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Palpitations and nausea: 21-Year-Old Woman With Palpitations and Vomiting


Heart attack symptoms: Know what’s a medical emergency

Heart attack symptoms: Know what’s a medical emergency

Whether your symptoms seem obvious or are more subtle, take them seriously and get medical care.

By Mayo Clinic Staff

Typical heart attack symptoms

  • Chest discomfort or pain. This discomfort or pain can feel like a tight ache, pressure, fullness or squeezing in your chest lasting more than a few minutes. This discomfort may come and go.
  • Upper body pain. Pain or discomfort may spread beyond your chest to your shoulders, arms, back, neck, teeth or jaw. You may have upper body pain with no chest discomfort.
  • Stomach pain. Pain may extend downward into your abdominal area and may feel like heartburn.
  • Shortness of breath. You may pant for breath or try to take in deep breaths. This often occurs before you develop chest discomfort, or you may not experience any chest discomfort.
  • Anxiety. You may feel a sense of doom or feel as if you’re having a panic attack for no apparent reason.
  • Lightheadedness. In addition to feeling chest pressure, you may feel dizzy or feel like you might pass out.
  • Sweating. You may suddenly break into a sweat with cold, clammy skin.
  • Nausea and vomiting. You may feel sick to your stomach or vomit.
  • Heart palpitations. You may feel as if your heart is skipping beats, or you may just be very aware that your heart is beating.

Get help immediately

Heart attack symptoms can vary widely. For instance, you may have only minor chest discomfort while someone else has excruciating pain.

One thing applies to everyone, though: If you suspect that you’re having a heart attack, call 911 or your local emergency medical services number.

If you don’t have access to emergency medical services, have someone drive you to the nearest hospital. Drive yourself only as a last resort, if there are absolutely no other options.

Symptoms may not be dramatic

Movies and TV often portray heart attacks as dramatic, chest-clutching events. But heart attacks often begin with subtle symptoms — such as discomfort that may not even be described as pain.

It can be tempting to try to downplay your symptoms or brush them off as indigestion or anxiety. But don’t “tough out” heart attack symptoms for more than five minutes. Call 911 or other emergency medical services for help.

Women may have different symptoms

Women may have all, many, a few or none of the typical heart attack symptoms. Some type of pain, pressure or discomfort in the chest is still a common symptom of a heart attack in women. However, many women have heart attack symptoms without chest pain. They may include:

  • Pain in the neck, back, shoulders or jaw
  • Shortness of breath
  • Abdominal pain or “heartburn”
  • Pain in one or both arms
  • Nausea or vomiting
  • Dizziness or fainting
  • Unusual or unexplained fatigue, possibly for days

Additional information for older adults and people with diabetes

Older adults and people with diabetes may have no or very mild symptoms of a heart attack. Never dismiss heart attack symptoms, even if they don’t seem serious.

Jan. 20, 2021

Show references

  1. Cydulka RK, et al., eds. Chest pain. In: Tintinalli’s Emergency Medicine Manual. 8th ed. McGraw-Hill Education; 2018.
  2. Stouffer GA, et al. The history and physical examination. In: Netter’s Cardiology. 3rd ed. Elsevier; 2019. https://www.clinicalkey.com. Accessed April 10, 2020.
  3. Heart attack. National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/health/health-topics/topics/heartattack. Accessed April 10, 2020.
  4. Papadakis MA, et al., eds. Heart disease: Symptoms and signs. In: Current Medical Diagnosis & Treatment 2020. 59th ed. McGraw-Hill Education; 2020. https://accessmedicine.mhmedical.com. Accessed April 10, 2020.
  5. Symptoms of a heart attack. American Heart Association. https://www.goredforwomen.org/en/about-heart-disease-in-women/signs-and-symptoms-in-women/symptoms-of-a-heart-attack. Accessed April 13, 2020.
  6. Deedwania PC. Silent myocardial ischemia: Epidemiology, diagnosis, treatment and prognosis. https://www.uptodate.com/contents/search. Accessed April 10, 2020.

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Dizziness: Lightheadedness and Vertigo | PeaceHealth

Is dizziness your main problem?

How old are you?

3 years or younger

3 years or younger

4 to 11 years

4 to 11 years

12 years or older

12 years or older

Are you male or female?

Why do we ask this question?

  • If you are transgender or nonbinary, choose the sex that matches the body parts (such as ovaries, testes, prostate, breasts, penis, or vagina) you now have in the area where you are having symptoms.
  • If your symptoms aren’t related to those organs, you can choose the gender you identify with.
  • If you have some organs of both sexes, you may need to go through this triage tool twice (once as “male” and once as “female”). This will make sure that the tool asks the right questions for you.

Have you had a head injury?

Did you pass out completely (lose consciousness)?

If you are answering for someone else: Is the person unconscious now?

(If you are answering this question for yourself, say no.)

Are you back to your normal level of alertness?

After passing out, it’s normal to feel a little confused, weak, or lightheaded when you first wake up or come to. But unless something else is wrong, these symptoms should pass pretty quickly and you should soon feel about as awake and alert as you normally do.


Has returned to normal after loss of consciousness


Has returned to normal after loss of consciousness

Did the loss of consciousness occur during the past 24 hours?


Loss of consciousness in past 24 hours


Loss of consciousness in past 24 hours

Have you had any new neurological symptoms other than dizziness?


Other neurological symptoms


Other neurological symptoms

Do you have these symptoms right now?


Neurological symptoms now present


Neurological symptoms now present

Is the dizziness severe?

Severe means that you are so dizzy that you need help to stand or walk.

Have you had sudden, severe hearing loss?


Sudden, severe hearing loss


Sudden, severe hearing loss

Is vertigo a new problem?

Are your symptoms getting worse?


Dizziness is getting worse


Dizziness is getting worse

Did the symptoms start after a recent injury?


Symptoms began after recent injury


Symptoms began after recent injury

Have you recently had moments when you felt like you were going to faint?


Episodes of feeling faint


Episodes of feeling faint

Have you felt faint or lightheaded for more than 24 hours?


Has felt faint or lightheaded for more than 24 hours


Has felt faint or lightheaded for more than 24 hours

Are you nauseated or vomiting?

Nauseated means you feel sick to your stomach, like you are going to vomit.

Are you nauseated a lot of the time or vomiting repeatedly?


Persistent nausea or vomiting


Persistent nausea or vomiting

Do you think that a medicine could be causing the dizziness?

Think about whether the dizziness started after you began using a new medicine or a higher dose of a medicine.


Medicine may be causing dizziness


Medicine may be causing dizziness

Have you been feeling dizzy for more than 5 days?


Dizziness for more than 5 days


Dizziness for more than 5 days

Is the problem disrupting your daily activities?


Dizziness interfering with daily activities


Dizziness interfering with daily activities

Many things can affect how your body responds to a symptom and what kind of care you may need. These include:

  • Your age. Babies and older adults tend to get sicker quicker.
  • Your overall health. If you have a condition such as diabetes, HIV, cancer, or heart disease, you may need to pay closer attention to certain symptoms and seek care sooner.
  • Medicines you take. Certain medicines, such as blood thinners (anticoagulants), medicines that suppress the immune system like steroids or chemotherapy, herbal remedies, or supplements can cause symptoms or make them worse.
  • Recent health events, such as surgery or injury. These kinds of events can cause symptoms afterwards or make them more serious.
  • Your health habits and lifestyle, such as eating and exercise habits, smoking, alcohol or drug use, sexual history, and travel.

Try Home Treatment

You have answered all the questions. Based on your answers, you may be able to take care of this problem at home.

  • Try home treatment to relieve the symptoms.
  • Call your doctor if symptoms get worse or you have any concerns (for example, if symptoms are not getting better as you would expect). You may need care sooner.

Vertigo is the feeling that you or your surroundings are moving when there is no actual movement. It may feel like spinning, whirling, or tilting. Vertigo may make you sick to your stomach, and you may have trouble standing, walking, or keeping your balance.

Symptoms of a heart attack may include:

  • Chest pain or pressure, or a strange feeling in the chest.
  • Sweating.
  • Shortness of breath.
  • Nausea or vomiting.
  • Pain, pressure, or a strange feeling in the back, neck, jaw, or upper belly, or in one or both shoulders or arms.
  • Lightheadedness or sudden weakness.
  • A fast or irregular heartbeat.

For men and women, the most common symptom is chest pain or pressure. But women are somewhat more likely than men to have other symptoms, like shortness of breath, nausea, and back or jaw pain.

Symptoms of serious illness may include:

  • A severe headache.
  • A stiff neck.
  • Mental changes, such as feeling confused or much less alert.
  • Extreme fatigue (to the point where it’s hard for you to function).
  • Shaking chills.

Heartbeat changes can include:

  • A faster or slower heartbeat than is normal for you. This would include a pulse rate of more than 120 beats per minute (when you are not exercising) or less than 50 beats per minute (unless that is normal for you).
  • A heart rate that does not have a steady pattern.
  • Skipped beats.
  • Extra beats.

Neurological symptoms—which may be signs of a problem with the nervous system—can affect many body functions. Symptoms may include:

  • Numbness, weakness, or lack of movement in your face, arm, or leg, especially on only one side of your body.
  • Trouble seeing in one or both eyes.
  • Trouble speaking.
  • Confusion or trouble understanding simple statements.
  • Problems with balance or coordination (for example, falling down or dropping things).
  • Seizures.

Many prescription and nonprescription medicines can make you feel lightheaded or affect your balance. A few examples are:

  • Antibiotics.
  • Blood pressure medicines.
  • Medicines used to treat depression or anxiety.
  • Pain medicines.
  • Medicines used to treat cancer (chemotherapy).

Shock is a life-threatening condition that may quickly occur after a sudden illness or injury.

Adults and older children often have several symptoms of shock. These include:

  • Passing out (losing consciousness).
  • Feeling very dizzy or lightheaded, like you may pass out.
  • Feeling very weak or having trouble standing.
  • Not feeling alert or able to think clearly. You may be confused, restless, fearful, or unable to respond to questions.

Seek Care Now

Based on your answers, you may need care right away. The problem is likely to get worse without medical care.

  • Call your doctor now to discuss the symptoms and arrange for care.
  • If you cannot reach your doctor or you don’t have one, seek care in the next hour.
  • You do not need to call an ambulance unless:
    • You cannot travel safely either by driving yourself or by having someone else drive you.
    • You are in an area where heavy traffic or other problems may slow you down.

