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Posted on Sat, 7 Dec 2019
Question: Welcome to 'Ask a Doctor'. Please type your question here...Hi doctor, I have seen a cardiologist for what he describes a premature heart beat. It feels more like a skipped beat. I have having 8 to 12 premature beats per minute. Waiting on results of ekg and echocardiogram. My concern is I’m losing weight from 161 to 154 without trying. My blood tests are normal. Can this irregular heart beat cause my metabolism to speed up. My heart is not racing. Thank you, Scott
doctor
Answered by Dr. Ilir Sharka (59 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello XXXXXXX

Welcome to Ask a Doctor service!

I understand your concern and would explain that some skipped heart beats ( also called ectopic heart beats) are quite normal in every healthy individual during physical activity or emotional stress.

Anyway, considering the loss in weight, I would recommend checking your thyroid hormone levels for possible thyroid gland dysfunction.

An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged period of time and investigate for the type of cardiac arrhythmia.

Hope you will find this answer helpful!

I remain at your disposal in case you will be able to upload your performed tests for a second opinion.

Kind regards,

Dr.Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ilir Sharka (1 hour later)
Hi doc, thank u, I wore the monitor for several days and am waiting to hear what I already know. Also I take synthroid for my thyroid and recent tsh blood test was normal. Can this hard working 4th heart beat increase my metabolism ?
doctor
Answered by Dr. Ilir Sharka (2 hours later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

Yes the hard work and synthroid can influence in all this clinical situation.

The Holter monitoring results will help determine if this is a benign type of arrhythmia or if there is any need for any treatments (beta-blockers, calcium-channel blockers, etc..) .

Hope you will find this answer helpful!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (3 hours later)
Hi doc , I really only had one question all along. Can these 12,000 premature heart beats per day cause my metabolism to increase ? I’m not looking for a diagnosis on the heart issues as I will get that soon enough. I really want an answer yes or no to the metabolism question.
Thank you
doctor
Answered by Dr. Ilir Sharka (8 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

Regarding your concern, I would explain that these increased heart beats do not cause the metabolism to increase, but they are probably related to the same cause that has caused the increased metabolism: synthroid, physical activity or anxiety.

You should know that all these factors (synthroid, physical activity or anxiety) lead to the activation of the sympathetic nervous system, causing increased levels of circulating adrenaline, which is responsible for the increased metabolism and ectopic heart beats.

Hope to have clarified some of your uncertainties!

Wishing good health,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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Welcome To 'Ask A Doctor'. Please Type Your Question Here...Hi

Brief Answer: I would explain as follows: Detailed Answer: Hello XXXXXXX Welcome to Ask a Doctor service! I understand your concern and would explain that some skipped heart beats ( also called ectopic heart beats) are quite normal in every healthy individual during physical activity or emotional stress. Anyway, considering the loss in weight, I would recommend checking your thyroid hormone levels for possible thyroid gland dysfunction. An ambulatory 24-48 hours ECG monitoring would help examine your heart rhythm trends for a prolonged period of time and investigate for the type of cardiac arrhythmia. Hope you will find this answer helpful! I remain at your disposal in case you will be able to upload your performed tests for a second opinion. Kind regards, Dr.Ilir Sharka, Cardiologist