Advertise on Bikeforums.net



User Tag List

Page 1 of 2 12 LastLast
Results 1 to 25 of 27
  1. #1
    Around now and then DnvrFox's Avatar
    Join Date
    Aug 2001
    Location
    Around now and then
    Posts
    20,812
    Mentioned
    1 Post(s)
    Tagged
    0 Thread(s)

    Low Blood Pressure, Palpitations, Magnesium and Potassium

    Low Blood Pressure, Palpitations, Magnesium and Potassium

    For the past 3 weeks I have had continuous problems with heart palpitations (pounding away 24 hrs each day) with my resting pulse reaching 155 at times, blood pressure as low as 77/54 (I usually have high blood pressure), dizziness when I got up, light headedness, and fatigue. I almost could not complete my 25 mile bike ride on Saturday last.

    I have been going through some different hypertension BP meds as a result of a change of medical carriers and what meds they alllow on their formulary. I first tried an ACE inhibitor - coughing and other side effects - then Cozaar, from which I also developed coughing after 2 weeks. I remained on the HCTZ as a base.

    I have attempted to keep in contact with my MD along the way, sending faxes as to my progress. I tried reducing the amount of BP meds, as my BP went way low. I tried going back to my original Diavan BP meds. Nothing helped, and my heart rate was still headed all over the place.

    I had had an ECG just a few weeks prior to all of this and the Doc said "Beautiful" I wasn't too worried about the actual condition of the heart, and palpitations can be harmless, even though annoying as he!!.

    I finally stopped everything except the HCTZ, careful to monitor the BP, which was fine.

    I did a lot in internet research, and finally came across an article concerning palpitations and magnesium, and also, palpitations and potassium.

    So, today, I went to the store and bought magnesium and potassium. I took one pill each and went to a meeting. I came home two hours later and:

    The heart had completely stopped its palpitations, was totally steady, and remains so this evening.

    Blood pressure was excellent - in the range of 120/80 and remains so.

    Now, why hadn't my doc bothered to tell me this? I sent her two faxes describing what was going on. She never called. I didn't ask her to call, but she should have known friom my symptoms as I described them what was going on! As I thought about it today, potassium depletion could cause all of the symptoms. Whay did I take me so long to figure this out? I am not sure as to the role of the magnesium, but see no harm in continuing.

    Yours with a perfect heart beat!
    Last edited by DnvrFox; 09-15-04 at 07:25 PM.

  2. #2
    Guest
    Guest
    I don't know about you, but I'd GO in and see the doctor, and I'd be running. What if these are just temporary solutions?

    If you have an unresponsive doctor, get a new one. I'm not impressed with your doctor from what you told me.

    Good luck, dude. Don't treat your health lightly!

    Koffee

  3. #3
    Senior Member
    Join Date
    Sep 2002
    Location
    by a big river
    Posts
    2,459
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    At first this post really freaked me out. I'm glad things are better now. I'm thinking I may try some potassium because I have palpitations from time to time (benign). I'm apt to agree with Koffee that I would get it checked out.

  4. #4
    Aluminium Crusader :-)
    Join Date
    Apr 2004
    Location
    Melbourne, Australia
    My Bikes
    2007 Cervelo Soloist (alu), Cervelo Carbon Soloist, Cervelo Superprodigy, old CAAD8, Pro-Lite Bella, Ciocc Pryde, Norco Easton Elite, Allegro alu, Paconi 531c, 1988 Raleigh 531c, Centurion Kilo, Bennet Tange 4 hunk of junk
    Posts
    9,867
    Mentioned
    1 Post(s)
    Tagged
    0 Thread(s)
    You might find this interesting:

    I've occassionally experienced an arrhythmia that's never been diagnosed as
    being anything serious, and was just put down to anxiety -- it hasn't occurred
    for about 3 years. My heart would beat out of time, but not fast, and I would
    feel weak, feeble and a bit tired.

    The last few times it happened, it seemed to be triggered by drinking something
    very cold on a hot day after a long bike ride. So, i put two and two together, and
    considered the effects of dehydration and low potassium levels. I quized one of
    my physiology lectureres, and he more or less confirmed that, when low on
    potassium, the electrical activity of the heart can be disturbed by the "shock"
    of the gut being suddenly subjected to ice-cold liquid.

