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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heart Palpitations, Reoccurring, Skipping Beat. Normal Test Results. Advice?

I have been having heart palpations for about 3 months, they come and go. I was in the emergency and Tney told me there was nothing wrong with my meh art. I had a bladder infection and was dehydrated. Nothing seems to triggered them. They will go away for 4/5 days, then come back for 2/3 days. My blood pressure. Is good and my. Cholosteral is also good. The Dr. Said I had a extra beat. Tonight it was skipping a beat. I am on ate and and Atatnol, have been for years.
Tue, 30 Jul 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

They appear to be benign...
The dose of atenolol may have to be titrated...
You have not stated your personal habits, family history, or co-morbidities, even age or gender...which could influence the diagnosis and outcome...

Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / Vitamin D, calcium, magnesium / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma 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!

If you are concerned – EKG / HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance.
You may even need Electro Physiological Studies (EPS)
The treating doctor may suggest them depending on need, based on his assessment of the situation.

Take care     
Wishing speedy recovery
God bless
Good luck
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Heart Palpitations, Reoccurring, Skipping Beat. Normal Test Results. Advice?

Hi friend, Welcome to Health Care Magic They appear to be benign... The dose of atenolol may have to be titrated... You have not stated your personal habits, family history, or co-morbidities, even age or gender...which could influence the diagnosis and outcome... Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / Vitamin D, calcium, magnesium / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma 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! If you are concerned – EKG / HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance. You may even need Electro Physiological Studies (EPS) The treating doctor may suggest them depending on need, based on his assessment of the situation. Take care Wishing speedy recovery God bless Good luck