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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Rapid Heart Rate And Anxiety

Hello....i have had 3 episodes over the last 7 months where my heart feels like it beats quickly and harder for about 6-7 beats then goes back to normal....usually if i take a deep breath. I have had 2 EKG s done and all seems fine with that...i have been told not to worry too much, as anxiety can cause heart palps, but we have heart disease in our family and it worries me. There is no pain and no other symptom, i have although been VERY aware of my heart beat since the first episode and can t get it out of my mind. is this something normal or should i be worried? I am 39 and have hashimotos hypothyroid but otherwise healthy, myblood pressure goes up when i worry about it.
Fri, 1 Mar 2019
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Cardiologist 's  Response
Hi,

Rapid heartbeat and palpitations could be abnormal arrhythmia in you as you are a patient of Hashimoto.

Abnormal arrhythmias are very common in patients with hypo or hyperthyroidism. So you definitely should be evaluated properly.

As you said your ECG turned out to be normal each time, I will advise you to first get a longer duration ECG done which we call as Holter monitoring. It records the ECG for 24-48 hrs continuously.

Definitive diagnosis can only be made after the result of Holter monitoring. But for such patients, we generally start with Tab Diltiazem 30mg twice daily to start with.

I would also recommend you to get a 2D Echo done to rule out any possible underlying cardiac structural abnormality.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sameer Maheshwari, Cardiologist
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Cardiologist Dr. Ilir Sharka's  Response
Hello,

I understand your concern and would explain that your symptoms do not seem to be related to any cardiac disorders.

For this reason, I would first recommend checking thyroid hormone levels in order to exclude any possible thyroid gland dysfunction.

It is also necessary for performing an ambulatory 24-48 hours ECG monitoring in order to completely exclude possible cardiac arrhythmia.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ilir Sharka, Cardiologist
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Suggest Treatment For Rapid Heart Rate And Anxiety

Hi, Rapid heartbeat and palpitations could be abnormal arrhythmia in you as you are a patient of Hashimoto. Abnormal arrhythmias are very common in patients with hypo or hyperthyroidism. So you definitely should be evaluated properly. As you said your ECG turned out to be normal each time, I will advise you to first get a longer duration ECG done which we call as Holter monitoring. It records the ECG for 24-48 hrs continuously. Definitive diagnosis can only be made after the result of Holter monitoring. But for such patients, we generally start with Tab Diltiazem 30mg twice daily to start with. I would also recommend you to get a 2D Echo done to rule out any possible underlying cardiac structural abnormality. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameer Maheshwari, Cardiologist