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Irregular heart rate - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Heart Rate and Rhythm Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   I wanted to know if it is possible for your heart to actually really skip a beat. Or, is it always an extra beat or extra beats too early with a pause and then a more forcrful beat. And I would also like to know why some of these skip beats or extra beats feel worse or more alarming than others. Why do some feel different than others. This is really alarming and taking over my life. I have just got through wearing an event recorder from cardio net for 10 days that monitored my heart the whole time, and while I was wearing it, it skipped or did the extra beat some but now the day after I removed it, it has started the scary skipping all over again. Why would it only do this when I am not wearing it? How am I ever going to get it documented the way I really feel it and the way it really does?
User :   Hi
User :   Hi
User :   Let me read the query.
User :   ok
User :   I am female 49 yrs of age
User :   non smoker
User :   mitral valve prolapse
User :   svt
User :   and atrial septal anuerysm
User :   no caffeing
User :   caffeine
User :   Skip beats can happen in some conditions when the SA Node from where the hear beat originates fail to trigger the beat.
User :   I have a yearly echo
User :   It is difficult to clinically to differentiate these from the pause following an extra beat, unless documented.
User :   but can it actually skip
User :   However if your pulse rate is lower than the normal then probably the symptoms may be due to skip heart beat and not the pause.
User :   Yes. As I mentioned it is possible.
User :   when you say skip beat, meaning it actually doesnt beat for a while
User :   like it just quit for a second
User :   There is a medical condition known as sick sinus which is associated with skip heart beats or missing heart beats and not the pause following an extra beat.
User :   is it more dangerous to skip or do the extra beat
User :   It is more dangerous condition requiring pace makers.
User :   They are not common compared to the other.
User :   Have you followed?
User :   if you wore a holter monitor what would it read to say it was a actual skip beat
User :   yes I have followed
User :   I ask this question because it was showing that my heart paused for 2.1 seconds
User :   this came after a group of three beats
User :   not sure what that meant
User :   The difference can be made by looking at the EKG rhythm and not by the statement that is produced.
User :   but it said three beats at bpm at 231
User :   You doctor who is going to read the holter will be able to differentiate among these two easily.
User :   and a pause for 2.1 seconds
User :   It is probably a pause following the extra beats then and not the skip/missing beats.
User :   ventricular tachyardia
User :   Sick sinus produces bradycardia low heart rate and not high heart rate.
User :   May I know were you diagnosed by the doctor that you have ventricular tachycardia or is it the machine printed report.
User :   I was told it could be a marker for it
User :   but was unsustained
User :   Ok
User :   is that bad
User :   A ventricular tachycardia needs to be treated early.
User :   It seems you have moved out of the chat window. Please log in back if you have medical queries.
User :   am here
User :   I timed out
User :   Hi
User :   had to pay again for 15 minutes
User :   Unsustained Ventricular tachycardia may need treatment depending on the frequency of those tachycardia.
User :   I guess I am confused to whether I am having some ventricular tachyardia or just extra beats
User :   It happens severaly times a day
User :   they didnt seem to be alarmed because they said it was unsustained
User :   Let me explain the basics.
User :   ok
User :   Ventricular tachycardia is the medical condition.
User :   ok
User :   It refers to heart beating rapidly.
User :   ok
User :   wouldnt I feel it though if it were beating rapidly
User :   Due to this rapid heart beats, the physiological response is the pause in the heart beat.
User :   Any form of tachycardia, if it is rapid can cause this pause.
User :   and what is this pause called
User :   vt
User :   The problem is not those pause, it is those rapid heart beats that needs attention.
User :   VT refers to ventricular tachycardia.
User :   but why do they say if they come in groups of three then they are dangerous and could be a sign of vt
User :   I know
User :   I have been diagnosed with svt several years ago
User :   with a heart rate of 272 and sometimes 300
User :   but I didnt ever feel the skipped beat thing
User :   just the fast heart rate which woulld last for a few minutes then go away
User :   Are you on medications for svt?
User :   they put me on tenormin
User :   yes , for 29 yrs
User :   but I never felt the skip or pause thing
User :   only now
User :   and heart rate not high now
User :   so what is the group of three thing reading with bpm of 231 and pause of 2.1 seconds
User :   and that is when I marked it on the diary
User :   exactly when the group of three happened
User :   A VT is considered when the heart rate exceeds more than those of the svt, generally above 300beats per minute.
User :   When this happens, then the physiological response is the pause.
User :   ok, havent had any of those
User :   So according to your reports, those pause used to happen for every 3 beats.
User :   so the group of three thing with the pause thing and bmp of 231 is what or means what
User :   is that dangerous or alarming
User :   because they didnt seem to be alarmed
User :   so it doesnt meant that my hear beat was 231 for 3 beats
User :   That means the recorded heart beats were 231 per minutes which does not include those pause.
User :   and then did the pause for 2.1 seconds
User :   how can it be 231 for 3 beats
User :   So if you were to have those pauses for every 3 beats would mean that you 77 pause.
User :   and what is that called
User :   is that dangerous
User :   I mean in those 231 beats if you were to have pauses every 3 beats that would imply that you had 77 pauses.
User :   ok
User :   but how could my heart be at 231 for only 3 beats
User :   how do they get that
User :   how do three beats show them my heart rate was 231
User :   So if those normal physiological response would not have occurred your total heart beat would have been 231 + 77 that would be 310 beats.
User :   So do not get confused with all these calculations.
User :   You would need to concentrate on how to deal with the problem.
User :   what does that mean
User :   How do I deal with it
User :   is it dangerous
User :   A very frequent unsustained VT would need medications.
User :   A strict follow up of medications.
User :   I had six withing 24 hours
User :   within
User :   Since there are various forms of medications available, your treating doctor would decide the best possible treatment.
User :   If needed you may need electrophysiological studies to decide on the best possible drug to be used.
User :   And lastly you would need regular follow up with the your cardiologist.
User :   Have you followed?
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