r/askCardiology

Postpartum complication?

Hi everyone! I’m a 30yf who gave birth to my first baby last June. I’ve had ventricular ectopy episodes in the past, had a holter a few times but nothing every further. While I was pregnant I felt great! 7 weeks after birth (had a hemorrhage of 1.5 L and very low ferritin and hemoglobin as a result, but otherwise uneventful if any of that matters) I started having episodes of what I assume(?) is bigeminy and trigeminy based on reading other accounts of what it feels like.

I went to the hospital, they had me on telemetry for a few hours and noted a lot of PVC activity but clear ECGs, bloodwork was fine other than a bit of low iron and slightly low potassium. I have not had an echo or any other testing done since then.

Long story short, the PVCs have been relentless since that 7 week mark when they started suddenly. Every day I get them, when before I would only have them here and there. Is this a common occurrence after birth? I’m hoping they will go away as my body returns to normal, perhaps after I’m done breastfeeding and actually getting sleep again?

Just looking to see if there’s anything I can do now to help myself as they are quite uncomfortable and cause me some anxiety. Thanks!

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u/MarsupialObjective77 — 2 hours ago

Doctor said this isn’t anything to be concerned about?

I did a holter monitor as requested by my family doctor since I was feeling some skipped beats with my heart. Like this:

beat..beat..beat..(pause).. BEAT.. beat.. beat..beat

Essentially it’ll feel like a skipped beat and the one right after is extra hard. I feel it randomly, maybe 5-15 times per day. I’ve felt it all my life, figured I’d get it checked out.

What’s weird is I pressed the button on the holter monitor every time I felt this, and yet it says sinus rhythm? How come? I only saw my family doctor regarding these results, no cardiologist, not sure why… doctor said what I feel could be PAC/PVC but since it says rare he’s not concerned. Just confused about the button pressing and why it says sinus rhythm.

If anyone could chime in as to why it says sinus rhythm when I pressed the button that’d be great.

Thanks.

u/Horstov — 3 hours ago
▲ 3 r/AskDocs+1 crossposts

25F 1.5 years post stroke, follow up MRA results is concerning me, will you please help me. Thank you.

Hello!

25F, 100kg and I had suffered from an ischemic stroke back in July 2024. I posted here before regarding that stroke. MRA back then showed that it was due to a dissection in my right vertebral artery.

I'm feeling better now, although still suffering from reduced dexterity in my right side of the body, especially my hands and arms. The right side of my body also feels "numb and heavy" if that makes sense.

Fast forward to now, I had a follow up MRA done about a month ago to see how things are. My report looks a bit concerning to me and I'm very scared. The MRA done in 2024 had not mentioned anything about internal carotid artery stenosis.

I'm wondering how severe this is and how worried I should be. I'm scared about another stroke happening. I have to make an appointment with my GP but the next available appointment is not for weeks, so any further investigations will have to wait for a long time as well. I'm hoping to have some fears calmed and any information you might be able to offer me.

How serious is this stenosis and am I at risk of another stroke? My cholesterol and LDL levels are at a good range for a year now. Been taking clopidogrel and atorvastatin for a year. What can be the cause of this stenosis and possible dissection again?

Thank you so much.

u/pinkiestars — 7 hours ago

SVT

Hello everybody, I am a 23 year old female. Yesterday I had my first SVT of my life, went from normal heart rate to 230-240 for about 30+ minutes and the emts had to administer adenosine that works instantly. Factors of that day, did sprints and ended my 30 minutes workout at 10, showered got ready for work, ate some food, chugged 90% of my caffeinated drink (about 69 mg) didn’t mean to chug it just tasted good with my meal, I “plopped” down on the couch and instantly triggered the SVT. I also struggle from anxiety (non medicated) and stressed as I am about to move and start a new job with my family (military)

I am now on a heart monitor, taking metroprolol, (is that how you spell it) and have an echo scheduled in a month or so.

I guess I am wondering if this could be a freak thing, or is it normal to show up around this age? I understand this is just your opinion as well. I just feel so freaked out because I eat healthy and work out 3 times a week. I have never had any signs before this, I have dealt with chest pain but it was brushed as cartilage inflammation. Will I have to take this medicine forever? Any tips would help be appreciated. Just anxious I am going to trigger another one.

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u/Dry_Obligation_2396 — 3 hours ago

bardy 14d monitor

Hi,

I am waiting to hear back from my doctor, but this part of the silver strip has lifted. They put a clear adhesive bandage over the monitor so I am unable to fix it. Is this an issue? Or will I still get accurate data? All other parts of the monitor are secured. Thank you!

u/x-rayblackmail — 6 hours ago

CAC score and lp(a)

I'm a 51 year old woman, pre-menopausal. I have a strong family history of heart disease ( brother died at 40 of heart attack.) I have high cholesterol, and a plaque score of 254. This week I had the lp(a) blood test done and my number is 310, which is considered significantly elevated. I have a follow up appointment with my cardiologist next month. I guess I'm just wondering how serious the lp(a) number combined with the cac score is? Of course googling my lab results has me freaking out.