Seek Care Today

Based on your answers, you may need care soon. The problem probably will not get better without medical care.

  • Call your doctor today to discuss the symptoms and arrange for care.
  • If you cannot reach your doctor or you don’t have one, seek care today.
  • If it is evening, watch the symptoms and seek care in the morning.
  • If the symptoms get worse, seek care sooner.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

After you call 911, the operator may tell you to chew 1 adult-strength (325 mg) or 2 to 4 low-dose (81 mg) aspirin. Wait for an ambulance. Do not try to drive yourself.

Sometimes people don’t want to call 911. They may think that their symptoms aren’t serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.

Make an Appointment

Based on your answers, the problem may not improve without medical care.

  • Make an appointment to see your doctor in the next 1 to 2 weeks.
  • If appropriate, try home treatment while you are waiting for the appointment.
  • If symptoms get worse or you have any concerns, call your doctor. You may need care sooner.

Call 911 Now

Based on your answers, you need emergency care.

Call 911 or other emergency services now.

Sometimes people don’t want to call 911. They may think that their symptoms aren’t serious or that they can just get someone else to drive them. Or they might be concerned about the cost. But based on your answers, the safest and quickest way for you to get the care you need is to call 911 for medical transport to the hospital.

Head Injury, Age 4 and Older

Head Injury, Age 3 and Younger

Anxiety Disorders | Lehigh Valley Health Network

Brain chemistry, environmental stresses and other factors are thought to play a role in the development of chronic anxiety. People with anxiety disorders often have a family history of anxiety disorders, mood disorders or substance abuse.

Difficulties such as poverty, early separation from a parent, family conflict, critical and strict parents, parents who are fearful and anxious, and the lack of a strong support system all can lead to chronic anxiety.

Some studies show that traumatic and stressful events – such as abuse, the death of a loved one, divorce or job loss – can bring on an anxiety disorder in vulnerable people.

Alcohol abuse and drug addiction also can bring on or worsen anxiety.

The primary symptoms of anxiety disorders are fear and worry. People with an anxiety disorder usually realize their anxiety is more intense than the situation warrants but cannot rid themselves of these irrational concerns. Anxiety disorders also are characterized by additional emotional and physical symptoms.

The following are the most common types of anxiety disorders and symptoms.However, each individual may experience symptoms differently.

Please note: Because anxiety disorder symptoms may resemble other physical or psychiatric conditions, you should see your doctor for a diagnosis.

Generalized anxiety disorder (GAD)

Generalized anxiety disorder (GAD) is one of the most common anxiety disorders. People with GAD tend to worry constantly and continually anticipate disaster. They worry about their finances, their health, their job, world events and the future. Their worry often is out of proportion to reality. Generalized anxiety disorder begins gradually, usually in childhood or adolescence, but can begin in adulthood too. Depression in adolescence may be a strong predictor of GAD in adulthood. Depression commonly accompanies this anxiety disorder. It is more commonly seen in women and often occurs in relatives of those affected. Although GAD may be accompanied by depression, substance abuse or another anxiety disorder, impairment usually is mild. Generally, people with this disorder do not feel too restricted to be in social settings or a job. GAD affects about 5 percent of Americans in the course of their lives, and approximately 6.8 million American adults have it.

GAD symptoms include: Chronic, exaggerated worry, tension and irritability that appear to have no cause or are more intense than the situation requires. Physical signs, such as restlessness, trouble falling or staying asleep, headaches, trembling, twitching, muscle tension or sweating often accompany these psychological symptoms.

Panic attacks and panic disorders

Panic disorder is characterized by repeated, unexpected panic attacks – episodes of sudden fear and feelings of danger or impending doom, along with physical symptoms. The illness may be accompanied by depression or other serious conditions because the effects on people’s lives are not just limited to the attack itself. Some people avoid everyday activities such as driving or shopping, for fear of experiencing a panic attack in a potentially dangerous setting. Others avoid any other environment where they had such an attack in the past.

Panic disorders symptoms include: Repeated, unexpected panic attacks – episodes of sudden fear and feelings of danger or impending doom, along with physical symptoms such as heart palpitations, chest pain, lightheadedness or dizziness, nausea, shortness of breath, feelings of imminent danger, shaking or trembling, choking, fear of dying, sweating, feelings of unreality, numbness or tingling, hot flashes or chills, and a feeling of going crazy. Panic attacks strike without warning and usually last 15-30 minutes. Since many panic disorder symptoms mimic those found in illnesses such as heart disease, thyroid problems and breathing disorders, people with panic disorder often make multiple visits to emergency rooms or doctors’ offices, convinced they have a life-threatening illness.

Obsessive-compulsive disorder (OCD)

People with OCD are plagued by persistent, recurring thoughts that reflect exaggerated anxiety or fears. Typical obsessions include worrying about being contaminated with germs or fears of behaving improperly or acting violently. The obsessions may lead an individual to perform a ritual or routine such as washing hands, repeating phrases or hoarding.

OCD symptoms include: Obsessive thoughts and ritualistic behavior. Common obsessions include constant, irrational worry about dirt, germs or contamination; nagging feelings that something bad will happen if certain items aren’t in an exact place, position or order; fear that one’s negative or blasphemous thoughts or images will cause personal harm or harm to a loved one; preoccupation with losing or throwing away objects with little or no value; and obsessive thoughts about accidentally or purposefully injuring another person.

Common compulsions include repeatedly washing one’s hands, bathing or cleaning household items, often for hours at a time; checking and re-checking, several to hundreds of times per day, that the doors are locked, stove is turned off, hairdryer is unplugged, etc.; an inability to stop repeating a name, phrase or tune; an excessive, methodical and painstakingly slow approach to daily activities; and hording such as saving useless items like old newspapers or magazines, bottle caps or rubber bands.

Obsessions and rituals can substantially interfere with a person’s normal routine, schoolwork, job, family or social activities. Many hours of each day may be spent focusing on obsessive thoughts and performing rituals, so that normal concentration and the performing of daily functions become very difficult.

Children also can suffer from OCD, but unlike adults, children with OCD do not realize their obsessions and compulsions are excessive and ritualistic.

Social anxiety disorder or social phobia

Social anxiety disorder (SAD) is characterized by extreme anxiety about being judged by others or behaving in a way that might cause embarrassment or ridicule. This intense anxiety may lead to avoiding social situations. Performance anxiety (better known as stage fright) is the most common type of social phobia. Social phobia currently is estimated to be the third most common psychiatric disorder in the United States.

Social anxiety disorder symptoms: Extreme fear of being judged by others or behaving in a way that might cause embarrassment or ridicule. Specific SAD symptoms include blushing, sweating, trembling, nausea, rapid heartbeat, dizziness and headaches. Some people may have an intense fear of a single social or performance circumstance such as giving a speech, talking to a salesperson or making a phone call, but be perfectly comfortable in other social settings. Others may have a more generalized form of SAD, ranging from such behaviors as becoming anxious in a variety of routines, to clinging behavior and throwing tantrums. This intense anxiety may lead to avoiding social situations.


A phobia is an unrealistic or exaggerated fear of a specific object, activity or situation that in reality presents little to no danger. Common phobias include fear of animals such as snakes and spiders, fear of flying and fear of heights. In the case of a severe phobia, one might go to extreme lengths to avoid the thing feared.

Phobia symptoms: Specific phobias are characterized by strong, irrational, involuntary fear reactions to a particular object, place or situation. The reactions to these fears lead the individual to dread confronting common, everyday situations, or avoid them altogether, even though they logically know there isn’t any threat of danger. The fear doesn’t make any sense, but nothing seems to be able to stop it. When confronted with the feared situation, someone with a phobia may even have a panic attack.

Post-traumatic stress disorder (PTSD)

PTSD can follow an exposure to a traumatic event such as a sexual or physical assault, witnessing a death, the unexpected death of a loved one or natural disaster. Researchers now know that anyone, even children, can develop PTSD if they have experienced, witnessed or participated in a traumatic occurrence – especially if the event was life-threatening. 

PTSD symptoms: People with PTSD typically avoid situations that remind them of the traumatic event, because they provoke intense distress or even panic attacks. PTSD is characterized by three main types of symptoms, including: re-experiencing the trauma through intrusive distressing recollections of the event, flashbacks and nightmares; emotional numbness and avoidance of places, people and activities that are reminders of the trauma; and increased arousal including difficulty sleeping and concentrating, feeling jumpy and becoming easily irritated and angered.

Reminder: Because anxiety disorder symptoms may resemble other physical or psychiatric conditions, you should see your doctor for a diagnosis.

Heart arrhythmias and palpitations – Better Health Channel

About heart arrhythmias and palpitations 

Your heart is a vital organ. It’s a muscle that pumps blood to all parts of your body. The blood pumped by your heart provides your body with the oxygen and nutrients it needs to function. Normally, this pumping (your heartbeat) is controlled by your heart’s electrical system.

Sometimes, your heart’s electrical system may not work properly because of cardiovascular disease, chemicals in your blood (including some medicines) or sometimes for no known reason. Changes in your heart’s electrical system can cause abnormal heart rhythms called ‘arrhythmias’.

Arrhythmias are a disturbed rhythm of your heartbeat. There are many kinds of arrhythmias. Some may cause your heart to skip or add a beat now and again, but have no effect on your general health or ability to lead a normal life.

Other arrhythmias are more serious, even life threatening. Untreated, they can affect your heart’s pumping action, which can lead to dizzy spells, shortness of breath, faintness, loss of consciousness or serious heart problems.

Immediately call triple zero (000) and ask for an ambulance if you feel any of these warning signs: pain or discomfort (pressure, heaviness or tightness) in your chest, neck, jaw, arms, back or shoulders, or if you feel nauseous, a cold sweat, dizzy or short of breath, lasting for more than 10 minutes.

How your heart works

Your heart has a right side and a left side, separated by a wall. Each side has a small collecting chamber (atrium), which leads into a large pumping chamber (ventricle). There are four chambers – the left atrium and right atrium (upper chambers), and the left ventricle and right ventricle (lower chambers).

Normally, the upper chambers of your heart (the atria) contract (squeeze) first and push blood into the lower chambers (the ventricles). The ventricles then contract – the right ventricle pumping blood to your lungs (to become oxygenated) and the left ventricle pumping blood to the rest of your body.

