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Extrasystole - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Valvular Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   6 months ago I saw my doctor with a complaint of 'skipped heart beat' which was diagnosed, based on my description, as an extrasystole. At that time I was experiencing a couple each week. This morning however, for the first time there was a period of about 10 minutes where I experienced this same feeling of a skipped beat but it happened every 5-10 beats, then subsided. Any suggestions as to what this all about? Do I need re-evaluation by my doctor?
Doctor :   Hi
Doctor :   please give me a couple of mins to read the query.
Doctor :   may i know your age ?
User :   i am 31
Doctor :   may i know your gender ?
User :   female
Doctor :   ok , have you done any investigation before with respect to the heart?
User :   no, my doctor diagnosed extrasystole just by asking me questions and my description of symptoms and listened to my heart
Doctor :   do you have high blood pressure /
Doctor :   are you with me ?
User :   no, but did have hypertension at the end of a pregnancy
Doctor :   ok , any thyroid dysfunction , or any other problems ?
User :   not that i am aware of
Doctor :   ok
Doctor :   did you experience any chest pain , fainting attacks or any breathlessness so far?
User :   no not at all. apart from feeling anxiety about what was happening i felt ok
Doctor :   ok
Doctor :   may i know if you are on any medicines presently for any condition ?
User :   just a depo contraceptive injection, but otherwise nothing
Doctor :   ok
Doctor :   let me explain it to you
Doctor :   an extrasystole is not worrysome most of the times
Doctor :   but if it has an underlying cause then it can lead to arrythmias and the likes
Doctor :   where in the heart beat paces to great heights
Doctor :   sometimes anxiety, variations in blood pressure , intake of caffeine , coffee, tea , and thyroid dysfunction may cause this
Doctor :   other wise we have to look for cardic problems before we call it normal
Doctor :   i would suggest you get an ECG for now
Doctor :   that will reveal the heart function and if the systoles were of significance
Doctor :   it would be wise to re view this again with your doctor with an ECG and a blood pressure examination
Doctor :   generally we take action of the skipped beats happen for very 3 beats and investigate further
Doctor :   Hence I feel , it is better to get it investigated thoroughly
User :   ok, thankyou.
Doctor :   i hope i answered your questions
Doctor :   are there any more questions you want me to help you with ?
User :   do you think it acceptable to see my dr in the next few days? or is it of more urgency?
Doctor :   you can take an appointment
Doctor :   but if you experience fainting attacks , chest pain , severe palpitations , sweating , any of this , you may need to visit the ER
Doctor :   meanwhile do not consume caffeine containing beverages like coffee, tea , etc
User :   ok, thankyou for your assistance
Doctor :   so , i would suggest an early examination , ECG will be helpful
Doctor :   i hope i was able to help you
Doctor :   thank you for consulting me
User :   thankyou
Doctor :   pleasure here
Doctor :   take care
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