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u/Altruistic-Hippo6651 — 7 hours ago

Need help reading my ECG

So my doctor said it looks like i had a past heart attack. ive been having dull chest pain for a week now thats been expanding under my jaw and both arms. This morning i had to sit down due to feeling like i was going to pass out. ive also had an on and off phantom smell of dog urine. Extra fstigue and waves of nausea on and off. Heart disease runs heavily in my family, mostly my mom's side so everytime I get some sort of chest discomfort I go to the er but im tired of going and being told nothing is wrong. Ive tried to understand by googling other pics.

u/papa_emeritus90 — 7 hours ago
▲ 2 r/AskDocs+1 crossposts

Would you be concerned about pulmonary hypertension from this echo?

31/F/5’2”/140 lbs, recently evaluated for diagnosed Long QT Syndrome Type 1 (KCNQ1 genetic mutation) when I had this echo showing RVSP at 33 mmhg and borderline large right ventricle. No noticeable symptoms but a little hard to tell for sure since the beta blocker causes some fatigue. But not noticeably short of breath or anything. Had a normal CPET stress test. My Long QT Cardiologist was not concerned and I’m doing the tests a pulmonary hypertension specialist suggests (MRI and repeat echo before we jump to RHC) but wanted to get additional opinions.

u/InternationalDeal839 — 9 hours ago

How concerned should I be about these home lean test results?

I've been dealing with afternoon fatigue for a very long time. Aside from borderline low testosterone and high BP, everything I've been tested for has come up normal. Was recently put on 5mg Amlodipine daily.

After some reading I decided to try a lean test. These are my first two results. I know they aren't normal. My next appointment with my GP isn't until the end of the month. Should I be seeking a referral to a specialist before then for more testing?

33m, 6'2, 220lbs. Lift weights 3-4x a week.

u/potentiallyfunny_9 — 5 hours ago

Why are the lines so squiggly

I feel every heart beat because my chest cavity is too small. I was feeling very overheated and bloated and gross with chest pain and right before these readings on my Apple Watch I had 4-5 PVCs in a row which thankfully didn’t throw me into an arrhythmia like last time.

Why is it so squiggly, I was extremely still when taking it, sitting down and not shaky.

u/TYDFrals — 8 hours ago

CT Cardiac morphology w &w/o contrast and coronary- what does this mean?

Can I get a coronary calcium score at the same time? We are trying to get to the bottom of some strange symptoms and my pcp requested cardiac clearance.

This was prescribed by a cardiologist, but a cardiologist in my family also recommends to all of us in the family to get Cardiac calcium score, I am reaching that age where he has started suggesting it. Can this be added on to the test already ordered?

I don't want to to go through more CTs just yet will likely have an FDG-PET ct later this year when i get seen for my thyroid cancer followup.

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u/Dry_Corner6431 — 8 hours ago
▲ 2 r/AskDocs+1 crossposts

28M - Bradycardia (28 bpm) and 4-second pauses. Anyone else?

Hey everyone,

I’m a 28-year-old male and I recently discovered I have bradycardia through alerts on my Apple Watch SE. I just got my Holter results back and I’m a bit freaked out: my heart rate dropped to 28 bpm while sleeping, and I had 18 pauses, the longest one being 4.11 seconds.

Here’s some context:

• I’ve been weightlifting for 4 years (consistent training, but nothing elite).

• My Echocardiogram is good, with an LVEF of 67%.

• I haven't done an official stress test yet, but my HR goes up normally during workouts, hitting 170 bpm.

• I have zero symptoms. No dizziness, no fainting, nothing.

My doctor says this is likely due to high vagal tone and doesn't want to do anything for now. She mentioned that if I develop symptoms in the future, a pacemaker might be an option, but for now, we wait.

To be honest, I’m pretty anxious about this. I’m scared something might happen to me. Has anyone else gone through this? Did your condition evolve or stay the same after 4 or 5 years? Do you think I'm headed for a pacemaker eventually?

