FAQ - Hemoglobinuria, Paroxysmal
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trying to get feedback from a specialist about benign paroxysmal vertigo in my 2 year old. if thats wat he has


my 2 year old had an episode where he lost his balance suddenly he stiffened up backwards and his eyes were flicking from side to side and was like that for about 2 minutes. the doctor lokked at him and thinks he has benign paroxysmal vertigo.could it be that ? how and why ? could it be something else. no major tests were done.please help me. we live in a place where not much is available to us.
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I am no specialist I live in Rhode Island and have cox cable. There is a show called Mystery diagnose. I believe it is on the Discovery channel. I do not know what it was called but there were parents and their infant had the same symptoms. I would look up the Discovery channel on line, or the Mystery Diagnosis show. I am very sorry I can not help further. I realize this must be a very trying and stressful time for you and your family. Good luck  (+ info)

Does anyone else have the heart condition Paroxysmal atrial tachycardia (PAT) ? Doctor diagnosed me with it.?


If you are familiar with this term you should hopefully know what it means, it's like experience a heart attack or similar such feelings- for me, it's been tight chest, breathing problems, fluttering/chest pains. If you have it ,what can you tell me about your condition? Symptoms? Has it gotten better? Do you take anything for it? Doctor wants to refer me to a cardiologist when I can afford it, but assured me I'm fine and nothing fatal will happen, but want to see how to cope with it better. It is stressful!
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Hey there....I (Cardio Tech)haven't suffered it, but, my brother did...

I hope you have done a bit of research...PAT essentially means that the normal pattern of the atrial contracting and pushing their blood into their respective ventricles is disrupted and therefore inefficient...
In my brother's case, it was being caused by "multiple etopic (surface) pacemakers" within the atria. He (months later) had what amounts to a catherization procedure to "cauterize" the offending pacemakers...(problem solved!!!)...

As to "will it go away?"....there are some medications that can perhaps "control" the conditions, but in all likelihood, the cause must be determined and corrected appropriately......

So, bottom line, and for the time being, YOU ARE FINE (maybe a little uncomfortable from time to time though)...I must repeat this, you life is not immediately threatened by PAT...atrial function is not nearly as important (nor fatal) as is ventricular arrhythmias...(be thankful that you don't have PVT...hahaha...you wouldn't be here long)....

You will need to see a Cardiologist, and in all likelihood need an cardio electrophysical survey.... Info below....

"Clinical electrophysiology testing is now a standard, useful technique for assessing patients with bradyarrhythmias or tachyarrhythmias. The technique requires specialized training and equipment. The recording equipment and program stimulator have evolved to sophisticated devices allowing accurate reproduction of intracardiac electrograms and timing of programmed extrastimuli. Electrophysiologic studies are useful for determining the mechanisms of a tachycardia or bradycardia and identifying the most appropriate therapy, whether it be pacing, antiarrhythmic medications, transvenous ablation, or electrosurgery."

Best wishes!!!!!!!  (+ info)

PAT paroxysmal atrial tachycardia. does anyone have it? how rare is it?


my dr. said i could have PAT and i got to see a cardiologist this week and do a echocardiogram.( i dont know what an echo is) my "attacks" only happen when i am doing something physical, my symptoms are a rapid pounding heartbeat, shortness of breath, lightheadedness, when that happens i lie down and it goes away quickly. i have read where some people say it happens to them while doing nothing at all. i am in my early 20's and i have been dealing with it for five years now and it only has happened about 10 to 15 times. i know its not a dangerous condition but im just curious if anyone knows anything about it.
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Paroxysmal Atrial Tachycardia (PAT) originates in the atrium (upper chamber) of the heart. PAT usually manifests as infrequently occurring periods of very rapid heart beats that begin and end suddenly. During episodes of PAT, the heart rate typically speeds up to 160-200 beats per minute, which can potentially be very dangerous; particularly when large amounts of stimulants (illicit or otherwise) have been recently ingested.
PAT occurs due to abnormalities in the AV node "relay point" that lead to rapid firing of electrical impulses from the atrium which bypass the AV node under the influence of conditions provoked by such activities as excess alcohol consumption, the intake of the presence of hyperthyroidism (overactive thyroid) and excessive thyroid hormone intake, or other things which involve high stress on the body. Some drugs are also believed to trigger PAT.
PAT is an example of an arrhythmia where the abnormality is in the electrical system of the heart, while the heart muscle and valves may be entirely normal.
The following is a list of the 5 most frequently prescribed drugs used in the treatment of the symptoms of your condition:
Atenolol, Tenormin
Digoxin, Lanoxin
Metoprolol, Lopressor, Toprol XL
Propranolol, Inderal, Inderal LA
Verapamil, Calan, Verelan, Verelan PM, Isoptin, Covera-HS

