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I’m A 48 Year Old Woman. I Don’t Smoke Or

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Posted on Fri, 11 Jan 2019
Question: I’m a 48 year old woman. I don’t smoke or drink with no family or personal history of heart disease or heart attack. I’m going through peri menopause and have hypothyroid that is well controlled. I have been having continuous and persistent palpitations for six days now. I was seen in the ER twice two days apart. ECG showed PVCs but all other electrical conductivity was normal. Blood and urine labs were done both visits and triponin, electrolytes, potassium and thyroid were all normal. Peri menopause symptoms have been varied, wide reaching and extreme. Are the palpatations likely hormone induced? I take a low dose of bio progesterone, would an increase in dosage help reduce the palpatations? The ER doctor put me on 25 mg of Lopressor X-RAY 1x day to help ease the palpatations but it only seems to help a little. The ER doctors seemed relatively calm about the palpatations, should I not be overly panicked? I’m terrified I’m going to drop dead.
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Follow up: Dr. Olgeta Xhufka (0 minute later)
I’m a 48 year old woman. I don’t smoke or drink with no family or personal history of heart disease or heart attack. I’m going through peri menopause and have hypothyroid that is well controlled. I have been having continuous and persistent palpitations for six days now. I was seen in the ER twice two days apart. ECG showed PVCs but all other electrical conductivity was normal. Blood and urine labs were done both visits and triponin, electrolytes, potassium and thyroid were all normal. Peri menopause symptoms have been varied, wide reaching and extreme. Are the palpatations likely hormone induced? I take a low dose of bio progesterone, would an increase in dosage help reduce the palpatations? The ER doctor put me on 25 mg of Lopressor X-RAY 1x day to help ease the palpatations but it only seems to help a little. The ER doctors seemed relatively calm about the palpatations, should I not be overly panicked? I’m terrified I’m going to drop dead.
doctor
Answered by Dr. Olgeta Xhufka (44 minutes later)
Brief Answer:
Supposed stress induced PVC.

Detailed Answer:
Hello dear, welcome to Ask a doctor service.
I read your query and here is my advice.

I think you are over panicking at this moment.
Of course you will not drop dead.
A single Pvc usually do not cause any danger.
Pvc can occur in a healthy person at any age without a significant cause.
Taking in consideration that all other tests come out normal I don't think there is a significant condition or disease of your heart causing it.
I think this situation may be due to stress and due to your natural hormone changes.
I don't believe taking oral progesterone or estrogens will calm it.
Taking lopressor ( metoprolol) is the right way to treat it. Metoprolol is a b blockers used to regulate the abnormal fast heart rhythm.
I think this situation will soon calm down.
Anyway if it still persists or Pvc are very frequent an heart ultrasound is recommended to see the conditions of your heart that may be causing it.

Hope I have answered the question
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Olgeta Xhufka (0 minute later)
Brief Answer:
Supposed stress induced PVC.

Detailed Answer:
Hello dear, welcome to Ask a doctor service.
I read your query and here is my advice.

I think you are over panicking at this moment.
Of course you will not drop dead.
A single Pvc usually do not cause any danger.
Pvc can occur in a healthy person at any age without a significant cause.
Taking in consideration that all other tests come out normal I don't think there is a significant condition or disease of your heart causing it.
I think this situation may be due to stress and due to your natural hormone changes.
I don't believe taking oral progesterone or estrogens will calm it.
Taking lopressor ( metoprolol) is the right way to treat it. Metoprolol is a b blockers used to regulate the abnormal fast heart rhythm.
I think this situation will soon calm down.
Anyway if it still persists or Pvc are very frequent an heart ultrasound is recommended to see the conditions of your heart that may be causing it.

Hope I have answered the question
Let me know if I can assist you further.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Olgeta Xhufka (58 minutes later)
i am having 20-40 PVCs a minute and this has been going on for the last six days. how dangerouse is this? i am not having any shortness of breath, no dizziness nor lightheadedness. Ive had PVCs off and on throughout my life but never more than a few a day a couple times a year. Now with 20-40 PVCs a minute for six days, this just seems like way to many to not be dangerouse.
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Follow up: Dr. Olgeta Xhufka (0 minute later)
i am having 20-40 PVCs a minute and this has been going on for the last six days. how dangerouse is this? i am not having any shortness of breath, no dizziness nor lightheadedness. Ive had PVCs off and on throughout my life but never more than a few a day a couple times a year. Now with 20-40 PVCs a minute for six days, this just seems like way to many to not be dangerouse.
doctor
Answered by Dr. Olgeta Xhufka (1 hour later)
Brief Answer:
Doing a 2d (heart) ECHO (ultrasound) is more reasonable

Detailed Answer:
Hello again dear and thank you for asking again.

Having 20-40 Pvc in a minute is high but still, this is not enough evidence to say that it is not benign or not stress origin or caused by heart disease.

You should do an ECHO of heart to see heart conditions.

Regards


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Olgeta Xhufka (0 minute later)
Brief Answer:
Doing a 2d (heart) ECHO (ultrasound) is more reasonable

Detailed Answer:
Hello again dear and thank you for asking again.

Having 20-40 Pvc in a minute is high but still, this is not enough evidence to say that it is not benign or not stress origin or caused by heart disease.

You should do an ECHO of heart to see heart conditions.

Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
Answered by
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Dr. Olgeta Xhufka

General & Family Physician

Practicing since :2011

Answered : 10114 Questions

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I’m A 48 Year Old Woman. I Don’t Smoke Or

I’m a 48 year old woman. I don’t smoke or drink with no family or personal history of heart disease or heart attack. I’m going through peri menopause and have hypothyroid that is well controlled. I have been having continuous and persistent palpitations for six days now. I was seen in the ER twice two days apart. ECG showed PVCs but all other electrical conductivity was normal. Blood and urine labs were done both visits and triponin, electrolytes, potassium and thyroid were all normal. Peri menopause symptoms have been varied, wide reaching and extreme. Are the palpatations likely hormone induced? I take a low dose of bio progesterone, would an increase in dosage help reduce the palpatations? The ER doctor put me on 25 mg of Lopressor X-RAY 1x day to help ease the palpatations but it only seems to help a little. The ER doctors seemed relatively calm about the palpatations, should I not be overly panicked? I’m terrified I’m going to drop dead.