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मेरे एंडोक्रिनोलॉजिस्ट अपॉइंटमेंट से पहले मुझे हाई हार्ट रेट और कुशिंग सिंड्रोम के बारे में क्या जानना चाहिए?
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Endocrine & Hormonal Imbalances
Question #29811
109 days ago
333

मेरे एंडोक्रिनोलॉजिस्ट अपॉइंटमेंट से पहले मुझे हाई हार्ट रेट और कुशिंग सिंड्रोम के बारे में क्या जानना चाहिए?

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उन्होंने मुझे संदिग्ध कुशिंग सिंड्रोम के लिए एक एंडोक्रिनोलॉजिस्ट के पास भेजा है। मेरी दिल की धड़कन बहुत तेज हो जाती है — सीढ़ियाँ चढ़ने से ही यह लगभग 180 तक पहुँच सकती है। मेरी परीक्षा कल है। मैंने पहले ही एक कार्डियोलॉजिस्ट को दिखाया है और मेरा दिल स्वस्थ है। कृपया मुझे कुछ आश्वस्त करने वाला बताएं।

How long have you been experiencing a high heart rate?:

- 1-4 weeks

How often do you experience these high heart rates?:

- Almost always

Have you noticed any specific activities that trigger your heart rate to rise?:

- No specific triggers

Do you experience any other symptoms when your heart rate is high?:

- No other symptoms

How would you describe your overall energy levels?:

- Low

Have you been under any significant stress lately?:

- Yes, a lot

What was the outcome of your previous cardiologist visit?:

- Heart is healthy, no issues found
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Doctors' responses

Hello dear See cushing syndrome is characterized by Hypertension Hyperglycemia Increased cortisol level So there will be increased bmr level Iam suggesting some tests Please share with endocrinologist for further evaluation Serum troponin Serum tsh Serum ferritin Serum LDH Chest x ray ECG echo Serum CRP Serum LDH Serum cpk mb Hopefully you recover soon Regards

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In cases of suspected Cushing’s syndrome, it’s typical to experience elevated heart rates. This is largely due to the effects excess cortisol can have on cardiovascular health. Cortisol, when produced in excess, can lead to increased blood pressure and changes in heart rhythm, so elevated heart rates during physical activity aren’t uncommon. Since the cardiologist has already assessed your heart and found it healthy, it’s reasonable to focus on other aspects. Your endocrinologist will likely want to measure cortisol levels to confirm the diagnosis, so be prepared for possible tests like blood samples, a 24-hour urine collection, or a low-dose dexamethasone suppression test. If Cushing’s syndrome is confirmed, treatment often involves pinpointing the source of the excess cortisol. It could be due to an adrenal or pituitary gland tumor, which can be confirmed through imaging studies, or it might be responsive to specific medications that the endocrinologist could recommend. Keep in mind that managing cortisol levels and addressing its root causes can help reduce symptoms like high heart rates, so getting a confirmed diagnosis is a positive first step toward proper treatment. In terms of preparation, make sure to note any new symptoms, medication usage, and family history you might have, as these details can be useful during the examination. It’s also worth discussing lifestyle factors with your doctor, such as diet and exercise, as these can affect both cortisol levels and cardiovascular health. Be sure to follow up on any suggested referrals or additional tests to fully address the Cushing’s if diagnosed. This comprehensive approach will help in finding an appropriate course of action and facilitate relevant treatment options.

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