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Fit person with unusual pulse rate. Anything wrong?

Hi, I am a 33 year old male. I am in generally good shape, run daily at least 2 miles, and lift wieghts. I am 65inches tall and 190lbs and while bulky, I do not have an excessive amount of belly fat. After a workout yesterday I checked my pulse and thought I it sounded funny. Double checking it today while at the rest, I had my wife pull out a stethoscope and listen. I then listened as well. We both came to the conclusion my heart sounds like lub ba pa, pa. I cannot recall the last time I doctor actually checked my heart and unsure if the bp machine checks for irregularities. I have a family history riddled with heart issues.
Asked On : Sun, 24 Feb 2013
Answers:  1 Views:  24
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

Feeling of ‘dropping / skipping / missed’ beat points ECTOPIC beats.
A beat comes earlier than normal – this itself is not usually felt. The next beat is a bit delayed - longer time to recover form early extra beat – so heart fills more and the beat appears forcible – thud / lubb - - dubb - - lubb - - dubb - lub - - - DUBB /

Ectopic beats can arise from ventricle (lower chamber of the heart - Ventricular Ectopic; VPC) or Atrium (upper chamber - Atrial Ectopic; APC).
APCs are generally harmless. Even VPCs are often harmless – ‘benign’.
If they are frequent - more than 5 per hour, 2 or more beats coming consecutively – they should be investigated further.

Irregular heart beats need to be DOCUMENTED by ElectroCardioGram (EKG).

Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much coffee, cola) are common causes.
Medicines may be responsible – like Phenylephrine used for ‘cold’
Illicit ‘drugs’ like Amphetamine are notorious to cause abnormal beats
At times, abnormal nerve paths in the heart (bypass tracts) are responsible!

HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance. The treating doctor may suggest them depending on need, based on his assessment of the situation.

Take care
Wishing speedy recovery
God bless
Good luck
Answered: Fri, 15 Mar 2013
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