Two days ago woke up at 3AM pouring sweat with a fast and highly irregular heartbeat and high bp. At 7am it was still skipping jumping and my pulse oximeter could hardly get a reading. Sweating only lasted 45 minutes and no chest pain, however with BP still high 165/110 pulse 115 and arrhythmia symbol on BP monitor .and totally irregular pulse all whilst laying down continuing...... I went to the heart hospital Queen Sirkit kku.
This place at 8am has turned into an incredible crowd scene the Premium clinic previously tranquil was now packed to rafters no seats total mayhem in the morning be warned and no doc after 11-am.
Eventually given ECG in ER showing HR 132BPM and this my first abnormal ECG was AFIB . referred back to premium clinic mayhem area for blood tests, 3 hours later test results showed TroponinT was 15 ngl just over the upper normal limit, last test year ago 7.9 .
Incredibly rushed Doc referred me back to ER and seemed not interested maybe because of lack of chest pain, however another doc took over and suggested instead of ER, go home come back in two days at regular evening clinic repeat Ecg and Troponin T, chest Xray and suggested doing a NT-pro BNP test., which I am wondering is this the gold standard heart blood test and how much it would cost roughly?
Also with a repeat trop T test 2 days on is it best that decreases dramatically or slightly ? obviously hoping for a ECG normal this time if not and still AFIB i will have to accept the offer of de- coagulants he prescribed Xarelto at 95 baht a day must be a cheaper alternative Warfarin?
Thanks for any input.