<human>: My mom had a bad night 2 days backwhen she reported sweating/ breathing trouble and palpitation.. .this happened at around 3:30 AM. Later in the morning i took her for an ECG at around 9:30 AM.... and report shows Low Heart Voltage...... and since then she is feeling little low......Once in 2006 she was reported with Angina and Mild cardiac arrest... which was treated and then after she never encountered any such issue..... The reason of the then cardiac issues were stomach gas... and ischemia.....After then something bad like that happened 2days back... Note: 1.) She is Rehmatoid artheritis patient since 25 years almost nowAlso, she is Vit D deficient where the level is 13.2...... and she is already on the treatment for it... can you tell me what should i do at this stage
<bot>: Hello. Your details are unclear. As I got from your description that Your mother is known case of Angina (Stable/Unstable) since 2006. But you did not mention regarding any regular medicines for that. Also, your mother is known case of Rheumatoid arthritis for which she is taking medicines regularly. Now she suffered acute onset palpitation, sweating and breathlessness early in morning and ECG suggestive of almost normal that has been done after 6 hours. So in my opinion your mother is suffering from Unstable angina. And my advice to go for Streets Echocardiography and Angiography to confirm it. Meanwhile if such episodes occur then give her Tab arbitrate 5 mg sublingual stat. Thank You