Hello Dr Rynne, I am a nurse with ICU background. My best friend and fellow nurse had a dry cough today and I asked her if she was getting sick. She said for the past week off and on, she feels like she is having palpitations. When she coughs, the heart rate drops but she then is missing beats. When I took her pulse, I would say a 2 beat pause (PVC???). I asked her to call her PCP and get an order for an EKG. I suggested she go to the hospital for the EKG when she is having her coughing episodes that can last a few moments to hours. We live approximately 15 minutes away from a hospital that has walk-in testing. This is paroxysmal tachycardia of some type, yes? no? What do you think it is? Thank you, Nita