The rarity of this condition is not listed in any statistical reports conclusively, though there is a 20 year study of this condition currently underway.

Hope this helped-Anton

P.S. An echocardiogram is a test in which ultrasound is used to examine the heart. Echocardiography is used to provide a doctor with important information about the size of the chambers of the heart, including the dimension or volume of the cavity and the thickness of the walls and the pumping function of the heart. This measure is called an ejection fraction or EF. typically a normal EF is around 55-65%. Numbers below 45% usually suggest a decrease in the pumping ability of the heart, while numbers below 30-35% are usually considered a potential problem.  (+ info)

Benign Paroxysmal Positional Vertigo (BPPV) anyone tried the Epley Manouvre?


..and did it work?? Didn't work for me, I've tried it twice. Mine is getting really bad...whenever I shift my head in bed, or get up to go to the loo, or get up in the morning. I nearly smacked my face off the wall this morning.
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I havent tried that particular technique , but i have done the Hawthorne/ Cooksey technique and it work efficently and quickly and i no longer suffer any form of vertigo...
What you have to do is to take a small coin or something similar and stick it to a blank wall in front of you, at the same level as your eye height when you are standing. Stand about 5feet away from the object facing directly to it. Stand perfectly still and move your head 30 degrees to the right and then back to central position. Do exactly the same but this time move it 30degrees to the left and back to central position again. All the time looking at the coin, do not take your eyes of it. Now do it it again but move your head up at about 30 degrees and back to central point. Again repeat the procedure by moving your head down at about 30 degrees and back to central point , again not taking your eyes of the coin. Repeat the whole exercise with 5 movements to the right and 5 movements to the left, 5 movements up and 5 movements down with out taking your eyes of the subject. Rest after this. You can repeat the whole thing 2 times a day for about 3 days and then increase to 4 times a day for a further 4 days. It strengthens the eye muscles and the optical nerves that are transmitted to the brain . It will stop the disorientation and vertigo after about 2 weeks. I f you feel a bit dizzy whilst doing this exercise, just rest , or you can actually do the whole thing sat down as long as the object you are looking at is at the same level as your eyes. Honestly it really did work for me and i found it was truly the best form of ridding myself chronic vertigo after a severe head injury. Just take it easy at first , and i really hope you will benefit from this ,, take good care and best of luck......  (+ info)

what is Benign paroxysmal positional vertigo?


Vertigo is the sudden sensation that you are unsteady or that your surroundings are moving. You may feel like you're spinning around on a merry-go-round or that your head is spinning inside. Benign paroxysmal positional vertigo (BPPV) is the most common form of vertigo.

The condition is characterized by brief episodes of intense dizziness associated with a change in the position of your head. It may occur when you move your head in a certain direction, lie down from an upright position, turn over in bed or sit up in the morning. Moving your head to look up also can bring about an episode of benign paroxysmal positional vertigo.

Vertigo usually results from a problem with the nerves and the structures of the balance mechanism in your inner ear that sense movement and changes in the position of your head.

