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Feels like skipping a beat and have low blood pressure. Worrisome

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Practicing since : 1966
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heart bubbles. low hard pulse. Like low blood pressure. No pain. just unusual
Feels like skipping a beat or something.
Posted Sun, 25 Nov 2012 in Hypertension and Heart Disease
Answered by Dr. Anantharamakrishnan 19 minutes later
Hi friend
Welcome to Health Care Magic

     The description is rather vague... Probably you are having missed beats? Feeling of ‘ skipping’ point to missed beats. Irregular heart beats need to be documented by ElectroCardioGram (ECG / EKG). Smoking? Too much coffee or cola?


     Though they may be normal in many, it is advisable to investigate.
     A thorough history and physical examination is the first step -
     Routine 12-lead Electrocardiogram (ECG) is part of clinical examination.
     If a routine ECG does not show, 24 to 48 hour ambulatory monitoring (Holter) is done to analyse and plan for further management
     ECHOcardiogram is necessary to see the heart valves (muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) and so on.
     Treadmill exercise ECG (TMT) is done to exclude Ischemia (reduced blood flow) – especially because of the family history...
     Laboratory work-up is routine - like blood counts, sugar, urea, electrolytes (potassium in particular), thyroid (over-active) etc. Lipid profile (cholesterol) is a must - a treatable risk factor...
     The treating doctor will suggest based on the situation.

Take care
Wishing speedy recovery
God bless
Good luck
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