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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Occasional Heart Palpitation?

So for a few years now I've been occasionally experiencing what I found out recently to be heart palputations. I've had an echo done and everything was fine they said. My doctor also said it was due to PMSing, but I experience it all month long, and it worsens with PMSing. Every time I have an "episode," it leaves me exhausted for days, which is terrible because it happens every few days. Basically, I'm tired all the time and I feel my heartbeat, which is irregular, all throughout my body. Nothing I do seems to help slow my heart down, and it gets worse when I try to sleep. I lost some weight when I was 16, and it became rare that I'd have this problem and I wouldn't get tired back then. I recently turned 18 and the episodes have been a lot more frequent and extreme in the past few months. Any ideas?
posted on Fri, 14 Mar 2014
Twitter Mon, 23 Jan 2017 Answered on
Twitter Mon, 23 Jan 2017 Last reviewed on
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Cardiologist,  's  Response
Hello,
This can be a cardiac arrhythmia like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holter monitoring. So visit nearby cardiologist for these investigation.
Also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard.
Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiological studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.
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What Causes Occasional Heart Palpitation?

Hello, This can be a cardiac arrhythmia like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. You will need 24 hour holter monitoring. So visit nearby cardiologist for these investigation. Also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard. Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiological studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.