
Suggest Treatment For Ectopic Heart Beats Despite Having Normal Cardiac Tests

Your heart seems to be in normal conditions
Detailed Answer:
Hello!
Thank you for your question on HCM!
Regarding your concern, your heart seems to be in a normal condition without any cardiac disorders.
I would like to explain that it is common to have some pacs and pvcs in normal persons. They may be caused by anxiety or physical activity.
As you refer all the cardiac tests that you have done have shown a normal heart, and this is another reassurance fact. The Holter's results are normal findings and exclude any cardiac arrhythmia.
So relax! There is nothing wrong with your heart!
I recommend you to continue with the behavioral therapy to control your anxiety.
Hope to have been of help!
Feel free to ask any other questions whenever you need!
Greetings! Dr. Iliri


Your PACs are benign.
Detailed Answer:
Hi XXXX!
When frequent ectopic beats are an indicator or severe structural heart damage, it would be true that they are precursors of more complex and serious arrhythmia (including atrial fibrillation).
But this is not your case. You have a structurally normal heart, and yours are rare ectopic beats. So, things doesn't match for what you are so persevering disturbed.
At the end, even if you had a hypothetical atrial fibrillation scenario (which doesn't fit with your normal well being), optimally treated, it would not pose any serious dangers to your life. So relax!
Regards! Dr. Iliri


Your symptoms may be just anxiety, without any obvious cause
Detailed Answer:
Hi XXXX!
It is hard to predict that your palpitations (ectopic heart beats and those 3 or 4 consecutive running beats) are really true. That is, most of the referred palpitations feelings, when studied by ambulatory ECG come to be false alarms, without any clinical significance.
So the only way to confirm your currently frequent PACs, etc is to repeat a Holter monitoring. I would strongly advice to run this test.
I would also advice to consult with your doctor, to review the possibility of adding any appropriate anxiolytics to relieve your generalized bouts of anxiety, besides behavioral therapy.
I would like to explain that anxiety and panic attacks typically come out of the blue, without a specific cause.
Best wishes! Dr. Iliri


I recommend you to consult with the psychiatrist for the proper treatment
Detailed Answer:
Hello!
Ativan's effect is more as a sedative (sleep inducer) than anxiolytic. So it may cause sedation during the day and interfere with your daily activity.
Alprazolam would be more helpful as anxiolytic. But I would not recommend this drug for a long period, because it can cause addiction and tolerance ( higher doses needed for the same effect).
I recommend you to consult with the psychiatrist for a long term treatment like sertraline, which has no effect on the heart, and can help you win your battle with anxiety for a long time.
Hope to have been helpful!
Greetings! Dr. Iliri


That seems to be just anxiety.
Detailed Answer:
Dear XXXX!
PACs may be precursors of a supraventricular tachycardia in a pathological heart.
But your racing heart rate coupled with some ectopic heat and an uneasy stomach seems to be pure anxiety; it is called panic attack.
You can use Alprazolam to relieve these unpleasant episodes.
Regards! Dr. Iliri

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