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Heart Rate Pulse Elevated Fibulations Shown by Heart Monitor Eratic

0503 -
0503 -    ..
0504 - Summary/Objective
0505 -
050501 - Follow up ref SDS 5 RV78.
050502 -
050503 -
050504 -
050505 -
050507 -  ..
0506 -
0507 -
0508 - Progress
0509 -
050901 - Erratic Rise Heart Beat - Pulse
050902 -
050903 - Millie reported that last night while sleeping, or just before
050904 - sleeping with her head on the pillow, she became aware of her heart
050905 - beat suddenly increasing significantly.  She had the sensation of
050906 - hearing a sudden increased pulse rate.  This only lasted 10 seconds or
050907 - so.  It was a startling new experience.
050909 -  ..
050910 - She further related that in the past week or so, she recognized from a
050911 - heart monitor she wears during aerobic exercise at the gym that her
050912 - heart beat suddenly escalated significantly to about 200.  She took
050913 - the precaution of slowing her exercise compared to the class.  Heart
050914 - rate quickly reduced to normal below 140, as shown on the monitor.
050916 -  ..
050917 - Hiking at Lafayette reservoir has a series of hills, some fairly
050918 - steep.  Millie has noticed that her heart rate sometimes increases to
050919 - about 140 when climbing these hills, and then quickly settles back at
050920 - the top of the incline to below the upper target of 130 for her age,
050921 - then continues to drop into a range below 120.
050923 -  ..
050924 - Recently, while hiking she experienced a spike to 202, then the rate
050925 - subsided back to below 130, as usual.
050926 -
050927 -            [On 081012 pulse elevated to maximum of 224, and remained
050928 -            high for most of 2 laps, then returned to normal on the 3rd
050929 -            lap. ref SDS 6 FL7M
050931 -  ..
050932 - There have been no evident physicial effects from reported increases
050933 - in heart rate.  Except for "hearing" the increased pulse in bed, the
050934 - one increase while working out in the gym, and the increase yesterday
050935 - while hiking the reservoir did not affect performance in any way.  She
050936 - did not actually feel her pulse increase, for example with heavier
050937 - breathing or extra effort, she did not over heat -- felt nothing.  It
050938 - seemed that only the heart monitor registered the spike.
050940 -  ..
050941 - Last year, Millie had several similar experiences of the heart monitor
050942 - reporting severe spikes while hiking at Lafayette reservoir.  At that
050943 - time, Millie believed the heart monitor was defective, because, like
050944 - these two recent episodes, she was not aware of physicial sensation
050945 - that might reflect actual severe increased heart rate.  She changed
050946 - the batteries and exchanged or replaced some of the equipment.  This
050947 - seemed to resolve repeated, but occassional severe spikes in heart
050948 - rate, until the most recent episodes, per above. ref SDS 0 PQ6L
050950 -  ..
050951 - Concern about heart rate elevated with the experience of "hearing"
050952 - pulse increase while in bed, so far on just one occassion.  Prior
050953 - concerns reported to medical team shown in case study on 071228.
050954 - ref SDS 2 HX4F
050956 -  ..
050957 - This raises a question about whether the equipment was really
050958 - defective, or whether some condition is beginning to form to cause
050959 - periodic short-term heart problems that should be reviewed?  Possible
050960 - correlations with medical tests reporting cardio-pulminary issues
050961 - include...
050962 -
050963 -                                     CT Test  Reviewed
050964 -
050965 -        1.  Patchy areas increased
050966 -            opacity right lower
050967 -            lobe.................... 080425... 080428, ref SDS 5 RV78
050969 -             ..
050970 -        2.  New Increased Densities
050971 -            Right Middle Lobe....... 080212... 080215, ref SDS 4 RV78
050973 -             ..
050974 -        3.  Developing infiltrate within
050975 -            the lung cannot be excluded.
050976 -            Patchy ill defined areas of
050977 -            increased density are seen in
050978 -            the right lower lobe,
050979 -            unchanged from previous
050980 -            exam.................... 080212... 080215, ref SDS 4 RV78
050982 -             ..
050983 -        4.  Slightly enlarged
050984 -            heart................... 071210... 071213, ref SDS 3 SR5I
050986 -             ..
050987 -        5.  Atelectasis lung
050988 -            issues.................. 071210... 071213, ref SDS 3 SR66
050990 -             ..
050991 -        6.  Exam was technically
050992 -            adequate to determine
050993 -            presence of a pulmonary
050994 -            embolism................ 060930... 061012, ref SDS 1 294Q
050996 -             ..
050997 -        7.  Right ventricle enlarged
050998 -            measuring greater diameter
050999 -            at the level of the tricuspid
051000 -            valve and the left ventricle
051001 -            at the level of the
051002 -            mitral valve............ 060930... 061012, ref SDS 1 7E5L
051003 -
051005 -  ..
051006 - Research on arterial fibulations says in part...
051007 -
051008 -        Arterial fibulation is the general term used to describe a
051009 -        variety of disorders in the electrical workings of the heart.
051010 -        The two most common forms of arterial fibulation are atrial
051011 -        fibulation and ventricular fibulation.
051013 -         ..
051014 -        Arterial fibulation affects the way muscles in the heart beat,
051015 -        causing them to quiver or flutter rather instead, when the
051016 -        electrical rhythm of the heart malfunctions. As we age we
051017 -        become more susceptible to heart disorders characterized by
051018 -        fibulations, as our natural pacemakers which are built into
051019 -        our hearts begin to lose their rhythm. In a healthy heart
051020 -        there is an electrical charge that follows a path through the
051021 -        heart about 60 to 100 times per minute. As this electrical
051022 -        charge finds its way from one side of the heart to the other,
051023 -        the muscles it comes in contact with contract. When this works
051024 -        right the muscles contract in unison, causing the heart to
051025 -        beat. When the electrical signal is disrupted it can lead to
051026 -        arterial fibulations in the heart.
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0511 -