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	<title>Comments on: Complex cardiac history &amp; recent admission to CCU. Could the Dr be wrong?</title>
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	<pubDate>Sun, 20 May 2012 05:16:37 +0000</pubDate>
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		<title>By: gangadharan nair</title>
		<link>http://www.matterhealth.net/atrial-fibrillation-stroke/complex-cardiac-history-recent-admission-to-ccu-could-the-dr-be-wrong/comment-page-1/#comment-1089</link>
		<dc:creator>gangadharan nair</dc:creator>
		<pubDate>Tue, 30 Mar 2010 21:10:59 +0000</pubDate>
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		<description>Please see the web pages for more details on POTS and Sick sinus syndrome.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;http://en.wikipedia.org/wiki/Postural_orthostatic_tachycardia_syndrome
http://www.ninds.nih.gov/disorders/postural_tachycardia_syndrome/postural_tachycardia_syndrome.htm
http://en.wikipedia.org/wiki/Sick_sinus_syndrome
http://www.nlm.nih.gov/medlineplus/ency/article/000161.htm
http://www.merck.com/mmpe/sec07/ch075/ch075b.html</description>
		<content:encoded><![CDATA[<p>Please see the web pages for more details on POTS and Sick sinus syndrome.<br /><b>References : </b><br /><a href="http://en.wikipedia.org/wiki/Postural_orthostatic_tachycardia_syndrome" rel="nofollow">http://en.wikipedia.org/wiki/Postural_orthostatic_tachycardia_syndrome</a><br />
<a href="http://www.ninds.nih.gov/disorders/postural_tachycardia_syndrome/postural_tachycardia_syndrome.htm" rel="nofollow">http://www.ninds.nih.gov/disorders/postural_tachycardia_syndrome/postural_tachycardia_syndrome.htm</a><br />
<a href="http://en.wikipedia.org/wiki/Sick_sinus_syndrome" rel="nofollow">http://en.wikipedia.org/wiki/Sick_sinus_syndrome</a><br />
<a href="http://www.nlm.nih.gov/medlineplus/ency/article/000161.htm" rel="nofollow">http://www.nlm.nih.gov/medlineplus/ency/article/000161.htm</a><br />
<a href="http://www.merck.com/mmpe/sec07/ch075/ch075b.html" rel="nofollow">http://www.merck.com/mmpe/sec07/ch075/ch075b.html</a></p>
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		<title>By: Stephen</title>
		<link>http://www.matterhealth.net/atrial-fibrillation-stroke/complex-cardiac-history-recent-admission-to-ccu-could-the-dr-be-wrong/comment-page-1/#comment-1088</link>
		<dc:creator>Stephen</dc:creator>
		<pubDate>Tue, 30 Mar 2010 20:49:59 +0000</pubDate>
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		<description>there is something significant going on. Have tou had blood tests to exclude thyroid disease?
you might have sick sinus syndrome. The episodes of fibrillation are quite worrying as the put you at risk od stroke. Ide see another cardiologist with a view to electrophysichological mapping&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;doctor</description>
		<content:encoded><![CDATA[<p>there is something significant going on. Have tou had blood tests to exclude thyroid disease?<br />
you might have sick sinus syndrome. The episodes of fibrillation are quite worrying as the put you at risk od stroke. Ide see another cardiologist with a view to electrophysichological mapping<br /><b>References : </b><br />doctor</p>
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		<title>By: formerly_bob</title>
		<link>http://www.matterhealth.net/atrial-fibrillation-stroke/complex-cardiac-history-recent-admission-to-ccu-could-the-dr-be-wrong/comment-page-1/#comment-1087</link>
		<dc:creator>formerly_bob</dc:creator>
		<pubDate>Tue, 30 Mar 2010 20:04:59 +0000</pubDate>
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		<description>What's normal for a population may have little relevance about what's normal for you, but i think what the doc probably meant is that the observed pulse rates would not be a plausible cause of  your symptoms.   Your symptoms look like you might have had a mini stroke.  The loop recorder would not directly detect a stroke, but a stroke could certainly cause a sudden change in the pulse rate.   Ask your GP about the possibility of a stroke and also if it might be worthwhile to see a neurologist.

Additional info:  A transient ischemic attack is a stroke that has temporary symptoms that do not last more than a few hours.   Since these are minor stokes to begin with, the symptoms can something as subtle as sudden dizziness and fatigue that goes away within a few minutes.  People commonly have no more than a few of the possible symptoms at one time.  

There would have been no diagnostic symptoms of a TIA by the time you went to the CCU except possibly abnormal EEG pattern in the brain.  If they did not hook up an EEG, they would not have detected a TIA.   Also, everything reported to the CCU was probably assumed to be a cardiac event, TIA-type symptoms were gone, and its possible no one even considered a stroke.  Anyhow, it makes sense to me that a group of people focused on a cardiac event might not even consider this, since a TIA is a neurological event.  It still might be worth mentioning to your doc, but at this point, there is no way to know if you had  a TIA or not. If i were in your situation, i would to make sure the docs looked into a potential clotting problem.  The neurological symptoms of TIA and sick sinus syndrome are identical since they both cause a blood shortage to the brain - just different reasons.&lt;br&gt;&lt;b&gt;References : &lt;/b&gt;&lt;br&gt;http://www.mayoclinic.com/health/transient-ischemic-attack/DS00220/DSECTION=symptoms</description>
		<content:encoded><![CDATA[<p>What&#8217;s normal for a population may have little relevance about what&#8217;s normal for you, but i think what the doc probably meant is that the observed pulse rates would not be a plausible cause of  your symptoms.   Your symptoms look like you might have had a mini stroke.  The loop recorder would not directly detect a stroke, but a stroke could certainly cause a sudden change in the pulse rate.   Ask your GP about the possibility of a stroke and also if it might be worthwhile to see a neurologist.</p>
<p>Additional info:  A transient ischemic attack is a stroke that has temporary symptoms that do not last more than a few hours.   Since these are minor stokes to begin with, the symptoms can something as subtle as sudden dizziness and fatigue that goes away within a few minutes.  People commonly have no more than a few of the possible symptoms at one time.  </p>
<p>There would have been no diagnostic symptoms of a TIA by the time you went to the CCU except possibly abnormal EEG pattern in the brain.  If they did not hook up an EEG, they would not have detected a TIA.   Also, everything reported to the CCU was probably assumed to be a cardiac event, TIA-type symptoms were gone, and its possible no one even considered a stroke.  Anyhow, it makes sense to me that a group of people focused on a cardiac event might not even consider this, since a TIA is a neurological event.  It still might be worth mentioning to your doc, but at this point, there is no way to know if you had  a TIA or not. If i were in your situation, i would to make sure the docs looked into a potential clotting problem.  The neurological symptoms of TIA and sick sinus syndrome are identical since they both cause a blood shortage to the brain - just different reasons.<br /><b>References : </b><br /><a href="http://www.mayoclinic.com/health/transient-ischemic-attack/DS00220/DSECTION=symptoms" rel="nofollow">http://www.mayoclinic.com/health/transient-ischemic-attack/DS00220/DSECTION=symptoms</a></p>
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