In a healthy heart, heartbeats are set off by tiny electrical signals that come from your heart’s natural ‘pacemaker’ (controls how many times your heart beats over a minute, 60–100bpm) – a small area of your heart called the sinus node, located in the top of the right atrium. These signals travel rapidly throughout the atria to make sure that all the heart’s muscle fibres contract at the same time, pushing blood into the ventricles.

These same electrical signals are passed on to the ventricles via the atrioventricular (AV) node and cause the ventricles to contract a short time later, after they have been filled with blood from the atria. This normal heart rhythm is called the sinus rhythm, because it is controlled by the sinus node.

Palpitations of the heart

Palpitations are a sensation or awareness of your heart beating. They may feel like your heart is racing, thumping or skipping beats. Almost everyone has had palpitations at some time in their life. They are usually associated with an abnormal heart rhythm (arrhythmia).

Palpitations may have no obvious cause, but can be triggered by:

  • physical activity
  • emotional stress
  • ceasing medications
  • caffeine
  • nicotine
  • illicit substances.

An occasional palpitation that does not affect your general health is not usually something to worry about. However, see your doctor if you have more frequent or consistent palpitations, which may be associated with a serious arrhythmia.

Types of arrhythmia

Arrhythmias are categorised into two types – tachycardia and bradycardia.


Tachycardia is when your heart beats too fast, generally more than 100 beats per minute. Some forms of tachycardia are easily treated and not serious, but others can be life threatening. Tachycardia can be a normal response to physical activity, but can also be a sign of a medical problem.

The two main types of tachycardia are supraventricular tachycardia (problem with the top chambers) and ventricular tachycardia (problem with the bottom chambers).

Supraventricular tachycardia is a rapid heartbeat that starts in the atria or AV node, and is not usually life threatening. Common types of supraventricular tachycardia are atrial flutter and atrial fibrillation.

Ventricular tachycardia is when the ventricles beat too fast, and it’s very dangerous. If ventricular tachycardia becomes so severe that the ventricles can’t pump effectively, it can lead to ventricular fibrillation. This life-threatening condition occurs when the electrical signal that should trigger your heartbeat behaves erratically, and splits away in uncontrolled ‘waves’ around the ventricles. It must be corrected immediately, otherwise it may cause low blood pressure, loss of consciousness and even death.


Bradycardia is when your heart beats too slowly, generally less than 60 beats per minute. It becomes serious when your heart beats so slowly that it can’t pump enough blood to meet your body’s needs.

Bradycardia may be normal for you, and can be associated with being physically fit. However, it can also be caused by many physical disorders, such as sick sinus syndrome and heart block.

‘Sick sinus syndrome’ is when the sinus node in your heart malfunctions and ‘fires’ too slowly, telling your heart to beat slowly. It can be caused by ageing or by coronary heart disease.

‘Heart block’ is when there is a block or delay in the electrical signal from your heart’s collecting chambers (atria) to its pumping chambers (ventricles). It often results from damage to your heart’s electrical pathways, caused by coronary heart disease and ageing.

Symptoms of arrhythmias

Occasional palpitations during periods of emotional or physical stress are normal and are nothing to worry about.

The symptoms of more serious arrhythmias include: 

  • persistent palpitations that feel like pounding, galloping or fluttering
  • chest pain
  • dizziness or fainting
  • sweating
  • shortness of breath
  • light-headedness
  • fullness in the throat or neck.

Medications, stimulants and arrhythmias

Some arrhythmias can be caused by certain medications or drugs, including:

  • appetite suppressants
  • beta blockers
  • caffeine, including pre-workout supplements, energy drinks
  • cocaine
  • amphetamines
  • nicotine in cigarettes
  • alcohol
  • some asthma medications
  • thyroid medications.

Arrhythmias as symptoms of serious disorders

Arrhythmia can be a symptom of more serious underlying disorders, including:

  • cardiovascular disease (including a history of previous heart attacks)
  • heart valve or heart muscle abnormalities
  • congenital heart disease
  • an overactive thyroid gland
  • problems with the electrical circuitry of the heart, such as blocked signals or signals taking an abnormal path through the heart
  • significant electrolyte abnormalities
  • irritable heart cells sending extra electrical signals.

Diagnosis of arrhythmias

If you have persistent arrhythmias, ask your doctor for a thorough medical examination. Recommended tests include:

  • electrocardiogram (ECG) – records a detailed snapshot of your heart rate and rhythm. You may have this done while you are resting or exercising (for example, on a treadmill), or have a portable ECG recorder attached to you for a longer period of time (such as 24 hours)
  • tilt test – to find out if different body positions trigger the arrhythmia
  • electrophysiology studies (EPS) – a catheter is inserted into your body and directed to your heart. It records your heart’s electrical activity and response to certain stimuli
  • chest x-rays.

Treatment for arrhythmias

Treatment for an arrhythmia depends on its cause and how much it’s affecting your health and lifestyle. It’s important to remember that not all arrhythmias are dangerous or life threatening. Sometimes, the heart is perfectly healthy, but its regular rhythm is interrupted by emotional stress or physical activity levels.

Treatment for arrhythmia may include: 

  • medication – to stabilise the heart rhythm, or treat conditions that are causing the arrhythmia
  • a pacemaker – a small electronic device that electrically stimulates the heart to maintain an appropriate heart rhythm if the heart rhythm is too slow
  • an implantable cardiac defibrillator – to monitor and correct your heart rhythm if it’s dangerous
  • defibrillation – use of a mild electrical current to ‘reset’ your heart rhythm
  • electrical cardioversion – a mild electrical shock that restores a normal heart rhythm while you’re under anaesthetic
  • catheter ablation – a catheter with an electrode on the end is inserted into your body and directed to your heart, where it gently ‘burns’ and inactivates the area(s) responsible for abnormal signals in the atria
  • surgery – to remove or inactivate the malfunctioning area(s) of the heart
  • lifestyle changes – including managing stress, quitting smoking, reducing alcohol intake, eating healthy foods, being physically active, managing blood pressure and cholesterol, and maintaining a healthy body weight.

Where to get help

10 Common Symptoms Women Should Never Ignore

Certain symptoms women commonly experience after age 40 may be nothing to worry about, particularly if they’re part of your “norm.” But when you have a sudden change like headache, nausea, fatigue, unexpected vaginal bleeding, heart palpitations that last more than 15 minutes, or a rash on your breast that doesn’t go away within a couple of days, it’s wise to see your doctor.

“The reality is that a lot of times these symptoms are normal,” says Courtney Baechler, MD, a cardiologist and vice president of the Penny George Institute for Health and Healing at Abbott Hospital in Minneapolis. To put things in perspective, she reminds her patients that these are all things they’ve probably experienced in one form or another in just the past week — but they can also indicate a more serious health condition.

Take extreme fatigue in women, for example. Fibromyalgia syndrome, a disorder that causes chronic, deep muscle pain, may cause debilitating fatigue, even headache. Fibromyalgia is a syndrome that occurs more often in women than men and has no known cure. Medication, getting sound sleep, being active, and eating a healthy diet may help the extreme fatigue of fibromyalgia.

Severe fatigue may also be caused by much more serious conditions that need a doctor’s attention, including, for example:

  • Cancer
  • Depression
  • Some types of inflammatory arthritis

Antihistamines, antidepressants, and pain medicines at higher doses can cause significant fatigue. If you have experienced severe fatigue symptoms for several weeks, set up a doctor’s appointment. Your doctor will do a physical exam, ask about your health history, and order laboratory tests to make sure nothing serious is going on.

Headache, nausea, fatigue, and achiness may be a sign of a common cold or flu virus or a sign of heatstroke, especially in older adults. If you suspect heatstroke — call 911 or medical personnel immediately.

According to the Merck Manual, nausea and fatigue can be symptoms caused by cancer, diabetes, anemia, chronic kidney disease, rheumatoid arthritis, and other serious diseases. Or nausea and fatigue can be normal symptoms during PMS, menstruation, or pregnancy.

That’s why it is important to know your body. Even weight gain or weight loss could be a result of eating more or less — or a symptom of a serious illness such as diabetes.

Knowing when new symptoms occur and checking with your physician to make sure they are not serious will let you be your own bodyguard when it comes to health and longevity.

Heart attacks in women – Harvard Health

Although hard-to-read heart attacks happen to both men and women, they are more common in women. One reason for this is that men’s symptoms initially set the standard for recognizing heart trouble. Now a growing body of research shows that women can experience heart attacks differently than men.

Understanding sex differences in heart disease is important. Heart disease is the leading cause of death for women. Although it mostly affects older women, it isn’t rare in younger women. One in 10 of all women who die from heart disease or a stroke are under age 65, and this age group accounts for one-third of heart- or stroke-related hospitalizations. Even so, younger women and their doctors don’t necessarily suspect a heart attack even when all the signs are there.

In a survey of more than 500 women who survived heart attacks, 95% of them said they noticed that something wasn’t right in the month or so before their heart attacks. Two most common early warning signs were fatigue and disturbed sleep. Some women, for example, said they were so tired they couldn’t make a bed without resting.

Chest pain, a common early warning sign of heart trouble for men, was further down the list for these women. Those who did have it tended to describe it as pressure, aching, or tightness in the chest, not pain.

Even when their heart attacks were under way, only about one-third of the women in this study experienced the “classic” symptom of chest pain. Instead, shortness of breath, weakness and fatigue, a clammy sweat, dizziness, and nausea topped the list.

One take-home message is that some women may get an early warning of an impending heart attack in the form of excessive tiredness, disturbed sleep, or shortness of breath. Paying attention to these symptoms and getting prompt diagnosis and treatment just might stave off a full-blown heart attack. Some men also have early warning signals, with chest pain being the most common.

The other message is that women and their doctors need to think beyond chest pain when it comes to what women experience as a heart attack blossoms. Instead of writing off shortness of breath, fatigue, cold sweat, dizziness, and nausea as signs of something that will pass, everyone needs to give these symptoms a second look.

Top 12 symptoms women reported experiencing the month before and during heart attacks.

Before attack

During attack

Unusual fatigue (71%)

Shortness of breath (58%)

Sleep disturbance (48%)

Weakness (55%)

Shortness of breath (42%)

Unusual fatigue (43%)

Indigestion (39%)

Cold sweat (39%)

Anxiety (36%)

Dizziness (39%)

Heart racing (27%)

Nausea (36%)

Arms weak/heavy (25%)

Arm heaviness or weakness (35%)

Changes in thinking or memory (24%)

Ache in arms (32%)

Vision change (23%)

Heat/flushing (32%)

Loss of appetite (22%)

Indigestion (31%)

Hands/arms tingling (22%)

Pain centered high in chest (31%)

Difficulty breathing at night (19%)

Heart racing (23%)

From Circulation, 2003, Vol. 108, p. 2621

Image: PIKSEL/Getty Images

As a service to our readers, Harvard Health Publishing provides access to our library of archived content.
Please note the date of last review or update on all articles. No content on this site, regardless of date,
should ever be used as a substitute for direct medical advice from your doctor or other qualified clinician.

Common EP Conditions | Harbin Clinic

Common EP Conditions

Here are common conditions in which your primary care physician would refer you to a heart specialist:

bradycardias (slow heartbeat)

If the heartbeat is too slow, usually considered a rate below 60 beats a minute, not enough oxygen-rich blood flows through the body. So, it makes sense that the symptoms of a slow heartbeat are:

  • fatigue
  • dizziness
  • lightheadedness
  • fainting or near fainting

electrical signals

Every heart has an electrical system running throughout its muscle tissue. The sinus node, often called the heart’s natural pacemaker, contains the most active electrical cells, and it initiates heartbeats.

Other nodes are responsible for transmitting signals to different sections of the heart. For instance, the atrioventricular node’s job is to transmit signals from the upper chambers, called atria, to the lower chambers, called ventricles.

A problem in a node or anywhere along the electrical path can disrupt the regular beating of the heart and cause an arrhythmia. The heartbeat can become too fast or too slow and can be chaotic or steady. Symptoms vary based on the rhythm change.

Suddenly rapid, irregular and chaotic heartbeats may be a sign of the most dangerous arrhythmia, ventricular fibrillation. It is the number one cause of sudden cardiac death. Within seconds, an individual loses consciousness and, without immediate emergency treatment, will die within minutes.


A fluttering sensation is usually due to a series of “skipped beats” that occur in rapid succession.

palpitation or a skipped beat

Although it may seem as if the heart skipped a beat, really the heart has a premature heartbeat, almost an extra beat happening too soon, which may result in a pause – the “skipped beat.”

presyncope (almost fainting)

Sometimes people experience symptoms before they faint. Presyncope can be a sign of a heart rhythm disorder and should be evaluated carefully.

  • dizziness, lightheadedness or vertigo
  • blurred or narrowed (tunnel) vision
  • sweating
  • nausea and/or vomiting
  • stomachache/abdominal discomfort
  • heart palpitations
  • headache
  • confusion and/or difficulty speaking clearly or coherently

syncope (fainting)

Fainting related to a heart rhythm disorder is more likely to happen suddenly and without warning than fainting related to other causes, such as dehydration or low blood sugar. Any sudden loss of consciousness should be evaluated by a physician.

In some cases, fainting is the only warning sign of an arrhythmia that could cause sudden cardiac death.

tachycardias (rapid heartbeat)

When the heart beats too quickly, usually considered a rate above 100 beats a minute, the lower chambers, or ventricles, do not have enough time to fill with blood, so they cannot effectively pump blood to the rest of the body. When this happens, some people experience:

  • skipping a beat
  • beating out of rhythm
  • palpitations
  • rapid heart action
  • shortness of breath
  • chest pain
  • dizziness
  • ightheadedness
  • fainting or near fainting
  • chaotic, quivering or irregular rhythm

What to do with a rapid heartbeat / Blog / Clinic EXPERT

Are you worried about discomfort in the chest, heart palpitations, weakness, dizziness, discomfort, lack of air? Such symptoms often accompany tachycardia, a variant of cardiac arrhythmia. If such complaints appear, an urgent need to consult a cardiologist!

When the heart asks for help

Timely diagnosis of diseases often plays a decisive role, especially when it comes to cardiac problems.The earlier an accurate diagnosis is made, the sooner the correct treatment can be prescribed. It is very important to be attentive to your heart and see a doctor if any signs of trouble appear. Tachycardia is an increase in heart rate above normal. In some cases, it is one of the signs of heart disease.

See your doctor if you experience the following symptoms:

  • You already have some form of tachycardia, but you have not consulted a cardiologist for further observation and / or treatment
  • Frequent heartbeats appear periodically
  • chest pain, ” colitis “heart
  • difficulty breathing, feeling short of breath
  • lightheadedness or fainting (even without unpleasant sensations in the heart area)
  • dizziness
  • when calculating the heart rate at home, you yourself found a heart rate of 90 beats per minute and more than
  • an increase or decrease in blood pressure
  • the presence of cardiac diseases in you or in your relatives.

Even if you have a tachycardia attack for the first time, it is mandatory to see a doctor.

Complaints of palpitations are a serious reason for urgent examination. The EXPERT Clinic is attended by doctors with extensive experience. The most modern diagnostics of cardiac arrhythmias is possible.

Causes of palpitations

There is a natural (physiological) tachycardia, when palpitations occur in response to some kind of physical activity, severe stress and emotional stress, with an increase in body temperature, etc.In this case, the heart rate returns to normal on its own. Physiological tachycardia is also observed during pregnancy (especially in the third trimester). A variety of reasons can lead to disturbances in the work of the heart. First of all, these include heart disease (for example, defects, endocarditis). Tachycardia is one of the clinical manifestations of anemia.

Increased heart rate occurs in certain diseases of the endocrine system (eg diabetes mellitus, thyroid disease).Tachycardia appears in disorders of the autonomic nervous system, due to hemodynamic disorders, with regular intake of certain medications, etc.

Cardiologists at the EXPERT Clinic take into account all the variety of reasons that “make” the heart beat faster. That is why patients are offered a comprehensive examination that allows them to accurately determine the causes and correctly prescribe the treatment that the patient needs so much.

Why tachycardia is dangerous to health

Attacks of tachycardia are most often periodic in nature.They can occur for a short time and with a relatively small increase in heart rate, and a strong heartbeat affects the ability to work. In all cases, an urgent examination of the patient is required! The main danger is still not identified cardiological diseases, which can manifest themselves with a rapid heartbeat. A lot of attention is required for people with already diagnosed serious problems. It can be coronary heart disease, chronic heart failure.In severe cases, tachycardia provokes even more dangerous rhythm disturbances and more serious complications (cardiac asthma, pulmonary edema). The emerging hemodynamic disturbances in general are an unfavorable factor for the state of internal organs.

In case of an attack of tachycardia, you must immediately call a doctor (in case of any deterioration in health: loss or confusion, severe pain in the heart, etc.). During an attack, a person needs to be provided with rest.

Diagnosis and treatment of tachycardia

You are experiencing a rapid heart rate, what should you do in this situation? The answer is simple – see a cardiologist.First of all, the doctor will make an accurate diagnosis. It begins with a detailed interview of the patient. It is important for a doctor to hear about all the complaints he has, as well as about chronic diseases, heredity, etc. The main method of examination is ECG. Currently, there is modern equipment for obtaining ECG data. With the help of it, any arrhythmia of the heart is determined as accurately as possible. Correct analysis of the ECG is of particular importance, therefore, an experienced cardiologist will decipher the data obtained. In some cases, to clarify the diagnosis, other methods of examining the patient are required: echocardiogram, Holter ECG monitoring, etc.We must not forget about additional research methods: blood tests, ultrasound of the thyroid gland, etc.

The EXPERT Clinic provides all the necessary complex of diagnostic measures. There is modern ECG equipment, so the cardiologist will always make a quick and accurate diagnosis.

How to choose a cardiologist

If you want to go to a medical institution for a consultation due to heart palpitations, then first of all it is important to choose the clinic that has proven itself well.Advantages of the EXPERT Clinic:

  • is a multidisciplinary medical center, which allows you to consult with various narrow specialists if necessary
  • experienced and attentive cardiologists
  • modern examination equipment, as well as practicing specialists of ultrasound and functional diagnostics
  • the ability to quickly take all tests, provide the results of examinations
  • the most attentive attitude to patients, only an individual approach, a detailed study of the problem
  • convenience and comfort in the clinic, helpful medical staff.

Do not postpone your visit to a cardiologist, because the timely identification of the main problem of “rapid heartbeat” can sometimes save your life.

Rhythm under control

The doctor chooses a strategy of antiarrhythmic treatment. The main option for normalizing heart rhythm disturbances is antiarrhythmic drugs. Drug therapy is prescribed on a strictly individual basis. It depends on the form of tachycardia, existing chronic diseases and disorders, as well as on the reasons that caused this condition! There are different groups of antiarrhythmic drugs depending on the underlying mechanism of action.Due to individual characteristics in the appointment of therapy, categorically do not self-medicate. In difficult cases, urgent medical intervention is needed to stop the attack.

Additionally, the cardiologist evaluates risk factors that can worsen the patient’s condition. This may be a family history, old age, arterial hypertension, some chronic diseases, lifestyle, etc. Simple rules of an adequate work and rest regime have a positive effect.This is a good and restful sleep, good nutrition, limitation of stressful situations, the correct approach to physical activity. With tachycardia, you should not smoke, drink alcohol. Alcohol and nicotine can independently affect the heart rate, as well as become provocateurs of more serious pathologies. If there is a rapid heartbeat, then it is very important to always follow all the doctor’s prescriptions to constantly come for scheduled examinations. The specialist will assess the effectiveness of the prescribed therapy, clarify the state of health.Do not discontinue prescribed medications on your own. Only a cardiologist will help you choose the right tactics and take control of your heart rhythm.

The cardiologist of the EXPERT Clinic prescribes individual drug therapy only after a thorough assessment of the patient’s condition. An attentive comprehensive approach and correct diagnostics guarantee effective treatment! A fast heartbeat will stop bothering you.

Heart disease: symptoms – Planet of Health

Heart disease includes conditions such as coronary heart disease, heart attack, heart failure, and congenital heart disease.Heart disease is the leading cause of death in the world’s population. To prevent illness, it is recommended to quit smoking, lower cholesterol levels, control high blood pressure, maintain a normal weight, and exercise.

Despite the fact that many cardiac abnormalities are similar in symptoms, each heart disease (coronary artery disease, heart attack) has its own specific symptoms. Symptoms depend on the type and severity of your heart condition.Learn to recognize your symptoms and the situations that are causing them. Tell your doctor if you develop new symptoms, become more frequent or more severe.

