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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heart Palpitations During Menstruation?

I m 41, and for the last year or so I ve been getting flutters, in what feels like my heart, behind my left breast. It usually only happens around or during my menstrual cycle, but not every mense. I ve been to my cardiologist, and he has looked it over, did a stress test, and a 30 day monitor and says everything looks fine, but gave me Nadolol 20 mg to take. I m still having them, why? What could it be? I ve read online that it could be hormones doing it, but my cardiologist looked at me funny and said that it doesn t have anything to do with the other.
Fri, 12 Apr 2019
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General Surgeon 's  Response
Hi,

Heart palpitations can be bothersome or frightening. They usually aren't serious or harmful, though, and often go away on their own.

Most of the time, they're related to stress and anxiety or to consumption of stimulants such as caffeine, nicotine, or alcohol. Anxiety is a feeling of apprehension, fear, or worry.

In rare cases, palpitations can be a sign of a more serious heart condition. immediate medical attention is required if along with palpitations, there is experience shortness of breath, dizziness, chest pain, or fainting.

Lifestyle changes, including stress management and the avoidance of common triggers, can help prevent them.

It would be good to do some tests; stress test like treadmill test or stress echo which would make picture Crystal clear. Echo is also beneficial to see if heart contractility is fine.

So you continue medicine which you are receiving and get one stress test done.

You should also have a healthy lifestyle like avoiding fatty, oily and high-calorie diet.

Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week.

If bp is persistently more than 140/90 mmhg, then you should be on medicines for it. Regular exercises like brisk walking, jogging according to your capacity atleast 30 min a day and 5 days a week.

Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity.

You need to take care of anxiety, use relaxation techniques like deep breathing, yoga, meditation etc. Get your sugars tested once if not tested earlier.

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

Take care

Regards,
Dr Ivan R. Rommstein, General Surgeon
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What Causes Heart Palpitations During Menstruation?

Hi, Heart palpitations can be bothersome or frightening. They usually aren t serious or harmful, though, and often go away on their own. Most of the time, they re related to stress and anxiety or to consumption of stimulants such as caffeine, nicotine, or alcohol. Anxiety is a feeling of apprehension, fear, or worry. In rare cases, palpitations can be a sign of a more serious heart condition. immediate medical attention is required if along with palpitations, there is experience shortness of breath, dizziness, chest pain, or fainting. Lifestyle changes, including stress management and the avoidance of common triggers, can help prevent them. It would be good to do some tests; stress test like treadmill test or stress echo which would make picture Crystal clear. Echo is also beneficial to see if heart contractility is fine. So you continue medicine which you are receiving and get one stress test done. You should also have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If bp is persistently more than 140/90 mmhg, then you should be on medicines for it. Regular exercises like brisk walking, jogging according to your capacity atleast 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn t abdominal fat deposition or obesity. You need to take care of anxiety, use relaxation techniques like deep breathing, yoga, meditation etc. Get your sugars tested once if not tested earlier. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon