frequent fainting episodes?

Fainting may have a variety of causes. A simple episode, also called a vasovagal attack, is the most common type of fainting spell. It is most common in children and young adults. A vasovagal attack happens because blood pressure drops, reducing circulation to the brain and causing loss of consciousness. Typically an attack occurs while standing and is frequently preceded by a sensation of warmth, nausea, lightheadedness and visual "grayout. " If the syncope is prolonged, it can trigger a seizure.

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Dr Beng Yeong Ng

Psychiatrist

Do I need to be worried about an incidental heart murmur?

I understand your concern about knowing that you have a heart murmur. It is great that you have undergone further testing such as TTE and ECG and both are normal. It is not unusual that incidental heart murmurs are picked up during health screening or routine doctor's visits. Generally, if you have been able to exercise with no significant shortness of breath, fainting during exercise or family history of sudden deaths, they are usually not of concern.

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Dr Julian Ng

General Practitioner

Can tooth abscesses be linked to difficulty breathing?

I agree with Dr Chris' comments. It sounds like the tooth abscess needs further attention. Tooth abscess may lead to complication outside oral cavity. In addition to what was mentioned by Dr Chris, it may also lead to blood borne infection. If this infection affects heart valve, it may also cause symptoms that you mentioned, in addition to having fever. This is a very serious condition and requires immediate medical attention. It is also possible that the chest tightness and breathlessness that you mentioned were separate from the tooth abscess.

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Human

What should I do if I'm having intermittent palpitations and can feel my heart racing?

What you are experiencing is likely palpitations in your abdominal area (which would likely point to the abdominal aorta ). It would be good to visit a vascular surgeon for a detailed consultation to rule out conditions like aortic dissection and aneurysms. You may also benefit from a 24hr ecg monitoring if the abdomen is cleared by the vascular surgeon and your looking for more systemic or cardiothoracic / endocrine causes of the palpitations. Abdominal aortic conditions can be life-threatening, so an earlier visit to see the doctor may be warranted.

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Human

What should I look out for in my child who is recovering from Kawasaki Disease?

Thanks for your question - it's quite a common concern amongst parents with children who are recovering from Kawasaki Disease! There has been a very similar question about precautions after Kawasaki Disease that has been answered over here, including advice on contact precautions, as well as physical exertions after recovery: Are there any precautions I need to take after my child has recovered from Kawasaki Disease? Do follow the link for the information to most of your questions.

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Human

How will a heart murmur affect my exercise and long distance running?

An incidental murmur, with no cause found either from the heart or otherwise would have no long term impact, but you may want to confirm that this is so with your physician. If necessary, a treadmill test can be useful for your reassurance, but is not required if you are otherwise fit, well and active with no symptoms.

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Answered By

Dr Nandakumar Ramasami

Cardiologist

What could be the cause of a low heart rate, and is treatment necessary?

It appears that you have 3 problems: 1) low heart rate 2) low BP 3) frequent giddiness Low BP and giddiness may be rather normal in many young Asian ladies (you didn't specify your age). Simple life style measures can improve the symptoms, prevent injury, and most of these young ladies grow out of them over time. The combination of 3 is more of a concern, unless you are a keen athlete. In addition, there are different types of slow heart rate as shown on ECG; some are serious whereas others are less so.

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Human

How often do I need to be followed up for mitral valve prolapse?

If it is indeed mild mitral regurgitation/mild mitral valve prolapse with no symptoms at all international guidelines mandate no more than an echocardiography test every 3-5 years. You should otherwise lead a full & normal active life. If you do have palpitations a Holter test is recommended. Other symptoms might have a bearing on the frequency of echocardiography and also the need for other investigations or treatment. However, no specific treatment is recommended if there are no symptoms. General advice such as ensuring good oral health with dental review every 6 months is recommended.

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Answered By

Dr Nandakumar Ramasami

Cardiologist

What should I do next if I am having sharp, left-sided chest pain?

I can understand your concern. If this pain has been going on for some time and is not settling or is worsening, I would suggest you attend your local emergency department for a thorough assessment. Chest pain is something not to be trifled with irrespective of age!

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Answered By

Dr Dinesh Sirisena

Sport Medicine

What could be the cause of an electric like current radiating from my chest?

You should go to see your GP. The first thing that he will want to do is rule out possible cardiac causes (heart problems) eg. do you smoke, are you overweight, do you have high cholesterol, do you have a family history of cardiac disease, do you experience any chest pain on exertion etc. He may also perform an ECG just to check that your heart rhythm is normal. In the absence of a cardiac cause, these sensations you’ve described are very likely to be non-worrying – ie. electric current-like sensations are often described in patients with nerve problems, or musculoskeletal pain.

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Human

What are the symptoms of myocarditis?

It could be - the symptoms of myocarditis are usually breathlessness on exertion, fatigue, palpitations or sometimes a sensation of pressure in the chest. There are many viruses that cause it, but respiratory viruses are often the cause. Other causes can be: Auto-immune Environmental toxins or Following chemotherapy Myocarditis usually presents with symptoms about 7 to 14 days after upper respiratory illness. Investigations such as ECG, CXR and echocardiogram would help. Occasionally, we may need a MRI scan of the heart.

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Answered By

Dr Nandakumar Ramasami

Cardiologist

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