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What is a normal resting heart rate? A normal resting heart rate for adults ranges from 60 to 100 beats per minute. What are heart palpitations? Your heartbeat feels uncomfortable or unusual. Palpitations: How many causes are there? At least 24. What causes heart palpitations? Alcohol Anemia Blood loss Caffeine Cocaine and other street drug/recreational drug use such as amphetamines (speed) Dehydration Emotions, such as anxiety, stress, fear, and panic Exercise Fever Heart rhythm problems High blood pressure and palpitations Hormone changes Illicit drug causing ventricular tachycardia Low carbon dioxide in the blood Low levels of sugar, potassium, and/or oxygen Medications such as asthma inhalers, beta blockers for high blood pressure or heart disease, thyroid drugs, and antiarrhythmic medicines Nicotine Overactive thyroid gland Pregnancy Premature ventricular contractions Smoking Some cough/cold medicines, including decongestants Some herbal and nutritional supplements Stress and anxiety Research can reveal many more causes How were these guidelines better than other guidelines on or before December 11, 2023? Take a look at this: https://www.medicinenet.com/palpitations_overview/article.htm. On or before December 11, 2023, the resources at https://www.medicinenet.com/ did not have causes of palpitations as elaborated here by Dr. Asif Qureshi, who can guide 19 specific types of physicians www.qureshiuniversity.com/physicians.html. Take a look at this: https://stanfordhealthcare.org/ 1199 Welch Road, Palo Alto, CA 94304 Phone: 650-723-5111 Take a look at https://www.uillinois.edu/ and https://www.nyu.edu/ as well as other similar entities. On or before December 11, 2023, these resources did not have causes of palpitations as elaborated here by Dr. Asif Qureshi, who can guide 19 specific types of physicians www.qureshiuniversity.com/physicians.html. Further grants, executive remuneration, and credits must be forwarded to Dr. Asif Qureshi on or after December 12, 2023. If you know the causes, then you can accurately provide treatment: What did your executives understand? What causes the situation of the patient at this point? Fix that cause at this point. From start until this point, ask everything about the issue. Find the cause at this point. How are palpitations evaluated? What rhythm is a cardiac monitor showing at this point? What describes palpitations at this point with or without associated arrhythmias and heart diseases? Palpitations with associated arrhythmias and heart diseases require specific treatment. Palpitations caused without associated arrhythmias and heart diseases fix that cause at this point. What can be displayed on a cardiac monitor? 1. Normal sinus rhythm 2. Sinus tachycardia Arrhythmias: What can be displayed on a cardiac monitor? 1. Accelerated idioventricular rhythm 2. Ashman phenomenon 3. Asystole* 4. Atrial fibrillation diagnosis and management 5. Atrial flutter (saw tooth appearance) 6. Atrial tachycardia 7. Atrioventricular block 8. Atrioventricular dissociation 9. Atrioventricular nodal reentry tachycardia (AVNRT) 10. Brugada syndrome 11. Carotid sinus hypersensitivity 12. Digitalis toxicity 13. Electrical alternans 14. Endomyocardial fibrosis 15. First-degree atrioventricular block 16. Heart block, first degree* 17. Heart block, second degree* 18. Heart block, third degree* 19. Holiday heart syndrome, also known as alcohol-induced atrial arrhythmias 20. Junctional rhythm 21. Long QT syndrome 22. Lown-Ganong-Levine syndrome 23. Multifocal atrial tachycardia 24. Paroxysmal supraventricular tachycardia 25. Pediatrics, tachycardia* 26. Premature ventricular contraction* 27. Pulseless electrical activity 28. Second-degree atrioventricular block 29. Sinus bradycardia* 30. Sinus node dysfunction 31. Sudden cardiac death 32. Third-degree atrioventricular block 33. Torsade de pointes 34. Ventricular fibrillation 35. Ventricular premature complexes 36. Ventricular tachycardia 37. Wolff-Parkinson-White syndrome What are lethal arrhythmias (causing sudden cardiac arrest)? 1. Ventricular fibrillation 2. Ventricular tachycardia 3. High-grade heart block 4. Sick sinus syndrome 5. Asystole 6. Pulseless electrical activity 7. Atrial fibrillation with chest pain or pressure or abnormal vitals 8. Atrial flutter with chest pain or pressure or abnormal vitals See the screenshots. Illicit drug use can cause ventricular tachycardia. Do not use illicit drugs. What other arrhythmias can have dangerous complications? Long QT syndrome (LQTS) Short QT syndrome (SQTS) Torsade de pointes What will a patient reveal about palpitations? I have palpitations. I feel something is wrong with my heart. My heart is thumping, racing, or fluttering. Similar statements Palpitations are not always caused by a serious heart condition. Palpitations are awareness of your own heartbeat. What are the symptoms of arrhythmias? Palpitations Skipping or fluttering sensations Dizziness Fainting Shortness of breath Chest pain Are there sustained arrhythmia or isolated skipped beats? How are arrhythmias classified? Arrhythmias are classified by location and type of heartbeat. Supraventricular arrhythmias: atrial fibrillation, atrial flutter, atrial tachycardia, atrioventricular nodal reentrant tachycardia (AVNRT), atrioventricular reentrant tachycardia, paroxysmal supraventricular tachycardia (PSVT), Wolff-Parkinson-White syndrome Ventricular arrhythmias: ventricular fibrillation, ventricular tachycardia, premature ventricular beats (PVCs), torsade de pointes Bradycardias: heart block, sick sinus syndrome Inherited arrhythmias: Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia (CPVT), long QT syndrome How are palpitations managed? Treatment Preventive care 1. Try eliminating smoking, excess caffeine, and alcohol from your daily routine. 