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Conditions and Diseases > Stroke Forum > TIA and irregular heart beats
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Q: TIA and irregular heart beats
asked by: DoctorQuestion on December 7th, 2006
A year ago I woke to pins and needles all over my face and a vibrating feeling in my right arm-it was determined that I had a TIA. The doctor had no idea why and brushed it off due to my age-I was 32. This past September I was rushed to the hospital with a very high heart rate (164) and my blood pressure rising (180/100) they determined I had SVT episode-which can at times make my heart rate high. I also have suffered my irregular heart beats all my life-

Since then I wore the heart monitor and I had a high heart rate during the day and I had an irregular heart beat. I have a great doctor but at times feel lost in what to do. What medication can help me control my irregular heart beats and should I take any? He believes it's my hormones during certain times of the month-
What are my chances of having a full blown stroke due to my fast heart rate at times and irregular heart beats?


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Dr. Nikola Gjuzelov , MD
replied on December 12th, 2006
Stroke Answer A1920
It seems likely that the symptoms you describe “pins and needles all over your face and a vibrating feeling in your right arm” are not due to a transient ischemic attack (TIA). IIt seems likely that the symptoms are due more to anxiety than a TIA. The other problem (SVT) should be analyzed carefully. First, you should determine the type of supra ventricular tachycardia (SVT) because there are several types of SVT: sinus tachycardia, atrial flatter/fibrillation, “roaming pacemaker” and nodal type of SVT. Therefore, an ECK and its professional interpretation is the first diagnostic step. An SVT can be due to a primary problem in the heart or to another reason other than the heart. You can check your thyroxin level in the blood because hyperthyroidism can cause SVT. Anxiety can be also a reason for some types of SVT, but other reasons should be excluded first. Beta-blockers and verapamil are the most frequently used drugs for treating SVT. Your blood pressure should be also regularly checked. You can consult a cardiologist about your heart problem.


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