Coronary heart disease

The main symptom is angina pectoris. With angina pectoris, discomfort, a feeling of heaviness, pressure, aching pain, burning sensation, compression, a feeling of pain in the chest area are noted. It can be confused with indigestion or heartburn. Angina symptoms are usually localized to the chest, but they can also spread to the shoulders, arms, neck, throat, jaw, or back.

Other symptoms may occur with coronary heart disease:

  • Shortness of breath
  • Jumping heartbeat or “shuffling” sensation in the chest
  • Rapid heartbeat
  • Feeling weak or dizzy
  • Nausea
  • Sweating

Heart attack myocardial infarction

  • , heaviness, pain in the chest, arm or under the breastbone
  • Discomfort radiating to the back, jaw, throat or arm
  • Feeling of heaviness in the stomach, indigestion, suffocation (like heartburn)
  • Sweating, nausea, vomiting, dizziness
  • Complete weakness, anxiety, shortness of breath
  • Rapid or irregular heartbeat
  • In a heart attack, symptoms usually last 30 minutes or longer and do not improve at rest or after taking oral medications (medicines taken by mouth).Initial symptoms can manifest as mild discomfort that progresses over time to acute pain.

    Some people have no symptoms of a heart attack (“silent” myocardial infarction). “Silent” myocardial infarction can happen to anyone, but diabetics are more susceptible to it.

    If you think you are having a heart attack, DO NOT DELAY. Call the emergency number. The faster the treatment, the less damage is done to your heart.


    With arrhythmia, the symptoms may be as follows:

    • Heart palpitations, shuffling, shaking, feeling like your heart is running away)
    • Chest rolling
    • Dizziness, fainting
    • Loss of consciousness
    • Shortness of breath
    • Chest discomfort
    • Weakness , fatigue

    Atrial fibrillation

    Atrial fibrillation is a type of arrhythmia.Most people experience one or more of these symptoms:

    • Palpitation of the heart (sudden feeling of palpation, trembling, “acceleration” of the heart)
    • Lack of energy, fatigue
    • Dizziness (fainting)
    • Chest discomfort (pain, pressure)
    • activities)
    • Some patients with atrial fibrillation are asymptomatic. Sometimes these episodes can be short-term

    Heart valve disease

    Symptoms of heart valve disease can include:

    • Shortness of breath and / or inability to catch breath.You may feel this when you are active (doing normal activities) or when lying down on your bed
    • Weakness or dizziness
    • Chest discomfort. You may feel pressure or heaviness in your chest when you are active or going out into the cold
    • If valve disease leads to heart failure, symptoms may include:

      • Swelling of the ankles, feet, abdomen.Puffiness can also occur inside the abdomen, resulting in a feeling of bloating
      • Rapid weight gain (2-3 pounds per day weight gain)

      Symptoms do not always match the severity of the valve disease. Acute valve disease that requires immediate treatment may be asymptomatic. Or, conversely, with acute symptoms (for example, in the case of mitral valve prolapse), test results may show a mild form of valve disease.

      Heart failure

      With heart failure, the following symptoms occur:

      • Shortness of breath when active (usually) or at rest, especially when lying flat in bed
      • Moist cough with white phlegm
      • Rapid weight gain (2-3 pounds per day weight gain)
      • Swelling of the ankles, legs and abdomen
      • Dizziness
      • Fatigue, weakness
      • Rapid or irregular heartbeat
      • Nausea, palpitation, chest pain

      As with valve disease, the symptoms of heart failure don’t always have to do with how weak your heart is.You can have many symptoms and only slightly weakened heart function. Or, conversely, with a seriously affected heart, experience minor symptoms or feel nothing at all.

      Congenital heart disease

      Congenital heart defects can be diagnosed before birth, immediately after birth, during childhood or during adulthood. It is possible to have a defect without feeling any symptoms. If they are absent, the defect can sometimes be diagnosed due to a heart murmur on physical examination or in the case of abnormalities on the results of an ECG or chest X-ray.

      In adults, if symptoms are still present, there may be:

      • Shortness of breath
      • Limited ability to exercise
      • Symptoms of heart failure (see above) or valve disease (see above)

      Congenital heart disease in infants and children:

      • Cyanosis (bluish discoloration of the skin, fingernails, lips)
      • Rapid breathing and refusal to feed
      • Slight weight gain
      • Recurrent lung infections
      • Inability to exercise

      Heart muscle damage (cardiomyopathy)

      Many people who have heart muscle damage do not experience any symptoms (or they are mild) and live full lives.In other people, symptoms may develop, progress, and worsen as heart function deteriorates.

      Symptoms can occur at any age and include:

      • Chest pain or pressure (usually with exercise or activity, but can also occur at rest or after eating)
      • Symptoms of heart failure (see above)
      • Swelling of the lower extremities
      • Fatigue
      • Fainting
      • Palpitations (rolling in the chest due to abnormal heart rhythms)
      • Some people also have arrhythmias.They can lead to sudden death in a small number of patients with cardiomyopathy.


      Pericarditis symptoms include:

      • Chest pain other than angina (pain due to coronary heart disease). It can be acute and localized in the central part of the chest. The pain can radiate to the neck and, in some cases, to the arms and back. Symptoms are worse when lying down, taking a deep breath, coughing, or swallowing.Relief comes from sitting upright
      • Slight increase in temperature
      • Rapid heart rate

      Since many symptoms in one or another heart disease are similar to each other, a visit to the doctor is of primary importance in order to make an accurate diagnosis and prescribe immediate treatment.

      Diagnostics and research

      When do risk factors develop into heart disease? The tests listed below are used to diagnose this type of disease.

      The first step is to see a doctor. He may prescribe you the following:

      • ECG
      • Chest X-ray
      • Exercise test
      • Tint table test (used to diagnose syncope)
      • Echocardiogram
      • Coronary angiogram (in other words, cardiac catheterization)
      • Electrophysiological test
      • CT scan of the heart
      • myocardium

      • MRI of the heart
      • Puncture of the pericardium

      The main symptoms of heart disease | GBUZ “VFD g.Zlatoust “

      What are the main symptoms of heart disease, can they be recognized in time in order to start treatment on time?

      Symptoms of coronary heart disease
      The main symptom of coronary heart disease is angina pectoris, or an attack of chest pain. Pain is described as a feeling of discomfort, heaviness, pressure, burning, fullness in the chest. Sometimes this condition is associated with indigestion or heartburn. Typically, the pain occurs in the chest and can radiate to the shoulders, arms, neck, throat, teeth, or back.
      Other symptoms of coronary heart disease include:
      * Shortness of breath
      * Rapid heartbeat
      * Irregular heartbeat, heart failure
      * Faintness and dizziness
      * Nausea
      * Sweating

      Symptoms of myocardial infarction:
      The most common symptoms of myocardial infarction include:
      * Pressure, heaviness, pain in the chest, arm and behind the breastbone
      * Pain in the back, teeth, throat or arm
      * Feeling of fullness, heaviness in the abdomen (sometimes symptoms resemble heartburn)
      * Sweating, nausea, vomiting, dizziness
      * Excessive weakness, anxiety, shortness of breath
      * Frequent and unstable pulse
      During myocardial infarction, the attack lasts an average of 30 minutes or longer and is not relieved by medication.At first, the symptoms may be mild, but gradually the pain intensifies and becomes intense.
      Some people do not have pain during a heart attack (painless myocardial infarction). As a rule, such a course of a heart attack is typical for patients with diabetes mellitus.
      If you suspect you have a myocardial infarction, call an ambulance immediately (03) or contact another emergency service (112). The sooner you get help, the less damage your heart muscle will be.

      Symptoms of arrhythmia
      Symptoms of arrhythmia – an irregular heartbeat – include:
      * Rapid and / or increased heart rate
      * Feeling that the heart is “jumping out” of the chest
      * Feeling that the heart is beating violently
      * Irregular heartbeat, interruption hearts
      * Dizziness
      * Fainting
      * Shortness of breath
      * Unpleasant sensations in the chest
      * Weakness, rapid fatigability

      Symptoms of atrial fibrillation
      Atrial fibrillation is a type of arrhythmia.Symptoms include:
      * Rapid and / or increased heart rate
      * Sudden heart rate increases
      * Feeling of trembling in the chest
      * Fatigue, fatigue
      * Dizziness
      * Loss of consciousness
      * Unpleasant sensations in the chest (pain, pressure, discomfort)
      * Shortness of breath (difficulty breathing during daily activities)
      Some patients may have no symptoms or they may appear sporadically.

      Symptoms of heart valve disease
      Symptoms of heart valve disease include:
      * Shortness of breath and difficulty breathing.Most often occurs during physical activity, including normal daily activities, or when resting while lying down
      * Faintness and dizziness
      * Unpleasant sensations in the chest (feeling of pressure and heaviness during physical activity and when inhaling cold air)
      * Disorders heart rate: heart palpitations, irregular heartbeat, heart failure
      If valve diseases lead to heart failure, the following symptoms join:
      * Swelling in the ankles and feet
      * Swelling may appear in the abdominal region, causing a feeling of bloating
      * Fast weight gain (up to 1.5 kg per day)
      Symptoms of valve disease do not always correspond to the severity of the condition.There may be no signs of illness at all, but the person may be suffering from a serious illness that requires proper treatment.

      Symptoms of heart failure
      The most common symptoms of heart failure are:
      * Shortness of breath and difficulty in breathing. Most often these symptoms occur during physical activity or when resting while lying down
      * Cough with light sputum
      * Rapid weight gain
      * Swelling in the ankles, feet and abdomen
      * Dizziness
      * Weakness
      * Frequent and / or irregular heart rate
      * Other symptoms such as nausea, palpitations, chest pain
      As with valvular heart disease, in heart failure, the severity of symptoms does not always correspond to the severity of the condition.Sometimes almost all symptoms are present, but the function of the heart is impaired. Conversely, symptoms may be mild and heart function is significantly impaired.
      If you have any suspicions of heart disease, see your doctor, get tested.

      LOOK / The symptoms of “mild” coronavirus are named :: News of the day

      St. Petersburg doctors named the first four symptoms by which one can recognize a “mild” form of coronavirus.

      Research shows that there are three typical symptoms of coronavirus: fever, cough (usually dry) and shortness of breath. However, there are eight other first signs of the disease, which are also often observed in those who have an infection – muscle pain and headaches, confusion, diarrhea, hemoptysis, heart palpitations, nausea and even vomiting, Tsargrad reports.

