Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Remedy For Ectopic Heartbeats And Palpitations
Question: Im a 25 yr old male who exercise 4 times a week I don't consume alcohol neither caffeine or supplements. I have an okay diet I sleep well but for the past 4 months I have felt heart palp ectopic heartbeats my heart is skipped beats it feel really strange its really bothering and it freaks me out it happens really often when im laying down or just after I have meals it doesn't happen when im exercising tho, ok so my first ekg came abnormal and I went and saw a cardiologist my stress test was ok my echocardiogram ok as well my second ekg came ok and holter monitor they told me a had some slow heart beats with pauses that it could be and electrical problem so I consulted an electrophysiologist for a second opinion and he said those slow heart beats were normal so he sent me home but I been still feeling my heart skipping a beat it feels like my heart pauses for a second or two and its starts with a thumping beat I can feel it in my chest to my neck I don't what to.
I dont know what to do you I consult my electrophysiologist again?
I dont know what to do you I consult my electrophysiologist again?
Brief Answer:
Reassurance
Detailed Answer:
Greetings! Thank you for your question and welcome to HCM. I carefully read your query.
I will take the approach of explaining this phenomenon. an extrasystole (ectopic heart beat) is an electrical impulse firing from a random part of the heart muscle, and not from the sinus node - its natural pacemaker. This heart beat is followed by a brief pause, and sinus node "takes over" by firing a more forceful heart beat. This is accompanied with a thump on chest, with a sensation that "my heart is coming out of my throat". It is normal to feel a certain amount of anxiety and "freaking out" after this happens. It can happen to anybody and, to be honest, I myself sense them sometimes. They can be triggered after a vigorous physical activity, psychological stress and anxiety, and various physiological hormonal level changes that happen to the human organism during a day, after consuming caffeine-containing beverages, tobacco, alcohol etc.
Now, if there were something wrong with the heart electrical abd conduction system in a 25-year old, a simple track of EKG would depict the problem, with highest probability. If there would be another problem generating this phenomenon, it would be seen on echocardiogram or on the cardiac stress test. Therefore, my opinion is that there is nothing to worry about and you should continue your healthy, physically active lifestyle, with reduction of caffeine, tobacco and alcohol (if you consume them). Also, the slow heart rate registered in the 24-hour monitor is probably due to physiological changes I described above.
If this becomes a very worrisome event that produces excessive amount of psychological stress or anxiety, which affects your quality of life, study or work, I would recommend you to be started on a short course of low-dosage sedatives, but only after consulting a clinical psychologist.
I hope I was helpful and thorough with mya answer. I am happy to help, if you have further question. Please rate my answer, if you do not.
My best regards,
Dr. Meriton
Reassurance
Detailed Answer:
Greetings! Thank you for your question and welcome to HCM. I carefully read your query.
I will take the approach of explaining this phenomenon. an extrasystole (ectopic heart beat) is an electrical impulse firing from a random part of the heart muscle, and not from the sinus node - its natural pacemaker. This heart beat is followed by a brief pause, and sinus node "takes over" by firing a more forceful heart beat. This is accompanied with a thump on chest, with a sensation that "my heart is coming out of my throat". It is normal to feel a certain amount of anxiety and "freaking out" after this happens. It can happen to anybody and, to be honest, I myself sense them sometimes. They can be triggered after a vigorous physical activity, psychological stress and anxiety, and various physiological hormonal level changes that happen to the human organism during a day, after consuming caffeine-containing beverages, tobacco, alcohol etc.
Now, if there were something wrong with the heart electrical abd conduction system in a 25-year old, a simple track of EKG would depict the problem, with highest probability. If there would be another problem generating this phenomenon, it would be seen on echocardiogram or on the cardiac stress test. Therefore, my opinion is that there is nothing to worry about and you should continue your healthy, physically active lifestyle, with reduction of caffeine, tobacco and alcohol (if you consume them). Also, the slow heart rate registered in the 24-hour monitor is probably due to physiological changes I described above.
If this becomes a very worrisome event that produces excessive amount of psychological stress or anxiety, which affects your quality of life, study or work, I would recommend you to be started on a short course of low-dosage sedatives, but only after consulting a clinical psychologist.
I hope I was helpful and thorough with mya answer. I am happy to help, if you have further question. Please rate my answer, if you do not.
My best regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
