
Felt A Heart Skip And Had Cough, Going To Pass Out. What Does It Indicate?.

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Skipped beats are common and often may be normal. If the pause is long, 'near-syncope' can occur...because of reduced blood flow...
It is advisable to have it investigated. A thorough history and physical examination is the first step -
ECG (Electrocardiogram / EKG) – Routine 12-lead – is part of clinical examination. Irregular heart beats need to be DOCUMENTED by ElectroCardioGram (EKG). Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode occurs randomly or precipitated by a specific activity like exercise, one needs Holter or event monitor. Holter records for days; Event monitor for weeks / Holter records continuously / Event monitor only at certain times .
Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much coffee, cola) / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma / Fever / Thyroid / Vitamin D, calcium and magnesium may all have a role... At times, abnormal nerve paths in the heart (bypass tracts) are responsible!
TMT (Treadmill exercise ECG) is done to exclude Ischemia (reduced blood flow).
LABORATORY work-up is routine - like blood counts, sugar, urea, electrolytes (potassium in particular), thyroid (over-active) and so on. Your Internist shall suggest based on the situation.
Take care
Wishing speedy recovery
God bless
Good luck

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