      St. Petersburg doctors have compiled a collection in which they also indicated four important symptoms by which the “mild” form of COVID-19 can be recognized.It is noted that with a mild course of the disease, the body temperature does not exceed 38.5 degrees.

      In addition, the infected feel mild weakness, cough and sore throat.

      With a moderate COVID-19 disease and a higher temperature, shortness of breath appears, the respiratory rate is over 22 per minute.

      It is noted that even a mild course of the disease is not a reason to relax. Doctors warn that at the first sign it is necessary to consult a doctor, call them at home and in no case self-medicate.

      Earlier it became known about atypical symptoms of coronavirus.

      Watch even more videos on the YouTube channel VZGLYAD

      Subscribe to LOOK at

      Russia was forced to buy medical oxygen abroad

      Russia does not have enough capacities for the production of medical oxygen, in connection with which the country is forced to purchase it abroad, said the head of the Ministry of Industry and Trade Denis Manturov.

      The Minister explained that the four main producers in Russia are working at full capacity, producing 1.5 thousand tons of oxygen per day. More than 90% of the capacities of these enterprises have been transferred to its production. Also involved are chemical, metallurgical, oil refineries, shipbuilding enterprises, the nuclear industry and the defense industry, which convert more than 100 tons of the daily volume of technical oxygen to medical oxygen, RBC reports.

      However, according to him, in order to increase supplies of medical oxygen in the southern regions of the country, the Ministry of Industry and Trade purchased 100 tons of medical oxygen in Kazakhstan.Manturov noted that the same number will come by the end of July.

      In turn, deliveries from Finland are going to the northern regions of the country in separate consignments of 20 tons, and negotiations are underway on regular deliveries in the amount of 240 tons per month.

      Manturov also noted that in order to organize oxygen reserves in Siberia and the Far East, the Ministry of Industry and Trade is “working out options for direct contracting” of liquefied oxygen from China.

      Earlier, First Deputy Minister of Industry Vasily Osmakov asked Russian metallurgical companies to reduce the consumption of technical oxygen in order to increase the supply of medical oxygen to hospitals.

      Scientists have found a “superantbody” capable of neutralizing coronaviruses

      American scientists from the Fred Hutchinson Cancer Research Center have found an antibody that can fight COVID-19 and closely related coronaviruses. Scientists have tested their findings on hamsters: the “super-body” protected them from infection.

      Researchers studied 12 antibodies isolated by Vir Biotechnology from people who had undergone various forms of COVID-19. These antibodies attach to a fragment of the viral protein that binds to the receptors of the host cells and is called the receptor-binding domain, reports “Reedus” with reference to the journal Nature.

      After that, a list of thousands of mutations in the binding domains of various variants of COVID-19 and other similar viruses belonging to the sarbecovirus group was compiled.One of the antibodies was able to bind to the binding domains of all sarbecoviruses, thereby neutralizing their effect in living cells.

      The “superantibody” was named S2H97. Despite the fact that effective vaccines against COVID-19 already exist in the world, experts are confident that the virus will continue to mutate, which means that a universal antibody is needed.

      It is not yet known whether S2H97 will be able to protect the body from new strains, however, according to scientists, the discovery will help prepare the world to fight the next variant of infection.

      Earlier, the timing of the start of clinical trials of the fifth Russian vaccine against COVID was determined.

      Watch even more videos on the YouTube channel VZGLYAD

      Ukraine has tightened the requirements for entry from Russia and Belarus

      Ukraine is tightening the rules for entry from five countries, including Russia and Belarus, due to the spread of the “Indian” strain of coronavirus, said the Secretary of the National Security and Defense Council Alexei Danilov.

      “We are talking about those countries, we have four countries plus one, there will be strict restrictions on these countries, directly where the (“ Indian ”strain) is raging – these are India, Belarus, Russia and two more EU countries. And we will set requirements to reduce the number of people who will come. In addition, we do not exclude that the Cabinet of Ministers will take additional measures on these countries, “Danilov explained at a briefing following the meeting of the National Security and Defense Council, RIA Novosti reports.

      As a reminder, Japan is tightening restrictions on those entering from Moscow due to a strain of the coronavirus “of serious concern.” From July 18, everyone entering Japan from Moscow will need to be quarantined in a specialized institution or hotel for six days.

      In early July, the rules for crossing the Russian-Estonian border were tightened due to the spread of coronavirus in Russia.

      Cuban vaccine Abdala has been shown to be 100% effective against severe forms of COVID

      Cuban vaccine against Abdala coronavirus during the third phase of clinical trials has demonstrated 100% effectiveness against severe forms of the disease, the developers of the drug said.

      Marta Ayala, director of the Center for Genetic Engineering and Biotechnology, which developed the vaccine, said that “data on the effectiveness of the third phase of clinical trials (vaccine against coronavirus) Abdala have already been obtained, the results are excellent,” TASS reports with reference to the Prensa Latina agency.

      She added that now the focus group for the study of the effectiveness of the vaccine is planned to increase to 300 thousand people.

      Earlier, the Center for State Control of Medicines, Equipment and Medical Devices (CECMED) of Cuba authorized the emergency use of the Abdala coronavirus vaccine.

      In the second half of June, Cuba announced the completion of clinical trials of the drug, its effectiveness against the symptomatic course of coronavirus was 92.28%.

      The development of the drug became known in March. At the same time, the report of the US Department of Health and Human Services (HHS) indicated that Washington was trying to persuade the countries of the Americas not to accept assistance from Russia, Cuba and Venezuela on vaccines.

      Watch even more videos on the YouTube channel VZGLYAD

      First case of coronavirus detected in Tokyo Olympic Village

      In Tokyo, coronavirus infection was first detected directly in the Olympic Village, media reported.

      Previously, COVID-19 was recorded in athletes and team members either at the airport or in the places of pre-placement of national teams. In the Olympic Village, a member of the foreign national team was diagnosed with the coronavirus. NHK clarifies that this is not an athlete. It is not reported which citizen of which country fell ill. Earlier, the coronavirus was detected in athletes from Israel, Uganda and Serbia, as well as in the support personnel of the national teams of Nigeria and Russia, TASS reports.

      The day before, a member of the foreign Olympic team was hospitalized for the first time with COVID in Tokyo.The decision to hospitalize was made due to his age (over 60) and the presence of chronic diseases.

      Murashko advised to call a doctor at a temperature longer than 36 hours after vaccination

      An elevated and strongly increasing temperature for more than 24-36 hours after vaccination against coronavirus is a reason to see a doctor, said Russian Minister of Health Mikhail Murashko.

      “In the event <...> if the temperature persists for more than 24-36 hours, of course, you need to consult a doctor”, – quotes the Minister of TASS. At the same time, Murashko noted, it matters how much the temperature rises.

      According to him, allergic reactions after vaccination occur in isolated cases, in general, all vaccines used are well tolerated.

      Murashko recalled that in a period of high risk of infection, it is necessary to repeat the vaccination six months after the first vaccinations or the previous illness.All drugs approved in Russia are suitable for revaccination, it is better to entrust a specific choice to a doctor.

      Earlier, the minister said that the coronavirus vaccine protects patients not only from the virus itself, but also from complications.

      Boyarsky’s wife spoke about the condition of the artist who fell ill with COVID

      People’s Artist of the RSFSR Mikhail Boyarsky is on the mend and is awaiting a negative test result for coronavirus, his wife Larisa Luppian said.

      Luppian said that “Mikhail Sergeyevich is on the mend and is waiting for a negative test,” after which he will be discharged, RT reports.

      She added that the artist is suffering from a mild illness, since he was vaccinated against coronavirus.

      “Otherwise I don’t know what would have happened. So I also urge everyone to be vaccinated, this is absolutely certain, and all doctors talk about it. Otherwise, we will not be able to cope and will be all the time with these waves back and forth, ”said Luppian, adding that Boyarsky plans to be revaccinated.

      The latest data on the situation with COVID-19 in Russia and the world are presented on the stopcoronavirus.ru portal.

      Putin announced the recovery of the Russian economy from the consequences of the pandemic

      The Russian economy has recovered after the coronavirus pandemic, in general, the consequences have been overcome, Russian President Vladimir Putin said at an online meeting of economic leaders of the APEC forum.

      “We can say that, in general, the consequences of the pandemic have been overcome, the economy as a whole has recovered,” RIA Novosti quotes Putin.

      Scaling up vaccinations should be a top priority given the continuing high risks, he said. The President noted that Russia is ready to cooperate with APEC countries in matters of mass vaccination against coronavirus.

      “Given the continuing high risks, we see the expansion of vaccination as a top priority.We are ready for close cooperation with APEC partners in such topical areas as the organization of mass immunization of the population, including labor migrants, rehabilitation and restoration of the health of those who have been ill, ”he said.

      Also the head of state that the pandemic has dealt a serious blow to all APEC participants without exception. He stressed that the speed of economic and social recovery depends on the rate of vaccination.

      “The rate of vaccination on a global scale largely determines how quickly the global economy can be restored, minimized the risks associated with new waves of infections, and overcome negative trends in the social sphere,” Putin said.

      On Friday, President Vladimir Putin participates in an informal meeting of the leaders of the countries participating in the Asia-Pacific Economic Cooperation (APEC) Forum. During the meeting, Putin said that Russia supports the final document of the meeting of the leaders of the countries participating in the Asia-Pacific Economic Cooperation forum on coordinated actions in the fight against coronavirus.

      Recall that the APEC countries include South Korea, Australia, China, Indonesia, Japan, Vietnam, Canada, Mexico and other states.

      Moscow said goodbye to musician and actor Pyotr Mamonov

      A funeral ceremony of farewell to the founder of the “Sounds of Mu” group, poet and actor Pyotr Mamonov took place in the Donskoy Monastery in Moscow.

      Dozens of people came to say goodbye to the musician: after the completion of the funeral service, they lined up at the church to sing along to the coffin with the body of the deceased on their last journey.Those present also honored the memory of Pyotr Mamonov with a long standing ovation, reports TASS.

      The funeral cortege went to the town of Vereya near Moscow, where the musician lived for over 20 years. According to Mamonov’s will, he will be buried at the local cemetery.

      Soviet and Russian musician and actor Pyotr Mamonov, who had been in the hospital for a long time with a coronavirus infection, died on Thursday at the age of 70.

      The prosecutor requested 1 year and 4 months for the first accused of forging vaccination certificates in Moscow

      Andrei Muntyan, accused of forging certificates of vaccination against coronavirus in the first such case in Moscow, faces a restriction of freedom for a period of 1 year and 4 months, the press service of the Babushkinsky court in Moscow said.