Although benign paroxysmal positional vertigo can be a bothersome problem, it's rarely serious. You can receive effective treatment for benign paroxysmal positional vertigo during a doctor's office visit.  (+ info)

Has anyone information on the cause of Benign paroxysmal positional vertigo (BPPV)?


16 years ago I observed the symptons of BPPV for the first time. My doctor said he couldn't help me but I would get better without any help,j which I did. This occured in January in MD-cold weather. The doctor said he ususually had one case a year but I was his 13th case in the past month, and his assocciates were experiencing the same thing. Every year since, I have BPPV shortly after cold weather sets in. It last from weeks to months, depending on the weather. Since it only occurs, amnd lasts during cold weather, I rule out any diet causes. I suspect that since low humidity occurs during cold weather, that the cause may be to low humidity. I have been noting and recording the severness as a function of the humidity and it does seem to get better during days of rain. I also spent about twenty minutes in the bathroom with the doors shut and the shower on and I did notice an improvement. I have also started to drink at least 2 qkuarts of water a day and that seems to help.
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In Benign Paroxysmal Positional Vertigo (BPPV) dizziness is thought to be due to debris which has collected within a part of the inner ear. This debris can be thought of as "ear rocks", although the formal name is "otoconia". Ear rocks are small crystals of calcium carbonate derived from a structure in the ear called the "utricle" (figure1 ). While the saccule also contains otoconia, they are not able to migrate into the canal system. The utricle may have been damaged by head injury, infection, or other disorder of the inner ear, or may have degenerated because of advanced age. Normally otoconia appear to have a slow turnover. They are probably dissolved naturally as well as actively reabsorbed by the "dark cells" of the labyrinth (Lim, 1973, 1984), which are found adjacent to the utricle and the crista, although this idea is not accepted by all (see Zucca, 1998, and Buckingham, 1999). (1)

WHAT CAUSES BPPV?
The most common cause of BPPV in people under age 50 is head injury . There is also an association with migraine (Ishiyama et al, 2000). In older people, the most common cause is degeneration of the vestibular system of the inner ear. BPPV becomes much more common with advancing age (Froeling et al, 1991). In half of all cases, BPPV is called "idiopathic," which means it occurs for no known reason. Viruses affecting the ear such as those causing vestibular neuritis , minor strokes such as those involving anterior inferior cerebellar artery (AICA) syndrome", and Meniere's disease are significant but unusual causes. Occasionally BPPV follows surgery, where the cause is felt to be a combination of a prolonged period of supine positioning, or ear trauma when the surgery is to the inner ear (Atacan et al 2001). Other causes of positional symptoms are discussed here.

What doesn't cause BPPV ?
Gacek has suggested that BPPV is due to recurrent neuritis of the inferior vestibular nerve (Gacek and Gacek, 2002). We think that this is highly unlikely as BPPV is very well explained by mechanical consequences of loose debris within the inner ear, and not at all consistent with the usual picture of vestibular neuritis. BPPV is also not caused by psychological distress, and it is not a side effect of medication.

Pat O'Connor
Lymphedema People
http://www.lymhpedemapeople.com  (+ info)

Can sleep paralysis be associated with a heart problem in any way?


I am currently seeing a doctor for possible PVST (Paroxysmal Supraventricle Tachycarida) and it's wearing out my energy. When I take naps in the afternoon I experience sleep paralysis, and occasionally at night.
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They are two different conditions. the PVST involves a rapid beating of the heart due to an affectation of the AV node, which is treatable. Actually, this could provoque the whole opposite effect, such as an anxiety state.
The sleep paralysis is something I know first hand, and I know how it feels, they are two different conditions. That could be a secondary effect of the fatigue your other condition gives you. I get it (the paralysis) when i am really tired too.

you will be OK, just do what the doc says. Wish you the best!  (+ info)

PAROXYSMAL ATRIAL FIBRILLATION - hospitalisation or not?