  5. #5
    Senior Member
    Join Date
    Sep 2002
    Location
    by a big river
    Posts
    2,459
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Interestingly, mine is chalked up to anxiety as well. I've seen two cardiologists and they say all is well. They called it a non-specific T-Wave abnormality. In other words I needed to calm down.

  6. #6
    JLD
    JLD is offline
    Senior Member
    Join Date
    Jul 2004
    Location
    Ottawa Ontario Canada
    My Bikes
    Norco Monterey
    Posts
    68
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    I am Very interested in your net search with regards to potassium and magnesium. I am post op lung resection-doing very well-AFTER- an iron deficiency was determined. My breathing is terrific now. I have gone on to develop palpitations and am now detremined to have High blood pressure. Also-my glucose tolerance is iffy. I have been put on propanolol-to reduce the blood pressure-and maybe get rid of this persistent pounding in my head. For the latter-it isn't working that well. Would you mind posting the links for your search? Thanks!

  7. #7
    Aluminium Crusader :-)
    Join Date
    Apr 2004
    Location
    Melbourne, Australia
    My Bikes
    2007 Cervelo Soloist (alu), Cervelo Carbon Soloist, Cervelo Superprodigy, old CAAD8, Pro-Lite Bella, Ciocc Pryde, Norco Easton Elite, Allegro alu, Paconi 531c, 1988 Raleigh 531c, Centurion Kilo, Bennet Tange 4 hunk of junk
    Posts
    9,867
    Mentioned
    1 Post(s)
    Tagged
    0 Thread(s)
    Mine was happening somewhat frequently when i was about 24, and I thought it was too much coffee, etc, then I moved out of home and it pretty much stopped!?!

    Yeah, I know...issues

  8. #8
    JLD
    JLD is offline
    Senior Member
    Join Date
    Jul 2004
    Location
    Ottawa Ontario Canada
    My Bikes
    Norco Monterey
    Posts
    68
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    I was thinking, Some blood pressure medications act on the kidneys-as diuretics-so-you may have been depleting your potassium anyway. What I want to suggest-is get that doctor to give you the plain facts on whether or not the present bp med you are taking, demands supplements with potassium and magnesium . And a blood test for present levels of these substances in your system.

  9. #9
    Around now and then DnvrFox's Avatar
    Join Date
    Aug 2001
    Location
    Around now and then
    Posts
    20,812
    Mentioned
    1 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by koffee brown
    I don't know about you, but I'd GO in and see the doctor, and I'd be running. What if these are just temporary solutions?

    If you have an unresponsive doctor, get a new one. I'm not impressed with your doctor from what you told me.

    Good luck, dude. Don't treat your health lightly!

    Koffee
    Quote Originally Posted by MKRG
    At first this post really freaked me out. I'm glad things are better now. I'm thinking I may try some potassium because I have palpitations from time to time (benign). I'm apt to agree with Koffee that I would get it checked out.

    Thanks for your thoughts. Just a bit of perspective. I have had palpitations before, caused by caffeine (which I TOTALLY avoid), and have discussed them with previous docs. With a totally normal EKG just weeks before, and with reading a whole lot about palpitations, which are almost always benign, I was in no hurry to go and see a specialist. My functioning was generally not affected, and the major risk I took with a specialist was to start a regimen of more meds, which have more side effects, which cause more problems and it is a never-ending downward spiral. We are going through something similar (downward spiral from meds) right now with my wife - different situation entirely, but at one time she went through 15 meds, and the major problem was the side effects of the meds she was on. There is no medicine without side effects, and I was willing to take the risk that i could figure this thing out myself.


    But, I am NOT impressed with the response of the doc. I could have forced it more, and gone to see someone, but didn't feel that urgency. Unfortunately, we have been forced to recently move to a HMO, and right now she is the best available one in the HMO! Sadly, our medical system, particularly for those of us on or approaching Medicare, leaves something to be desired.


    Quote Originally Posted by JLD
    I was thinking, Some blood pressure medications act on the kidneys-as diuretics-so-you may have been depleting your potassium anyway. What I want to suggest-is get that doctor to give you the plain facts on whether or not the present bp med you are taking, demands supplements with potassium and magnesium . And a blood test for present levels of these substances in your system.

