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Suggest Treatment For Palpitations And Arrhythmia
Question: hi i am a 27 year old female. 2 years ago i suffered quite badly with heart palpitations. my heart started skipping beats. i felt like i was having thuds, flutters and double beats. sometimes these palpitations coulr last all day. i had tests done i had an echo, 48 4our monitor, blood tests and ecg. once i was told i was ok they went away for a year.
suddenly a year a go after sex i noticed that my heart was missing beats and it scared me. i went back to the doctors and again wore a 48 hour monitor and had blood tests. the cardiolgist said benign ectopics. recently again i have been getting them quite badly and they can last for days, i get so worked up and worried. i ended up getting an ambulance and had an ecg which was boardaline. i am so worried
suddenly a year a go after sex i noticed that my heart was missing beats and it scared me. i went back to the doctors and again wore a 48 hour monitor and had blood tests. the cardiolgist said benign ectopics. recently again i have been getting them quite badly and they can last for days, i get so worked up and worried. i ended up getting an ambulance and had an ecg which was boardaline. i am so worried
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again!
I passed carefully through your more detailed medical history of arrhythmia issues. I thank you for the additional information you provided.
Your history of intermittent ectopic beats seems more likely to be related to episodes of increased physical and psychological stress.
The presence of a structurally normal heart on cardiac ultrasound (echo) and the predominance of premature atrial contractions on your ECG and 48 hour monitoring confirms the above conclusion.
Your intermittent ectopic beats do not seem to be dangerous; they are triggered mainly from increased circulating catecholamines (adrenaline, noradrenaline) levels. This is why they happen mainly during or after physical or exertion psychological involvement (like having sex).
You shouldn't be afraid of these rhythm phenomenon, is it is not dangerous; it is not life-threatening.
Doctors are prone of drugs prescription when facing such clinical situations.
In fact an anxiolytic drug ( like I mentioned you before Alprazolam) could be beneficial in this regard.
But, besides trying medical therapy, I would encourage you to try finding a psychological equilibrium for properly overcoming those highly emotionally and physically stress driven situations.
First to avoid any triggering factors like caffeinated or alcoholic beverages; avoid close smoking contacts; claim mainly those daily activities that don't create you excessive stress; improve your sleep quality and eat in a more healthy way (more frequent small portions).
Some outdoors physical activities like daily 4 km walking; or cycling, yoga or even aerobics would be beneficial for improving your physical endurance and psychological status.
Only after trying those measures and not yielding the expected results; could a low dose beta-blocker be tried.
So, as you see; there is no place for panic!
You can perfectly manage those intermittent episodes of stress.
Remember those palpitations could not harm your structurally normal heart.
Hope to have clarified your uncertainties!
Feel free to ask me again whenever you need!
Kind regards,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hello again!
I passed carefully through your more detailed medical history of arrhythmia issues. I thank you for the additional information you provided.
Your history of intermittent ectopic beats seems more likely to be related to episodes of increased physical and psychological stress.
The presence of a structurally normal heart on cardiac ultrasound (echo) and the predominance of premature atrial contractions on your ECG and 48 hour monitoring confirms the above conclusion.
Your intermittent ectopic beats do not seem to be dangerous; they are triggered mainly from increased circulating catecholamines (adrenaline, noradrenaline) levels. This is why they happen mainly during or after physical or exertion psychological involvement (like having sex).
You shouldn't be afraid of these rhythm phenomenon, is it is not dangerous; it is not life-threatening.
Doctors are prone of drugs prescription when facing such clinical situations.
In fact an anxiolytic drug ( like I mentioned you before Alprazolam) could be beneficial in this regard.
But, besides trying medical therapy, I would encourage you to try finding a psychological equilibrium for properly overcoming those highly emotionally and physically stress driven situations.
First to avoid any triggering factors like caffeinated or alcoholic beverages; avoid close smoking contacts; claim mainly those daily activities that don't create you excessive stress; improve your sleep quality and eat in a more healthy way (more frequent small portions).
Some outdoors physical activities like daily 4 km walking; or cycling, yoga or even aerobics would be beneficial for improving your physical endurance and psychological status.
Only after trying those measures and not yielding the expected results; could a low dose beta-blocker be tried.
So, as you see; there is no place for panic!
You can perfectly manage those intermittent episodes of stress.
Remember those palpitations could not harm your structurally normal heart.
Hope to have clarified your uncertainties!
Feel free to ask me again whenever you need!
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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