PAROXYSMAL ATRIAL FIBRILLATION –hospitalisation or not?
1.I am confused – is AF serious or not? Should I go to hospital?
2.GP says yes if more if episode longer than 3 hours.
3.Hospital doctor says no only if pain. (I usually get a painful constricted throat), but others have
said yes.
4.Last time a hospital doctor said not to come again as they are not actually helping me as I don’t
respond to dioxin and that the heart returns to normal on its own after min. 3, max 15 hours or so.
5.This in spite of the fact that I am always admitted to EAU until fibrillations stop, usually given
oxygen for several hours and at times have needed injections of heparin, potassium and
frusemide drips. I was also told that I had run equivalent of 2 marathons one night,
6.Have also been told by another doctor not to go to A & E in husband’s car as not safe and unfair
to him, but to call paramedics.
7.Normal heart beat lowered to 60 bpm, rises to 120 – 150 in fib. I take warfarin (but INR is very
unstable and can go from 3.6 to 1.6 in 2 weeks), flecainide and a diruretic. I am a lively 75 year
old.
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'PAROXYSMAL ATRIAL FIBRILLATION - Doctors' and go to yahoo search to seek Ur clarifications.  (+ info)

Why would an electronic workout device harm a person with heart problems?


I have this device called AB Gymnic. It says that one can't use it if they have a heart disorder. I wonder exactly how harmful it would be. I have palpitations and my heart skips beats sometimes. I also got a paroxysmal supraventricular tachychardia attack once, it was scary but they said it wasn't that serious and that my heart was good. I did heart tests after that and never got diagnosed with a heart problem. I really wanna use this device.
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Talk with your doctor. If he has recommended exercise in the past it may be a good idea. You may want to take it easy and avoid too strenuous of workout to avoid stressing your heart. Ask your doctor for a recommendation for what range your heart rate should be in. A lot of exercise equipment has monitors that will tell you your HR.  (+ info)

Benign Paroxysmal Positional Vertigo Question?


I woke up last week, just opening my eyes to the room spinning really fast - didn't stop for about 10 minutes. On and off all day (spins) and dizzy and way off balance for the next couple of days. Fell many, many times - even had to remove needle of Sub-Q fluids from my cat so she could run as I fell then, too.

I was diagnosed with benign paroxysmal positional vertigo and given "Meclizone" to take twice a day when I have symptoms.

My question to those who have had this or any doctors available (since mine didn't answer my question when I asked): I have a little dizziness every single day and clumsiness issues before the spinning thing started, so do I take this medicine only when I have the spins? Or do I take it every day I feel dizzy? (Not spins, just dizzy). Can you go on and off this medication? (I swear, he didn't answer my questions, but I'm poor, so it's expected).

I've also had a dull headache every single day since the spins started.

I also have severe mental issues - could this have anything to do with exacurbating or even creating this type of Vertigo?

OH! (I'm sorry), as well, my shoulders have been tight as rods day and night since I got the spins as well.
ADD: Thanks you guys so much. I'll start taking it today, then (it just came in). I checked out "scopolamine" and, woo-hoo, from what I read it seems to work for Major Depression, and sleep disorders, too, which are a couple of my diagnoses, along with PTSD and all it's underlying fun stuff.

I am "treated" (not really) where I get free care. Beggers can't be choosers, so that's it about that. I only get a loan of $132/month and food stamps pending disability appeal.

I'm selling stuff, I know I need a neurologist - might uncover stuff with the PTSD/mental stuff, too if I got a C.T. Scan. (Geez, I got a C.T. scan for my cat years ago and I can't afford one for myself - lol).

I'm so tired and also a recluse if that helps at all (oops, think I'm in the wrong section, now - sorry-sorry-sorry!
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You should see a neurologist about this problem. Take the Meclizine daily, and see if your symptoms improve. Headaches usually don't accompany BPPV. I understand if you're poor, but a doctor should never treat you badly because of your inability to pay. BPPV isn't associated with any psych problems. It's usually due to a little stone in the area of your head that controlls your balance.
Seriously, try to get some money to see a neurologist about this.  (+ info)

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