      “The prosecutor asks the court to appoint Muntean a sentence of 1 year and 4 months of restriction of freedom,” a court spokesman told TASS. The verdict will be announced on July 19 at 11.00.

      Moskvich is accused of forging an official document, as well as using fake seals and stamps of doctors of polyclinics (parts 1 and 3 of article 327 of the Criminal Code of the Russian Federation).

      According to the prosecution, Muntian posted an advertisement on the sale of medical documents on one of the Internet sites and received orders for the production of 12 certificates of vaccination against coronavirus.The man printed out the necessary forms and filled them out in the name of the customers with counterfeit stamps and seals. It was planned to deliver the certificates by courier service. The police detained Muntian.

      Earlier, in the southeast of Moscow, police officers managed to suppress the sale of fake medical leads from coronavirus vaccination. Also, law enforcement agencies in Kazan detained a 21-year-old employee of one of the consultative and diagnostic centers on suspicion of issuing 60 fake vaccination documents.

      WHO wants to audit laboratories in the area of ​​the first cases of COVID-19

      The World Health Organization is going to arrange an audit of laboratories and research institutions in the area of ​​which the first cases of coronavirus were detected in 2019, said WHO Director General Tedros Adhanom Ghebreyesus.

      Addressing the member countries of the organization during an information session on the origin of the coronavirus, Ghebreyesus repeated what steps WHO plans to take to investigate the origin of COVID-19, RIA Novosti reports.

      First, comprehensive studies of people and animals, as well as the environment, will be carried out. Secondly, they will study the areas in which SARS-CoV-2 was detected earlier than others, as well as other coronaviruses associated with SARS. Third, animals are being investigated in Wuhan.Fourth, they will conduct “research related to animal tracking activities with additional work in epidemiology and molecular epidemiology, including the study of early virus sequences.”

      Finally, “audits of relevant laboratories and research institutions operating in the area of ​​the first human cases detected in December 2019” are planned. At the same time, Gebreyesus supported the point of view of Beijing, according to which “the search for the origin of this virus is a scientific work that should be free from politics.”

      Recall that Gebreyesus said that a potential link between the coronavirus pandemic and the virus leak from the Chinese laboratory was ruled out too early. He called on China to be “open and cooperative.”

      The restaurateur named the timing of the restoration of attendance at catering establishments after the cancellation of QR codes

      Thanks to the cancellation of QR codes in the capital, restaurants and cafes will be able to recover by the end of August – beginning of September, Anastasia Tatulova, the founder of the Anderson family cafes network and the public ombudsman for small and medium-sized businesses, told the VZGLYAD newspaper.

      Mayor of the capital Sergei Sobyanin said that starting from Monday in Moscow, the pass system for restaurant visitors will be canceled by the QR code, which confirms vaccination against coronavirus or the recent passage of a PCR test. A similar decision was made by the authorities of the Moscow region, noting that this system will be of a recommendatory nature.

      “We assess this decision with a great positive. Just yesterday we made a request to cancel QR codes and are very glad that Sergey Semenovich met us halfway and heard us, because the industry was in a critical state.It will take time to recover, but I think that if there are no shocks, the restaurants will be able to recover by the end of August or the beginning of September, ”Tatulova says.

      She emphasizes that by restoration she means the flow of clients, which was in June of this year. It is unlikely that it will be possible to return to the same target figures that were before the start of the coronavirus pandemic in the near future.

      “Since the situation in the city remains rather difficult, then, of course, our recovery will depend on how the active vaccination campaign progresses.If, nevertheless, it is possible to ensure that at least there is no increase in the daily increase in the number of cases in the city, then we will be able to talk about the fact that we are more or less in order, ”the interlocutor believes.

      As a reminder, according to Sobyanin’s decree from June 28, visiting cafes and restaurants was possible only for people with a QR code. It could only be received by those citizens who had had a coronavirus, had a negative PCR test no more than three days ago, or who had been vaccinated.

      A spontaneous memorial procession dedicated to the death of the Romanovs was staged in Yekaterinburg

      Part of the participants of the festival of Orthodox culture “Tsar’s Days” on Saturday night staged a spontaneous memorial procession dedicated to the death of the Romanov imperial family. Metropolitan of Yekaterinburg and Verkhotursky Evgeny Kulberg took part in it. The promotion has not been approved.

      Traditionally, on the night of the death of the royal family, the pilgrims walked in a procession, but in 2021 it was decided not to carry it out because of the coronavirus. However, some of the festival participants went from the Temple on Blood to Ganina Yama, repeating the route along which the firing squad took out the remains of the Romanovs, TASS reports.

      At the Divine Liturgy, the Metropolitan of Yekaterinburg conveyed the request and blessing of Patriarch Kirill: “When the service is over, and each of us will go where his heart is drawn – someone will go home, someone will go to loved ones, someone will go to a prayer service to take part in the prayer service in the monastery on Ganina Yama – it will be disorganized.And it is very important that everyone is very attentive to himself and to those people who are nearby. And another equally important request and blessing of the Most Holy Patriarch, <...> and put on a mask. ”

      The Metropolitan is walking along the sidewalk, wearing a medical mask. Together with him is the Metropolitan of Uzbekistan and Tashkent Vikenty, he also uses personal protective equipment. A law enforcement source said that about 2,000 people were taking part in the spontaneous memorial process, although “there were more people in the liturgy near the church.”

      On July 8, the governor of the Sverdlovsk region, Yevgeny Kuyvashev, announced that the authorities had not agreed on the holding of the procession. The Ministry of Public Security recommended postponing the event. Rospotrebnadzor has banned events for more than 500 people. In turn, the Metropolitan of Yekaterinburg said that people will follow the traditional route, despite this.

      In 2020, the historical and archival examination as part of the investigation into the murder of the royal family confirmed the authenticity of the “Yekaterinburg remains”.

      In Moscow, the share of vaccinated in the health care and education sector reached 70%

      The mayor of the capital, Sergei Sobyanin, said that employers in Moscow have fulfilled the task of vaccinating employees against coronavirus; over the past month, 2 million people have been vaccinated.

      “We see the result: over the previous six months, only 1.7 million Muscovites were vaccinated, but over the last month another 2 million were added to them.<…> It can be said that, for the most part, thanks to such a responsible attitude of business and enterprises, we managed to complete the task. In many enterprises, such as health care, education, the figure is close to 70%, “Sobyanin said in an interview with the Russia-1 TV channel, TASS reports.

      Earlier, the mayor of the capital, Sergei Sobyanin, said that starting from Monday in Moscow, the pass system for restaurant visitors will be canceled by the QR code, which confirms the vaccination against coronavirus or the recent passage of the PCR test.A similar decision was made by the authorities of the Moscow region, noting that this system will be of a recommendatory nature.

      The leader of the New People party called Yabloko’s call to lockdown a mistake

      Chairman of the New People party Alexei Nechaev said that the initiative of Yabloko leader Nikolai Rybakov on the need for a two-week lockdown in Russia is similar to an attempt to please those who believe that the epidemic will resolve by itself.

      “Now I travel a lot around the country. Cities and regions are different, but people say one thing: that they are tired of restrictions, they want to live and work normally! After that, it is doubly unexpected to read about Nikolai Rybakov’s new initiative, ”he wrote in his Telegram channel.

      According to Nechaev, the statement by Yabloko leader Nikolai Rybakov about the need for a two-week lockdown in Russia looks like an attempt to please those who wish to sit back and wait for the epidemic to dissipate by itself.

      “The experience of European states has shown that it will not dissolve. And we will spend the money, and the virus will not be stopped. Threats, ridiculous from the very beginning, now stop working altogether, “Nechaev said.

      As a reminder, the leader of the Yabloko party Nikolai Rybakov appealed to the President of Russia with an appeal to reintroduce a two-week lockdown in the country and to take a number of urgent measures to support both the economy and the population. The politician believes that the money for payments to employees during the lockdown should be taken from the National Welfare Fund, and not from the budget of the owners of enterprises.Otherwise, entrepreneurs will be forced to cut salaries and lay off employees.

      Rybakov also requires separate assistance programs for small and medium-sized businesses, for the self-employed, individual entrepreneurs and independent workers in the field of culture and art.

      90,000 Symptoms Not To Be Fearful | Medical Center “My Doctor” | Family Medicine Clinic | Sign the declaration with your doctor

      How often do you worry about your well-being and how closely do you listen to your body? Do you know the difference between healthy and essential self-care and debilitating hypochondria? Family doctor Daria Dmitrievskaya talks about 10 common symptoms that are not necessarily a manifestation of serious illness.

      1. Chest pain that gets worse during breathing
      This is a fairly common symptom that can get worse when you change your position or when you breathe. It is often confused with heart pain, but these are different things. Mostly such sensations arise from neuralgia, that is, damage to the peripheral nerves. The pain occurs because the nerve root compresses the muscle and can spasm in the chest or any other part of the body. The symptom is unpleasant and painful, but you do not need to be afraid of it.Such pain can occur due to muscle strain or sudden unsuccessful movement. Then you need to gently move, stretch your back to remove the muscle clamp. It is worth taking care of regular exercise.

      2. A sharp and short spasm in the muscles
      This is a nervous tic that is associated with nerve irritation. Such symptoms occur quite often and can be exacerbated by stress, when the nervous system is more sensitive. This occurs because the nerve reacts to stimuli and sends impulses to the muscle, which responds to them and contracts.This spasm goes away rather quickly when the person calms down or rests.

      3. Crunching in joints
      Crunching in knees or fingers does not indicate a violation if it does not cause discomfort. But if it is accompanied by pain, for example, when walking, then you should see a doctor. Crackling in joints can even be a certain physiological feature of a person. For example, due to the mismatch of the articular surfaces. There is a myth that you can’t crunch your fingers because it causes arthritis.But a number of studies have been carried out and it has been proven that it is completely safe and does not affect the development of this disease in any way.

      4. Forgetfulness
      You go into a room and forget why you came there: this happens with everyone. Our brain is a complex multitasking system. Sometimes he may forget certain details in order to remember something more important. For example, when a person is working on an important project, the brain directs all the forces to its implementation and may skip less serious tasks. It’s okay if it’s rare.If you constantly forget about everything in the world, then you should consult a doctor and determine the problem.

