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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Heart Palpitations

I am a 45 year old white female, standing 5'4"and weigh 128 lbs. I was diagnosed and treated for graves disease six years ago and no longer take medication for this. The past 3 weeks I have been experiencing heart palpitations and a feeling of not being able to get a good breath. I had my thyroid levels checked and they came back at the low end of normal. I have had routine blood work, d diamer, chest x-ray, ekg all came back normal. I have recently worn a holter monitor which came back showing PVC's. The Dr prescribed Metoprolol 1/2 tab at night and this isn't really helping with either the palpitations or the breathing and now I am feeling light headed. I am scheduled for an echo stress test tomorrow but I am wandering where this may be going or if you have any other thoughts as to what can be going on. I have always been healthy and have only missed maybe 2 days work in the past 20 years for any type of illness.

Wed, 8 Jun 2016
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Pulmonologist 's  Response
Thanks for your question on Healthcare Magic.
I can understand your concern.
Metoprolol is good drug for PVCs and heart palpitations.
But better to rule out other heart diseases by doing stress test and 2d echo.
Other possible cause for your symptoms is perimenopausal stress and anxiety.
You are approaching menopause. So hormonal imbalance is likely at this age. And this can cause stress and anxiety.
Both of them can cause palpitations, sweating, breathing difficulty, dizziness etc.
So better to consult gynecologist and get done hormone levels and if there is imbalance then start hormone replacement therapy (HRT).
Avoid stress and tension, be relax and calm. You may need anxiolytic drugs too.
Don't worry, you will be alright.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Suggest Treatment For Heart Palpitations

Thanks for your question on Healthcare Magic. I can understand your concern. Metoprolol is good drug for PVCs and heart palpitations. But better to rule out other heart diseases by doing stress test and 2d echo. Other possible cause for your symptoms is perimenopausal stress and anxiety. You are approaching menopause. So hormonal imbalance is likely at this age. And this can cause stress and anxiety. Both of them can cause palpitations, sweating, breathing difficulty, dizziness etc. So better to consult gynecologist and get done hormone levels and if there is imbalance then start hormone replacement therapy (HRT). Avoid stress and tension, be relax and calm. You may need anxiolytic drugs too. Don t worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.