Re: are these symptoms of heart disease?

From: Dr. Andrew B. Chung, MD/PhD (andrew_at_heartmdphd.com)
Date: 09/08/04


Date: Wed, 08 Sep 2004 07:18:47 -0400

dorothy wrote:
>
> Hi there! I am going to do my best to not ramble with my entry.
>
> Background:
> 1. I am 43 yrs. old, and cycle 30 miles per day (I used to marathon).
> I am a very healthy weight (110 lbs/ 5'3").

(you are at ideal body weight)

 
> 2. my paternal grandfather died of a heart attack, but he was heavy –
> my maternal grandma died of arteriosclerosis (or atherosclerosis).

You may have a positive family history for heart disease.
 
> 3. I have had low blood pressure for over 35 years.

This is optimal for the heart.
 
> 4. my resting heart rate is 70 bpm – working out it gets to 147.

Ok.
 
> 5. I use approx 7 gr. sodium/ 12 gr. potassium per day (many Emergen-C
> electrolyte packets, and lots of Lite Salt).

For low blood pressure?

> 6. My fat intake is about 14-15 gr./day, with a good 1500 calories/day
> (a good amount of rice protein/beef gelatin, rarely eating meat and/or
> fish, with a decent amount of carbs).

Very likely less than 2 lbs (32 ounces) per day.
 
> 7. I haven't had an alcoholic drink in 23 years, and never smoke
> cigarettes.

Good for you.
 
> Symptoms:
>  When laying down to go to sleep the pulse of blood in the
> left side of my neck (carotid artery?) is heavy, and within minutes
> begins to feels like a slight squeezing sensation (tickle/squeeze –
> maybe minute spasm is a better description) comes on. To remedy this I
> make a fist and place it under when the pulse is. This seems to last
> at least until I am asleep. I also feel these weird electrical "jumps"
> which make my body wince while it is all going on.

These would be called "palpitations."

 
>  Three to four times/year I will find myself in a desperate
> battle, while sleeping on my stomach, to turn over onto my back in
> order to get a breath. After what seems to be a strenuous war, I wake
> up out of breath, and my heart is beating pretty quick.

Could be a dysrhythmia.
 
>  In the past 6 mos. I went through a period of heavy
> exhaustion, with no explanation as to why. At the same time I was
> having bouts of not being able to reasonably take a deep breath, and
> quite often having shortness of breath. These symptoms seem to have
> passed.

Could be related to the possibility of an underlying dysrhythmia.
 
>  In the past 2 weeks I have had 2 dreams whereas in the dream
> I was passing out, and felt very much life-like. Not sure if you can
> pass out for real while sleeping.

The answer would be "no."
 
>  For the past 10 mos. I have been drinking a bit excess water
> (2-3 gallons per day), which I am sure cannot be helping, but most of
> the symptoms had already existed. I've had 4 blood tests done since
> March which show my sodium/potassium levels as fine.

Why are you drinking so much?
 
>  Most of the symptoms oddly are quite increased when I have
> gas. Even odder than that is I have a mole the size of a U.S. nickel
> on my left calf which stings ONLY when I have gas. As far as I am
> aware I do not have any gastro-intestinal disease – no other symptoms.

Would suggest you inform your doctor(s) about the "mole."
 
>  I carry everything in my left hand/arm, and in the past week
> I have noticed waking up with a bad ache in my upper back under the
> left shoulder blade. The pain lessens as the day goes on. I also
> notice weird pains in my left calf, VERY sporadically. Once in a while
> I will get a mild quick throbbing pain in my left, and/or right
> shoulder, but not a shooting pain, and not down my arm.

Your doctor(s) should be informed of these symptoms too.
 
> Thanks!!

You are welcome.

All praises belong to my heavenly Father, whom I love with all my being.
 
> dorothy

Bottom line is that your symptoms may very well be coming from your
heart. Armed with this information, you should ask your doctor(s) for a
referral to see a cardiologist.

 
Servant to the humblest person in the universe,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com/
**
Who is the humblest person in the universe?
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