    Yes, HCTZ IS a diuretic. I know and knew that, and that is why I am kicking myself around the block for not figuring this out sooner. Soemtimes you miss the forest for the trees. But, the doc should have seen it! Also, no doc or scientist truly knows how different combinations of meds interact with each other in any one person's body. They think they do, and they have studies for the general population, but they really don't know for ANY ONE person.



    From the internet:

    Palpitations are often not serious. However, it depends on whether or not the sensations represent an abnormal heart rhythm (called an arrhythmia). You are more likely to have an abnormal heart rhythm if you have:

    Known heart disease at the time the palpitations begin

    No, my heart had recently been checked out as excellent


    Significant risk factors for heart disease
    No, I don't.

    An abnormal heart valve
    No, I had just been checked carefully.

    An electrolyte abnormality -- for example, low potassium
    Bingo!


    Common Causes

    Heart palpitations can be caused by:

    Exercise
    I do about 3 hours of exercise daily.


    Anxiety, stress, fear
    Well, wife is going through a pretty (extremely) rough time right now with some PTSD


    Fever
    No


    Caffeine, nicotine, cocaine, diet pills
    AVoid with the plague


    Overactive thyroid
    Just had a completely normal full panel of blood tests


    Anemia
    Ditto


    Hyperventilation
    Nope

    Low levels of oxygen in your blood
    Just had a completely normal full panel of blood tests


    Medications such as thyroid pills, asthma drugs, beta blockers for high blood pressure or heart disease, or anti-arrhythmics (medications to treat an irregular heart rhythm can sometimes cause a different irregular rhythm) Not taking any of these


    Mitral valve prolapse -- the valve that separates the left upper chamber (atrium) from the left lower chamber (ventricle) of the heart does not close properly
    Just checked with annual physical

    Heart disease
    Just checked with annual physical

    If it starts again, and I am not correct but just had a lucky fluke with the magnesium and potassium, I will go and see the doc!
    Last edited by DnvrFox; 09-16-04 at 07:07 AM.

  10. #10
    Around now and then DnvrFox's Avatar
    Join Date
    Aug 2001
    Location
    Around now and then
    Posts
    20,812
    Mentioned
    1 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by JLD
    I am Very interested in your net search with regards to potassium and magnesium. I am post op lung resection-doing very well-AFTER- an iron deficiency was determined. My breathing is terrific now. I have gone on to develop palpitations and am now detremined to have High blood pressure. Also-my glucose tolerance is iffy. I have been put on propanolol-to reduce the blood pressure-and maybe get rid of this persistent pounding in my head. For the latter-it isn't working that well. Would you mind posting the links for your search? Thanks!
    Sorry, I don't have any saved links. Just did a google search and read the appropriate links as they came up with different search terms.

  11. #11
    Evil Genius capsicum's Avatar
    Join Date
    May 2004
    Location
    Sumner, WA
    My Bikes
    '92 novara ponderosa, '74 schwinn le tour, Novara fusion, novara transfer, novara randonee(2), novara careema pro, novara bonita(2).
    Posts
    1,529
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Potassium's main functions in the body are regulating BP and to a much lesser extent heart rate, so it looks like it's doing its job.

    Talant is not a pre requisite to get an MD sheepskin, find a doc thats more on the ball.

    An overdose of potassium, while not possible with potassium rich food alone, is possible with 'abuse' of suppliments and can cause serious slowing of the heart, even stopping it. In fact potassium is the final injection given in a lethal injection, the one that stops the prisoner's heart.

    Lots of magnesium in the green leafy vegetables like kale/collards, mustard greens, turnip and beet tops, chard, arugla, mesclun(mixed peppy spring greens, check the bagged salads). Lot of calcium in there too. All of them up through chard can be cooked like or in place of spinach or eaten raw, each takes a little different cooking time and has its own flavor.
    Add spinach to the list, but it contains a vitamin D blocker so take it with sun, Vitamin D is nessesary for calcium absorbsion(from food) while mag. is nessesary for calcium utilization. The body makes D when sun hits skin.