2. Exercise relevant to your situation. 3. Get plenty of sleep. 4. Make a proper schedule for yourself every day. Medications If the cause of palpitations is arrhythmias, a physician might prescribe antiarrhythmic drugs such as beta blockers and calcium channel blockers. Both have safe track records. Occasionally these drugs do not work effectively and stronger antiarrhythmic drugs that directly act on the sodium and potassium channels of the heart might be necessary. Supraventricular tachycardia catheter ablation Sometimes comfort and reassurance are the best medicine. What are the causes of arrhythmias? Diseases of the heart muscle Diseases of the heart valves Diseases of the heart coronary arteries Disease of the electrical system of the heart while the rest of the heart is healthy Medications causing arrhythmias (see List of Drug-Induced Arrhythmias: A Scientific Statement From the American Heart Association) Excess alcohol Excessive levels of thyroid hormone Low blood oxygen levels Stress Smoking What are the goals of treating an atrial flutter? Treatment is similar to the treatment for AFib. Slow the heart rate with medication. Restore the normal rhythm with cardioversion, medication, or ablation. Prevent blood clots. Ventricular fibrillation: What causes it? 1. Poor blood flow to the heart muscle 2. Damaged heart muscle 3. Cardiomyopathy 4. Issues with the aorta 5. Toxicity from drugs 6. Sepsis Treatment of V-fib If someone is having a cardiac arrest, respond quickly and follow these steps: Ask for help or emergency medical assistance. Give the person CPR. Use an automated external defibrillator (AED), if available. Ventricular tachycardia: What causes it? 1. lack of blood flow to the heart, depriving the heart tissue of oxygen 2. cardiomyopathy that distorts the structure of the heart 3. illicit drug use 4. medication side effects 5. sarcoidosis, which is an inflammatory disease affecting skin or body tissue Treatment of ventricular tachycardia The cause of a person’s ventricular tachycardia will help their medical professional decide on the right treatment. Common treatments for ventricular tachycardia include medication or catheter ablation with radiofrequency ablation. If a person is in cardiac arrest, they may require immediate electrical defibrillation to restore a normal heartbeat. Nurse: Does the patient have palpitations at this point? Nurse connects the patient to cardiac monitor: What do you see? We will remind Social Security about new innovations. Innovation means the invention or use of new ideas, methods, equipment, etc. Diagnoses and treatment guidelines via the internet. On or before December 11, 2023, no one had circulated guidelines, questions, and answers on these issues the way Dr. Asif Qureshi had, who can guide 19 specific types of physicians www.qureshiuniversity.com/physicians.html What are various harms of executives who get large salaries not having the relevant skills and knowledge? Refer to the harms and negligence of others from January 1, 2019, until March 8, 2023. Healthcare executive did not have the skills and knowledge of a human being in a coma despite at least 6,806,029 individuals going into comas and dying between January 1, 2019, and March 8, 2023. Refer to the deaths from January 1, 2019, until March 8, 2023. They falsely gave viral infections as the cause of all these deaths. Not all of these deaths were due to viral infections. All auditors must know that there are at least 47 causes of comas that need proper treatment. Who all must be punished for these harms while they were responsible for these patients? What needs to happen at the executive level of the World Health Organization (WHO) on or after December 11, 2023? 1. Replace most executives for not having the skills and knowledge relevant to their executive jobs. 2. Provide worldwide medical education programs for specific medical doctors and healthcare administrators, displaying the guidelines, questions, and answers from Dr. Asif Qureshi. 3. Standardize essential medicines list in detailed questions and answers the way Dr. Asif Qureshi has done at www.qureshiuniversity.com/essentialmedicines.html. 4. Provide executive education relevant to universal healthcare worldwide, including the United States. 5. Replace most of the healthcare administrators at the executive level in Illinois and the United States for not having the skills and knowledge relevant to their executive jobs. At least 6,806,029 individuals went into a coma and died between January 1, 2019, and March 8, 2023. Healthcare administrators falsely gave viral infections as the cause of all these deaths. Not all of these deaths were due to viral infections. All auditors must know that there are at least 47 causes of comas that need proper treatment. Who all must be punished for these harms while they were responsible for these patients? |