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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heart Palpitations And Trembling Hands?

Hi, Recently when i take showers that are lukewarm n only for 15 mins, my heart started to palpitate so fast and my hands starts trembling. I had to get out of the bathroom and struggling to check my blood pressure which has risen to 200. Couldnt read fully as my hand was shaking. I had catapres to lower my bp and it did. The next day i took a shower again but this time not as warm as yesterday but this time it happened quicker than expected. I wasnt able to finish my shower. Was in the bathroom for only few mins. Heart started to palpitate again n hands trembling. Again i took catapres. Im 44 yrs old n had been taking amlodipine for my hypertension for a long time now. Everything s normal. But this time im worried that something s really wrong. