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Suggest Ways To Rule Out Arrythmia

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Posted on Mon, 20 Nov 2017
Question: Hello again.
I know ilira doctor have alot of information on me. So maybe all of you can access it too
My question today is heart rythm during exersise
I was walking today and it was a rather long Walk, maybe an hour or so. I am å little ligheaded and i get Even more when walking. Should say that i do have rather low bloodpressure. Anyway. After about 20 minutes walking i get a bit higher heart rate as is normal, but i also then get disturbances in rythm
I get normal rythm and Every now and then i get thumps i will describe as such:
Normal : babam babam babam
But when walking and straining myself å little i get babam babamBAM! babam babam babamBAM!
And those BAM! Actually are hurting a bit.
This is a concern.
They dont feel like the regular ectopics
Also i get tight in the middle of chest and feel weak in the muscles.
I know that ectopics during exercise is bad
So what can this be. . . Made me a little scared and sad that my heart felt almost on the border to fail or go into arrythmia
doctor
Answered by Dr. Bhanu Partap (2 hours later)
Brief Answer:
Palpitations need further evaluation

Detailed Answer:
Hello Sir

After going through the medical details provided by you I can very well understand your concern and I would like to tell you that your symptoms are suggestive of some cardiac rhythm abnormality that can be ongoing transiently.

I went through your old records and came to know that you are dealing with this issue from a long time and need not say that this can be really bothering.

I know that by this time you have had undergone a lot of tests including Ecg's, Echo, Stress testing, Holter monitoring etc with have just shown some ectopics or some short runs of SVT as per your symptom explanations.

Here I would like to bring in picture the role of EPS ( Electrophysiological Study). Probably your doctor might have discussed this diagnostic modality with you as your symptoms are long standing.

This is basically a invasive test procedure in which your heart electrical system is provoked to generate abnormal rhythm so that the culprit pathway can be mapped and then ablated with the help of RFA.

This can be a solution to your problem.

Kind Regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Bhanu Partap (4 hours later)
Thank you.
Do you belive these i experienced while walking can be dangerous? Or is it just bothersome and unpleasant?
doctor
Answered by Dr. Bhanu Partap (41 minutes later)
Brief Answer:
Hello Again

Detailed Answer:
Although from your previous medical history details these looks like benign only with bigemny and ectopics. But there are slightly more chances of having any other sort of arrhythmia as compared to people who don't have any sort of palpitations.

So it's advisable to consult a Electrophysiologist and discuss your options.

Kind Regards
Dr Bhanu Partap
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
Answered by
Dr.
Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 4732 Questions

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Suggest Ways To Rule Out Arrythmia

Brief Answer: Palpitations need further evaluation Detailed Answer: Hello Sir After going through the medical details provided by you I can very well understand your concern and I would like to tell you that your symptoms are suggestive of some cardiac rhythm abnormality that can be ongoing transiently. I went through your old records and came to know that you are dealing with this issue from a long time and need not say that this can be really bothering. I know that by this time you have had undergone a lot of tests including Ecg's, Echo, Stress testing, Holter monitoring etc with have just shown some ectopics or some short runs of SVT as per your symptom explanations. Here I would like to bring in picture the role of EPS ( Electrophysiological Study). Probably your doctor might have discussed this diagnostic modality with you as your symptoms are long standing. This is basically a invasive test procedure in which your heart electrical system is provoked to generate abnormal rhythm so that the culprit pathway can be mapped and then ablated with the help of RFA. This can be a solution to your problem. Kind Regards Dr Bhanu partap