Brief Answer:
Possible electrolytes imbalance,need tests reports

Detailed Answer:
Hi,

I am sorry for the situation you are experiencing.

Having your heart skipping ever fourth beat is indicative for arrhythmic disorders of the heart. They are also called extra-systoles. I need to have your test reports for further evaluation.

I have noticed that you are taking Ratio Salbutamol for asthma. The use of Salbutamol is often associated with low potassium levels, which has the clinic of irregular heart beats as you are having now.

I need to know about your:
- electrolytes levels
- ECG report
- Holter monitoring test result
- diabetes testing
- lipid profile

in order to come into final conclusions.

For the moment, from what you are reporting, I''m thinking over possible electrolytes imbalance (low potassium levels) as possible cause to your skipping heart beat.

Looking forward to have your tests reports in!
Dr.Albana

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