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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Missed Heart Beats?

Hi I just received my 24 hour holter monitor results and I have very frequent (53%) ventriulcar ectopy including mutliple (4564) couplets and frequent (2256) runs (3-4 beat) of non sustained ventricular tachycardia, rates up to 170bpm. Amongst this one dominant morphology. I don t know what this all means but I am worried and my cardioligist has brought my next appointment forward from June to the end of March. Prior to this 12 months ago the frequency was 15%. I am on beta-blockers and feel fine otherwise and dont really notice my heart missing beats too often. Based on all this should I be concerned as I am feeling anxious. Regards Andrew
Mon, 29 Oct 2018
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Internal Medicine Specialist,  's  Response
Hello,

You may be suffering from ventricular ectopics. Couplets are one type of ectopic beat in which there are two premature complexes in a row.

If you're symptomatic, you need to get treated. Common causes are cardiac structural, functional defects, electrolyte imbalance, hyperthyroidism, hypomagnesemia, hypocalcemia etc.

Please consult your physician/cardiologist he will examine and treat you accordingly.

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

Regards,
Dr. Penchila Prasad Kandikattu,
Internal Medicine Specialist
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What Causes Missed Heart Beats?

Hello, You may be suffering from ventricular ectopics. Couplets are one type of ectopic beat in which there are two premature complexes in a row. If you re symptomatic, you need to get treated. Common causes are cardiac structural, functional defects, electrolyte imbalance, hyperthyroidism, hypomagnesemia, hypocalcemia etc. Please consult your physician/cardiologist he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist