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You need investigations –
You have not stated your personal habits, family history, or co-morbidities, even age or gender...which could influence the diagnosis and outcome...
Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / Vitamin D, calcium, magnesium / Medicines like Phenylephrine
used for ‘cold’; Salbutamol
used for asthma and so on - may be responsible.... / Illicit ‘drugs’ like Amphetamine
are notorious to cause abnormal beats / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible! ECHOcardiogram
is necessary to see the heart valves (Mitral Valve Prolapse
) / heart muscle (Cardiomyopathy
) and heart function (Ejection fraction
, wall motion abnormality) / clots...
TMT – Treadmill exercise ECG; may be with thallium isotope – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease)
If there are no clues and if the problem is still bothering to the extent of interfering with life style, you may need Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. The treating doctor may suggest them depending on need, based on his assessment of the situation. / There are other advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS.
Wishing speedy recovery