      5. Sharp dizziness
      Usually, a sharp dizziness occurs when quickly getting out of bed or chair. This is due to the sharp redistribution of blood in the body. When the vessels rise, they do not have time to change their tone so quickly that the brain receives a sufficient amount of blood and oxygen. Therefore, a person’s eyes darken. This condition is normal, if it lasts a few seconds and passes quickly, you should not be afraid of it.However, if a person becomes ill every time and the quality of life is disturbed, then you need to consult a doctor.

      6. Sharp and very short painful sensation
      It all depends on the part of the body where the pain occurs. A sharp abdominal cramp may indicate intestinal colic, for example, due to increased gas production in the intestines. It is worth adjusting the diet – and the symptom will disappear. Muscle pain can be associated with a pinched nerve. If it is a headache, then it usually occurs due to overstrain: physical or mental.The head can also ache due to high blood pressure or an infectious disease. If you constantly feel severe pain in your head, it is pronounced and difficult to tolerate, you need to consult a doctor, because there can be a lot of causes.

      7. Temperature not 36.6
      The normal temperature of the human body is considered to be the range between 36 and 37 degrees. It can also be influenced by several factors, such as metabolic rate. Therefore, you should not always focus on 36.6.There are also people with peculiarities of the body, for whom the standard temperature is 37.1. And this is also completely normal. Sharp changes in the body should be alarming. For example, when the body temperature has always been at 36.6, and here a certain period does not fall below 37 degrees. Even if this does not affect the quality of life, it is worth consulting your doctor.

      8. Rapid heartbeat
      Average normal heart rate for a person is from 60 to 90 beats per minute. But these numbers are relative, the normal heart rate for each person is individual.Therefore, if it is a little more or less than the norm, you should not worry. There is also such a phenomenon as extrasystoles – this is when, against the background of rest or after physical exertion, the heart can contract out of turn and several strong beats occur. This continues for a few seconds, and then everything works as usual. This phenomenon can occur in all healthy people. Heart palpitations also appear due to stress, when the nervous system is more sensitive to external stimuli. This condition can last for a certain period, while at the same time the state of health worsens.Changes in hormonal status can also cause a fast heartbeat. Therefore, you should always pay attention to the nature of the symptom, to the general condition of the body and other unusual manifestations.

      9. Pigmentation on the skin
      Most often, spots on the skin appear after sunburn. Sunburn is a severe stress on the body. In this case, the immune system begins to actively work on skin regeneration. The damaged particles can accumulate melanin, a pigment that has a protective function and gives our skin a tanned appearance.If there was too much of it, brown spots or dots appear. Sunburn is very harmful to the body and increases the risk of developing skin cancer. Therefore, it is better to avoid them and protect the skin with special sunscreens. Pigmentation can appear with age due to the fact that the vessels lose their tone and the normal nutrition of a particular skin particle is disrupted. Brown spots on the body also occur in pregnant women and disappear after childbirth

      10. Low back pain
      Mild low back pain when we move is usually not back pain.It’s just a muscle spasm that often occurs after long periods of sitting in one position. Such pain is definitely familiar to people who have a sedentary job and a sedentary lifestyle. Therefore, it is very important to get up regularly, warm up or just walk every 2-3 hours of work at the table. This will release muscle tension and no pain. The lower back can also hurt after sleep, when a person slept in an unsuccessful position or pulled a muscle.

      Based on materials

      90,000 Paroxysmal tachycardia – causes, symptoms and treatment – Medcompass

      Paroxysmal tachycardia is one of the types of arrhythmias, which is characterized by sudden attacks of increased heart rate up to 300 beats per minute.This occurs as a result of the appearance of impulses that lead to a change in the heart rate.

      Symptoms of the disease

      Attacks of rapid heartbeat always start suddenly, they can last for a few seconds or a couple of days. The patient feels the initial stage of an attack as a jolt in the region of the heart, followed by an increase in the heartbeat. Despite maintaining the correctness of the rhythm, the heart rate (HR) can increase up to 300 beats per minute.

      In addition to palpitations, the patient may complain of severe dizziness and noise in the head. Occasionally, hemiparesis and aphasia (speech impairment) can be noted.

      Sometimes an attack can occur in combination with nausea, flatulence and mild fever. After the attack is over, in the first hours, there is an excessive flow of urine with a reduced density.

      In cases where the attack lasts for a long time, a persistent decrease in pressure develops.The patient may often faint.

      Causes of the disease

      The following factors can cause the disease:

      • Inflammatory processes in the myocardium or its dystrophy
      • Excessive excitation of the sympathetic nervous system
      • The presence of a Kent bundle or Maheim fibers.


      The first thing to do in order to diagnose this disease is to collect an anamnesis correctly, special attention is paid to the nature of the attack and heart rate.This allows you to determine the form of the disease. Ventricular tachycardia is characterized by the fact that the heart rate is rarely higher than 180 beats per minute. In the case of supraventricular tachycardia, the heart rate can exceed 220 beats.

      In the diagnosis of almost any heart pathology, the ECG procedure occupies a special place. This case is no exception. On the cardiogram with this disease, you can see a change in the P wave. Its position relative to the QRS complex, as well as the shape and polarity, changes. The latter value allows you to correctly diagnose the form of the disease.

      The ventricular form is manifested on the cardiogram by the expansion of the QRS complex and its deformation. The P wave may not be changed. The atrial form is manifested by the standard position of the P wave. Seizures with onset in the atrioventricular junction are characterized by the fusion of the P wave with the QRS complex.

      In the event that a single ECG study does not give a result, it is advisable to prescribe daily monitoring, thanks to which it will be possible to identify brief paroxysms that do not affect the patient at all.

      For the purpose of differential diagnosis, it is recommended to conduct ultrasound, MRI, and MSCT of the heart.


      Prolonged paroxysmal attacks can lead to the following types of complications:

      • Acute and chronic heart failure
      • Myocardial ischemia
      • Ventricular fibrillation.

      Treatment of the disease


      • Administration of antiarrhythmic drugs
      • Vagus maneuvers
      • Electro-impulse therapy
      • Emergency hospitalization.

      Drug treatment:

      • Antiarrhythmics
      • Β-blockers
      • Cardiac glycosides.

      Surgical treatment:

      • Destruction of accessory pathways for the impulse
      • Destruction of foci of automatism
      • Radiofrequency ablation
      • Implantation of pacemakers
      • Installation of cardiac defibrillators.

      food poisoning! > News in Samara

      Acute stomach pain, nausea and dizziness may be signs of a serious illness

      Most of us consider these phenomena to be symptoms of a common digestive tract disorder and prefer to treat ourselves at home.However, doctors warn: sometimes the development of events can take an alarming turn.


      Food poisoning most often occurs due to the consumption of foods contaminated with bacteria, bacterial poisons, viruses, or poisonous in nature. Unsanitary conditions, lack of hygiene during the storage and packaging of food are the most common causes of food poisoning, because microbes and bacteria multiply rapidly in a moist, warm nutrient medium.Symptoms of food items are extremely varied: stomach pains, vomiting, nausea, high fever, and sometimes even renal, hepatic and neurological syndrome.


      The clinical picture of food poisoning depends on the type of contamination and the amount of contaminated or poisonous food eaten. The first signs of food poisoning appear within 30 minutes after a meal and worsen over the next few days.Food shipment can be caused by the viruses hepatitis A, rotavirus and norwalk. In this case, a person has a sudden rise in temperature, loss of appetite, the whites of the eyes and skin turn yellow.

      Bacterial food poisoning is caused by the bacteria Salmonella, Staphylococcus aureus and Vibrio cholerae. Shigella dysentery (called traveler’s diarrhea) is accompanied by high fever, diarrhea, and a constant urge to defecate. Another form of food poisoning is botulism.Its symptoms are blurred vision with subsequent weakness and failure of the entire nervous system. This type of infection is transmitted with honey, cold meats and seafood.
      Poisonous substances contained in some mushrooms can cause nausea and vomiting, and in exceptional cases, hallucinations and tremors. Pesticides ingested with unwashed fruits and vegetables provoke general weakness, spasms, increased salivation, trembling of the limbs is possible.

      Listeriosis, an asymptomatic food poisoning, is especially dangerous for pregnant women and the elderly.Bacteria – the causative agents of this disease are transmitted through crustaceans, pâtés, processed meats and soft cheese. Expectant mothers should use these products with caution: listeriosis can lead to termination of pregnancy.


      A specialist should be consulted at the first sign of food poisoning. This is especially true for young children, whose body is prone to rapid dehydration, expectant mothers and the elderly. It is also necessary to rush to the doctor if the symptoms do not disappear for a long time, especially if the disease is accompanied by vomiting, dehydration, the appearance of bloody discharge in the stool, or severe stomach cramps.Patients who are constantly taking certain medications (heart or diabetics) should also seek immediate medical attention.

      Following a few simple rules will help prevent food poisoning. Wash your hands, raw vegetables and fruits thoroughly. Meat and dairy products should be stored in the refrigerator at a temperature not exceeding + 4o C. Do not eat raw eggs. Cook meat and seafood thoroughly. To avoid cross-contamination of food, do not place cooked meat on the same plate as raw meat.Be sure to wash your cutting board after use. Refrigerate leftover non-eaten food immediately, as bacteria multiply very quickly at room temperature.

      Signs of food poisoning
      • Abdominal pain.
      • Nausea, vomiting.
      • Diarrhea: stools up to 10 to 15 times a day, first with liquid feces, and then with watery, abundant fetid feces.
      • The body temperature rises, chills, tachycardia (palpitations) appear.
      • Blood pressure drops.
      • Fainting may occur, with occasional convulsions.

      Help with food poisoning
      • If you suspect poisoning or obvious poisoning, find out the possible nature of the poison and how this poison got into the body.
      • Information received from the victim himself or those around him, obvious traces of poison (packaging, smell from the victim, the sight and smell of vomit) will help.
      • Give the victim four to five glasses of warm water to drink (children – 100 g per year).
      • Induce vomiting by pressing on the root of the tongue or tickling the throat.
      • Rinse the stomach again until it is completely empty.
      • Give the victim five tablets of crushed activated charcoal (washed down with water).
      • Give plenty of drink: alkaline mineral water, 2% baking soda solution.
      • If vomiting is unconscious, turn the victim’s head to the side.
      • Call an ambulance immediately (tel. 03). This must be done even in cases where, at first glance, the poisoning proceeds easily, i.e.because after a while there may be a sharp deterioration in the condition of the victim.