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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Persistent Heart Palpitations In A 42 Year Old Woman?

Hello, I am a 42 year old woman and I have no history of heart issues. For the past week I have been having heart palpitation where my heart beat super fast, so fast It feels like it is in my throat. This is accompanied with temple pain! It even keeps me up at night!! I don t want to be to paranoid but is this signs of a heart condition? Can you please assist?
Mon, 12 Sep 2016
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General & Family Physician,  's  Response
Common causes of racing heart or palpitation include: strong emotional responses, such as fear, stress or anxiety, strenuous exercise, caffeine, nicotine, fever, taking cold and cough medications that contain pseudoephedrine, a stimulant and taking some asthma inhaler medications that contain stimulants. Occasionally heart palpitations can be a sign of a serious health problem, such as an overactive thyroid gland (hyperthyroidism) or an abnormal heart rhythm (cardiac arrhythmia). Arrhythmias may include very fast heart rates (tachycardia), unusually slow heart rates (bradycardia) or an irregular heart rhythm.
Advice
1.     Alprazolam 0.25 mg per oral at bed time for 15 days
2.     Avoid tea, coffee, alcohol and smoking
3.     Investigation – ECG at the time of heart palpitation
4.     Consult a cardiologist
Thanks
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What Causes Persistent Heart Palpitations In A 42 Year Old Woman?

Common causes of racing heart or palpitation include: strong emotional responses, such as fear, stress or anxiety, strenuous exercise, caffeine, nicotine, fever, taking cold and cough medications that contain pseudoephedrine, a stimulant and taking some asthma inhaler medications that contain stimulants. Occasionally heart palpitations can be a sign of a serious health problem, such as an overactive thyroid gland (hyperthyroidism) or an abnormal heart rhythm (cardiac arrhythmia). Arrhythmias may include very fast heart rates (tachycardia), unusually slow heart rates (bradycardia) or an irregular heart rhythm. Advice 1. Alprazolam 0.25 mg per oral at bed time for 15 days 2. Avoid tea, coffee, alcohol and smoking 3. Investigation – ECG at the time of heart palpitation 4. Consult a cardiologist Thanks