    Man I ramble, its hard not to with such an intwined thing as nutriants.
    "Data is not the plural form of annecdote."
    "yuo ned to be deadurcated"

  12. #12
    Around now and then DnvrFox's Avatar
    Join Date
    Aug 2001
    Location
    Around now and then
    Posts
    20,812
    Mentioned
    1 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by capsicum
    Potassium's main functions in the body are regulating BP and to a much lesser extent heart rate, so it looks like it's doing its job.

    Talant is not a pre requisite to get an MD sheepskin, find a doc thats more on the ball.

    An overdose of potassium, while not possible with potassium rich food alone, is possible with 'abuse' of suppliments and can cause serious slowing of the heart, even stopping it. In fact potassium is the final injection given in a lethal injection, the one that stops the prisoner's heart.

    Lots of magnesium in the green leafy vegetables like kale/collards, mustard greens, turnip and beet tops, chard, arugla, mesclun(mixed peppy spring greens, check the bagged salads). Lot of calcium in there too. All of them up through chard can be cooked like or in place of spinach or eaten raw, each takes a little different cooking time and has its own flavor.
    Add spinach to the list, but it contains a vitamin D blocker so take it with sun, Vitamin D is nessesary for calcium absorbsion(from food) while mag. is nessesary for calcium utilization. The body makes D when sun hits skin.

    Man I ramble, its hard not to with such an intwined thing as nutriants.
    Thanks for your input.

    No overdose for me. Just 1 tab per day to see what happens.

  13. #13
    Don't Believe the Hype RiPHRaPH's Avatar
    Join Date
    Feb 2002
    Location
    chicagoland area
    My Bikes
    1999 Steelman SR525, 2002 Lightspeed Ultimate, 1988 Trek 830, 2008 Scott Addict
    Posts
    2,585
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    why the HCTZ? this diuretic is given to people with problems controlling their diastolic pressure. Your diastolic pressure reading seems fine (low?) so unless you have congestive heart failure there would be little need for HCTZ (did/do you get swelling in the wrists or ankles?)

    the OTC potassium is 100mg. Rx potassium starts at 8 mEQ and goes to 20 mEQ (750mg). a large banana is 6-8 mEQ. if you are losing potassium (you might be cramping also) through perspiration and your water pill then perhaps you are deficient. a CBC could easily confirm this. potsssium and calcium help to regulate your heart function.

    there is a calcium and magnesium supplement (may also have zinc in it) that you should take along with some magnesium. i supplement with this all the time.

    good luck.
    I have enough words to get me into trouble, but not enough to get me out of trouble.

  14. #14
    Around now and then DnvrFox's Avatar
    Join Date
    Aug 2001
    Location
    Around now and then
    Posts
    20,812
    Mentioned
    1 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by RiPHRaPH
    why the HCTZ? this diuretic is given to people with problems controlling their diastolic pressure. Your diastolic pressure reading seems fine (low?) so unless you have congestive heart failure there would be little need for HCTZ (did/do you get swelling in the wrists or ankles?)

    the OTC potassium is 100mg. Rx potassium starts at 8 mEQ and goes to 20 mEQ (750mg). a large banana is 6-8 mEQ. if you are losing potassium (you might be cramping also) through perspiration and your water pill then perhaps you are deficient. a CBC could easily confirm this. potsssium and calcium help to regulate your heart function.

    there is a calcium and magnesium supplement (may also have zinc in it) that you should take along with some magnesium. i supplement with this all the time.

    good luck.
    My diastolic has not always been low. ALso, HCTZ is now considered the first line of attack on hypertension. I take only an extremely small amount, which is also current medical pratice.

    No swelling nor anything like that. No cramps, never, ever, my whole life!

    Besides the controlled hypertension, I am in excellent health overall. I already take calcium.

  15. #15
    Member
    Join Date
    Jan 2004
    Posts
    29
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    As a fellow sufferer of High BP and heart arrhythmia can I make a suggestion? Find a cardiologist that has some experience with sports medicine or who has some experience with a patient population that has or wants an active lifestyle. Many of these doctors have practices whose patients are elderly and live a seditenary life style. Ever try doing any sort of long distance cycling on a beta blocker? No fun. There are some new alternative meds that are great for BP and don't have same side effects that beta blockers and some of the other BP meds have. One that comes to mind is Diovan. And like others have said get another primary care doctor sounds like yours has succumbed to the demands of HMO management. By the way I also take HCT and it does a good job and it is definitely cheap.

    VonAlt

  16. #16
    cut my gas use in half Jessica's Avatar
    Join Date
    Sep 2004
    Location
    Sacramento, CA
    My Bikes
    walmart beater, Dahon boardwalk, A bike, schwinn tandem
    Posts
    324
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by DnvrFox
    Thanks for your input.
    No overdose for me. Just 1 tab per day to see what happens.
    Oh, Fox, only continue this if you have semi-regular lab work. pills are too much potassium UNLESS you are taking pills that delete them, and then you NEED lab work to match your needs with your regimen. (Used to be an RN) Concerned..

  17. #17
    Around now and then DnvrFox's Avatar
    Join Date
    Aug 2001
    Location
    Around now and then
    Posts
    20,812
    Mentioned
    1 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by Jessica
    Oh, Fox, only continue this if you have semi-regular lab work. pills are too much potassium UNLESS you are taking pills that delete them, and then you NEED lab work to match your needs with your regimen. (Used to be an RN) Concerned..
    Yes - OK.

    Just talked with the doc, who said she had no concerns about my heart from the faxes I had sent except I should not take the potassium with Cozaar, as Cozaar increases potassium, and she mentioned the death injection. I have stopped the Cozaar.

    She does not want me to communicate via fax, she wants me to come in if I have concerns. However, it takes at least a month to schedule an appointment with her unless you are dying, so it is not a convenient way to work. This is through Kaiser Permanente here in Colorado.

    Anyway, I have beat this subject to death, literally, (but hopefully not actually) so I think I am going to close this thread, at least from my participation.

    Thanks for all the input.

    Bye!

  18. #18
    Guest
    Guest
    Nooooooooooo!!!!!

    This thread can't die!

    You can't close this thread!

    NOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!




    Koffee

  19. #19
    Don't Believe the Hype RiPHRaPH's Avatar
    Join Date
    Feb 2002
    Location
    chicagoland area
    My Bikes
    1999 Steelman SR525, 2002 Lightspeed Ultimate, 1988 Trek 830, 2008 Scott Addict
    Posts
    2,585
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    yes, HCTZX isa a first line drug, partly because of cost and mostly because of its once daily dosing and ability to reduce both systolic and diastolic pressures. i think (?) you had a prior history with a hemorrage(?) and that may be the reason for continuing the HCTZ, to reduce blood volume, thus pressure.
    most medical science deals with sedentary people, so....
    I have enough words to get me into trouble, but not enough to get me out of trouble.

  20. #20
    Senior Member miamijim's Avatar
    Join Date
    Aug 2003
    Location
    Tampa, Florida
    Posts
    11,794
    Mentioned
    16 Post(s)
    Tagged
    1 Thread(s)
    As far as your normal EKG....both high and low levels of potassium will show up on an EKG.

    As a side note I know all to well about the effects of high potassium. I infuse very high doses of a potassium rich solution, up to 1000cc's at 30meq/L, into patients hearts as part of my job.
    WWW.CYCLESPEUGEOT.COM 2005 Pinarello Dogma; 1991 Paramount PDG 70 Mtb; 1976? AD Vent Noir; 1989 LeMond Maillot Juane F&F; 1993? Basso GAP F&F; 1989 Terry Symmetry; 2003 Trek 4700 Mtb; 1983 Vitus 979

  21. #21
    Senior Member
    Join Date
    Jun 2004
    Posts
    117
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Dnvrfox, I hope everything has settled down. I would like to chime in regarding your palpitations. I'm not a Dr, I'm a nuclear tech who has been working in nuclear cardiology for over 10 years, I am also advanced cardiac life support (ACLS) certified.

    Based on your symptoms, it sure does sound like an abnormal heart rhythm, most likely supraventricular tachycardia (SVT) although I wouldn't rule out atrial fibrillation. Frequently these rhythms come and go so it's not umcommon to get a completely normal EKG when at your doctors office. Life threatening? Almost never. Curable? Almost always.

    I do not think it's because you were vitamin deficient. What I would suggest is that you ask your Dr to refer you to a clinic where they will put on a 30 day Loop monitor also called Event monitors. It's about a pager sized device with two wires that stay attached to ekg leads on your chest. The way it works is that when you have a symptom, you push a record button and it records your ekg for about a minute. You transmit the recording to a 24 hr center and they can read your heart rhythm.

    Frequently, rhythms like this can go into hibernation and not show their ugly head for long periods of time. A cardiology that specializes in electrophysiology is the one you should see. They can do ablation therapy (zapping conduction fibers in your heart) to cure these types of rhythms.

    Best of luck

  22. #22
    Around now and then DnvrFox's Avatar
    Join Date
    Aug 2001
    Location
    Around now and then
    Posts
    20,812
    Mentioned
    1 Post(s)
    Tagged
    0 Thread(s)
    Thanks. We are likely going to leave Kaiser Permanente for another provider. When we do that I will check it out further.

    Palpitations continue, though lessened. Potassium works for a while, but then they come back. So far, no effect on my lifestyle.
    DnvrFox - still bicycling, swimming, walking and weight lifting at 74yo is participating a bit in BFN 50+.

  23. #23
    cut my gas use in half Jessica's Avatar
    Join Date
    Sep 2004
    Location
    Sacramento, CA
    My Bikes
    walmart beater, Dahon boardwalk, A bike, schwinn tandem
    Posts
    324
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    Fox,
    Please tell me you have had your potassium checked. Or get it checked. they usually order "chemistry", and that means electrolytes and sugar. If indeed the problem is K+, then you need to be actively treated. If it is magnesium (a reason your K+ would keep dropping) then *that* needs to be addressed. Please do not continue to take potassium supplements without input that takes into consideration your current lab values! Too much potassium is lethal, as many here have pointed out.
    I guess I am a worry wart...
    Jess
    And I am sure there are other choices I haven't thought of, yet...

  24. #24
    Around now and then DnvrFox's Avatar
    Join Date
    Aug 2001
    Location
    Around now and then
    Posts
    20,812
    Mentioned
    1 Post(s)
    Tagged
    0 Thread(s)
    Quote Originally Posted by Jessica
    Fox,
    Please tell me you have had your potassium checked. Or get it checked. they usually order "chemistry", and that means electrolytes and sugar. If indeed the problem is K+, then you need to be actively treated. If it is magnesium (a reason your K+ would keep dropping) then *that* needs to be addressed. Please do not continue to take potassium supplements without input that takes into consideration your current lab values! Too much potassium is lethal, as many here have pointed out.
    I guess I am a worry wart...
    Jess
    Have checked with Doc - said K ok, but I am only taking it ocasionally.
    DnvrFox - still bicycling, swimming, walking and weight lifting at 74yo is participating a bit in BFN 50+.

  25. #25
    Senior Member
    Join Date
    Sep 2004
    Location
    Niagara Canada
    My Bikes
    Devinci Podium
    Posts
    140
    Mentioned
    0 Post(s)
    Tagged
    0 Thread(s)
    I am a doctor, I don't play one on TV though. Please take this as general advice only, usual disclaimers regarding medical advice from strangers on the internet who only have a partial history should apply.

    I agree with the above poster that this sounds like a supraventricular tachycardia (SVT, possibly atrial flutter). It is important to have an ECG or recording of the fast heart rate, normal one at rest is relatively meaningless. A Holter monitor or event recorder is useful if the symptoms are infrequent, if very often just go for an ECG when they are happening.

    Hypokalemia and hypomagnesemia are common on diuretics (though less so on such low dose). Rarely if ever associated with SVT to my knowledge. HypoMg is rarely associated with serious ventricular arrythymia (Torsades de Pointes) but your ECG should have shown clues to that (long QT) and it wouldn't likely give those symptoms. Not assoicated with SVT. I wouldn't treat the potassium or magnesium without lab confirmation of the problem and lab followup of the treatment. It sounds like the success of the self treatment was short-lived and MAY well have been coincidental. In this situation I usually would recommend a Holter monitor, echocardiogram and stress test, depending obviously on other symptoms and risks and whether those tests had been done previously or not. Thyroid function also relevent if not previously checked.

    I don't know how things work in the states but in Canada we can't bill if we haven't seen and examined the patient, for that and confidentiality/legal reasons I do not respond to faxes or Emails from patients, I also do not wish to give preferential access to my time to the technologically gifted or the anxious.

    Good luck

    I won't reply to specific questions for legal reasons.

Page 1 of 2 12 LastLast

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •