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Why Does My Pulse Beat Three Times Then Pauses For The Fourth Beat And Starts Over?

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Posted on Fri, 29 Sep 2023
Question: my pulse seems to have a pause. it beats three times then nothing for the fourth beat and starts over. the pause is the length of normal pulse.

doctor
Answered by Dr. Bhanu Partap (28 minutes later)
Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello Sir

After going through the medical details provided by you I understand your concern and I would like to tell you that it seems like you are getting ectopic beats.

Kindly revert back with following details

1. Do you smoke?
2. Are you diabetic or hypertensive?
3. Any other medical illness?
4. Any family history of heart disease?
5. Do you feels any symptoms like giddiness or sense of fainting out?
5. If you have done any ecg during these episodes then kindly upload that ecg image.

Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Bhanu Partap (32 minutes later)
I do not smoke but I do vape low nicotine.
I am not diabetic that I know of, it’s been almost two yrs since last blood work.
No illnesses
Parents and grandparents had heart problems, stents, triple bypass, heart attack. That was my dad, grandpa and mother. Father died from heart arythmia.
I’m over weight 270 5’9”
I use to be very active and lighter but have been inactive for a couple yrs.
I drink 2-4 beers per week non today

It happened about two hours or so ago while eating dinner, chest started to feel a little weird and maybe a little heavy, no pain so I checked my pulse because my heart felt like it was almost palpitating and discovered the missing beat. It has eased up but the beat is still missing. I plan on making a appointment in the morning, don’t know how long it will be for a opening.
doctor
Answered by Dr. Bhanu Partap (10 hours later)
Brief Answer:
Hello again

Detailed Answer:
Thanks for the feedback. Taking into consideration all the information provided by you I would like to suggest you to consult a cardiologist personally as basic cardiac evaluation is required in the the form of few basic tests like

1. Ecg

2. Echocardiogram

3. TMT

4. HBa1c

5. Lipid profile

Also I would like to suggest you to cut down on vaping as it can also be the cause of ectopic heart beats.

Hope to have been helpful

Kind Regards
Dr Bhanu Partap
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Remy Koshy
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Answered by
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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 4758 Questions

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Why Does My Pulse Beat Three Times Then Pauses For The Fourth Beat And Starts Over?

Brief Answer: Please refer to the detailed answer below Detailed Answer: Hello Sir After going through the medical details provided by you I understand your concern and I would like to tell you that it seems like you are getting ectopic beats. Kindly revert back with following details 1. Do you smoke? 2. Are you diabetic or hypertensive? 3. Any other medical illness? 4. Any family history of heart disease? 5. Do you feels any symptoms like giddiness or sense of fainting out? 5. If you have done any ecg during these episodes then kindly upload that ecg image. Kind regards Dr Bhanu partap