Would love to hear your thoughts/experiences. Thanks

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u/jasonduval98 — 14 hours ago
▲ 2 r/askCardiology+1 crossposts

First time experiencing palpitations

I am 17 and when I was at school today, just sitting not doing anything, I suddenly became dizzy and started feeling throbbing in my throat. I stood up and checked my pulse as I could tell my heart was beating fast because of the vigorous throbbing. I didn't measure my pulse but I could tell it was very high. I immediately called my dad (doctor) and told him about this. He told what I am experiencing is palpitations and he asked me to massage my carotid artery next to my adams apple gently. It didn't really work. I left my school and I was still palpitating. My dad also asked me to eat something or drink something sugary so I did that. On the train back home around 30 minutes after it started, the palpitations came to a stop. Once I reached home my parents took me to the hospital where they took ECG and echo tests. My resting heart rate was 120 at that time, Which was far less from what I experienced during palpitations. The ecg came normal but echo said that I have a insignificantly dilated RA and that was nothing to worry about. They said they need to take echo when I'm having the episode to really see what's happening. They also said I might need to get a holter and a smart watch. They also said I have tachycardia. I have never had trouble with heart before but I also have insomnia which I read some posts about here. This next year is a very crucial year for me and I was really not expecting such a problem. Has anyone else experienced this at such a young age or has had a similar experience I request you to share it with me. And if there is something I need to be worried about I would like to know about it.

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u/Ok-Cancel-9946 — 14 hours ago

Possibilities on what it could be?

I got a recent ecg because I've been having symptoms of shortness of breath, chest pain, headache, etc. I have an appointment with the cardiologist because they found some abnormalities, I was just wondering if anyone know any possibility on what it could be?

I do have rheumatoid arthritis, I dont understand the ecg but the paper says:

Borderline ecg

Anterior T wave abnormalities is non specific

Low QRS voltage in precordial leads

I know its not really enough info but id love to hear what people think about it as im wondering if its a underlying condition or my autoimmune condition messing it up.

thank you 🙏

u/peanutbutterfaust — 10 hours ago

Holter report and echo

about a month ago I passed out at work (i work at a desk) and the ambo had me at a heart rate of 41. since then I have had ongoing episodes of dizziness, chest pain, fatigue and brain fog.

Just got my holter report but my Dr hasn't answered my messages for the last 2 days so im assuming they're out.

my question i suppose is the % burden of bradycardia being 58% feels pretty high and all of my patient reported events are when my heart rate is below 50. also, every reported time period shows a low in the 40s no matter if its day or night. for context I am disabled with bilateral leg braces so im not out running marathons and I am by no means an athlete. does this explain what's causing my symptoms?

u/princessperfume — 10 hours ago

History of SVT— Apple Watch ECG said afib then sinus?

I am 7 weeks postpartum and undeniably had a really bad few weeks, between a delayed hemorrhage at 7 days pp and resulting infection at 14 days pp. Before I was discharged from the hospital and hooked up to monitoring, we were noticing that my heart rate was actually going low instead of high.

This was abnormal for me as I have a history of SVT, treated with an ablation in 2019 but still occasionally symptomatic (a few times a year). They did an EKG, found nothing other than ectopic beats and discharged me.

We have since lowered my metoprolol dose further but I am still noticing low heart rates, even when standing or active. I am also on nifedipine for blood pressure. In bed last night, I took an ECG as I felt a few palpitations and it said afib— obviously panicked, I sat up and took it again and the ECG said sinus. Is the Apple Watch to be trusted? Could it be that I don’t have SVT and have afib? Or both.

u/BaroNessie — 16 hours ago

Elevated High sensitivity troponin I level

Hey everyone! I’ve been freaking out a little after a consultation with a cardiologist. had been experiencing breathlessness and chest pain which stopped me in my tracks so called 999. ECG was completely normal but he spotted my High Sensitivity Troponin I value was 24ng/l. I’m aware this is below the NHS threshold for heart attack but he suggested this level was abnormal for someone my age (36M). Just wanted to know peoples experiences and what was the eventual prognosis for people? Cardiologist is not worried but feels weird to leave it as unknown.

context: I do believe I was quite stressed/anxious around this time because of several things. I had done a 5km run at a faster pace than I usually do 3 days before.

Any comments or reassurance would be really appreciated!!

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u/noswal_edoc — 11 hours ago

Tapering off beta blockers

Hi friends, I'm (29F 5'4 130lbs) new to running as of November. I've been on beta blockers for about 1.5 years and was looking to taper off since I heard beta blockers can make running harder.

I got the okay from my doctor and started tapering just yesterday. I went on my 4.5 mile easy run today and it was not very fun. I had to stay around a 15:30 mins per mile pace to not exceed my conversational pace (so more like a shuffle), and my conversational pace heart rate was *170* as confirmed by talking to myself like a crazy person. Normally my conversational pace is somewhere around 13:30-14:00 per mile and conversational heart rate is pretty high compared to most folks (155ish) but 170 feels ridiculous.

I knew tapering would make my heart rate faster, but I didn't expect it to be like this. I thought my heart rate would just go up a little and it would otherwise feel normal if not better.

Has anyone else tapered off beta blockers, and did it get worse before it got better?

Thanks in advance for your thoughts!

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u/browserCookieMonster — 16 hours ago
Week