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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Cause For Palpitations After I Eat?

I am 30 years old have always been healthy, out of the blue I had a fast pounding heart and nothing else while I was at work. I thought it was something I ate or stress. It worried me and I was reluctant to call the doctor because I didnt have insurance and because I was thinking the worst. After that instance I had a few more episodes of rapid heart and pounding heart, after one episode I did get chills and nausea. Then after about an hour it all went away. I have since went to the cardiologist and he has done lab work and a holter monitor test, echo, and has me scheduled for a stress test. He put me on diltiazem to slow my heart and help lower the BP. I feel as though the blood pressure has dropped but the palpatations or tachycardia still comes generally after I eat. I have never been a big salt person so my diet was minimal salt, and I cut out coffee and soda all together. If I drink anything its water, juice or tea. The palpatations after eating really worry me because it comes almost every time I eat a big meal which is my dinner. My lunch and breakfast are light and healthy. Oh and to my knowledge all tests that have been done have come back ok.
Thu, 23 Apr 2015
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General & Family Physician 's  Response
Hi Welcome to HCM.
I understand your query and concern.
Palpitations in your case can be a definite feature of heart rhythm disturbances.Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way.Few drugs like beta blockers are certainly known to reduce the heart rate and accelerate the dizzy spells.I advise you to have a complete 24 hour holter ECG which can accurately determine the cardiac conduction abnormalities.Monitor your blood pressure and heart rate.Drugs like Isoproterenol will help to increase the heart rate.Drugs like amiodarone can also help to minimise the rhythm irregularities.A 2 Dimensional echocardiography will help to assess the functional reserve of the heart ruling out organic heart lesions.Electrophysiological study and Radiofrequency ablation will also help to eliminate abnormal foci of rhythm.
Consult your cardiologist for expert management.
Post your further queries if any,
Thank you.
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What Is The Cause For Palpitations After I Eat?

Hi Welcome to HCM. I understand your query and concern. Palpitations in your case can be a definite feature of heart rhythm disturbances.Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way.Few drugs like beta blockers are certainly known to reduce the heart rate and accelerate the dizzy spells.I advise you to have a complete 24 hour holter ECG which can accurately determine the cardiac conduction abnormalities.Monitor your blood pressure and heart rate.Drugs like Isoproterenol will help to increase the heart rate.Drugs like amiodarone can also help to minimise the rhythm irregularities.A 2 Dimensional echocardiography will help to assess the functional reserve of the heart ruling out organic heart lesions.Electrophysiological study and Radiofrequency ablation will also help to eliminate abnormal foci of rhythm. Consult your cardiologist for expert management. Post your further queries if any, Thank you.