Symptoms that commonly lead to suspicion of arrhythmia are palpitations, syncope, presyncope, or congestive heart failure. The physician must evaluate the patient's overall status rather than the rhythm disturbance in isolation.
What are the major indications for Holter monitors?
Detection of a suspected rhythm disturbance.
Syncope work-up.
Evaluation after myocardial infarction.
Evaluation of high-risk cardiac patient.
Risk stratification.
Evaluation after cardiac surgery.
Diagnosis of silent ischemia.
Diagnosis of suspected myocardial ischemia.
Evaluation of therapy, i.e. antiarrhythmic drugs, pacemaker function, cardiac ablation.
Evaluation of heart-rate variability.
However, even if there is nothing in particular identified as risky in your case, some people react badly to some of the techniques or products used during facials. One of these is microdermabrasion, a procedure used to remove dead skin by polishing.
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Microdermabrasion may create marks and rawness on anyone's face, but people with darker skin should be especially cautious about having it included in their treatments. People with darker skin pigmentation are more prone to side effects from various skin treatments, including hyper- or hypo-pigmentation, the appearance of dark or light skin spots that contrast with normal skin coloring. The additional melanin in their skin may better protect people with darker skin from the effects of the sun than fair-skinned people. However, darker skin is generally more sensitive to trauma or injury of any kind. The effects show more dramatically on darker skin, and an aesthetician should proceed cautiously. Darker skin also has a tendency to be drier, and extraordinary measures to combat dry skin may have negative effects. Products with particular fragrances can also cause eruptions or skin irritation. The FDA now requires testing of skin care products and procedures on people with varied skin coloring, before they will be approved for general use.
