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Suggest Treatment For Irregular Heartbeats
Question: From past one year I am feeling a strong beat in the heart. it does not happens regularly but the day it happens it takes place for few times. I will feel my heart either skip a beat or beat an extra pump in between normal beats. there is no specific time to it. It may happens when I am sitting or walking or driving vehicle. The skip a beat feels like a THUMP, a very hard beat, and then back to normal. The extra beat feels like my heart does a quick little flutter and then goes back to normal. I never feel pain, just thump for a half a second, then all is normal. I had gone through my Stress tests, 2D echo, TSH and appears normal. I was detected with high BP 2 years ago for which I was taking MT XL 50 mg and then I approached to homeopathy and now reduced the dosage to 12.5 mg over 6 months with normal BP. I am having the total cholesterol level of 233 and was diagnosed with vit b12 and d deficiency. currently B12 is at normal levels but D3 is having the count of 23 in Blood test report. please advice.
Brief Answer:
likey benign
Detailed Answer:
Hi friend
Welcome to Health Care Magic
A beat comes earlier than normal – this itself is not usually felt. The next beat is a bit delayed - longer time to recover from early extra beat – so heart fills more and the beat appears forcible – thud / lubb - - dubb - - lubb - - dubb - lub - - - DUBB /
Feeling of ‘dropping- skipping- missed- hard- fluttering-’ beat is called ECTOPIC or premature beats / palpitation and so on. Dysrhythmia (Arrhythmia is commonly used) is the name…
The first step is to see a Cardiologist… Irregular heartbeats 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 is 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 tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / and so on - may be responsible.... At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible!
Many cases of palpitation are benign, especially when associated with normal ECHO and may not require treatment, If you also have symptoms like blurred vision, dizziness, loss of consciousness, shortness of breath, chest pain along with this, you need further work up
B-12 and D-3 can easily be corrected by supplements… Cholesterol can be controlled by life style changes like diet and exercise; a drug like statin may be added, if still high… Your doctor will give appropriate prescription.
Stick to one system of medicine only…to avoid drug interaction and other issues.
If you wish to continue with Allopathy, stepping up the dose of metoprolol can help for the beats…
Your doctor can tailor the dose depending on heart rate and BP
Good luck
God bless you
likey benign
Detailed Answer:
Hi friend
Welcome to Health Care Magic
A beat comes earlier than normal – this itself is not usually felt. The next beat is a bit delayed - longer time to recover from early extra beat – so heart fills more and the beat appears forcible – thud / lubb - - dubb - - lubb - - dubb - lub - - - DUBB /
Feeling of ‘dropping- skipping- missed- hard- fluttering-’ beat is called ECTOPIC or premature beats / palpitation and so on. Dysrhythmia (Arrhythmia is commonly used) is the name…
The first step is to see a Cardiologist… Irregular heartbeats 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 is 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 tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / and so on - may be responsible.... At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible!
Many cases of palpitation are benign, especially when associated with normal ECHO and may not require treatment, If you also have symptoms like blurred vision, dizziness, loss of consciousness, shortness of breath, chest pain along with this, you need further work up
B-12 and D-3 can easily be corrected by supplements… Cholesterol can be controlled by life style changes like diet and exercise; a drug like statin may be added, if still high… Your doctor will give appropriate prescription.
Stick to one system of medicine only…to avoid drug interaction and other issues.
If you wish to continue with Allopathy, stepping up the dose of metoprolol can help for the beats…
Your doctor can tailor the dose depending on heart rate and BP
Good luck
God bless you
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Priyanka G Raj
Answered by
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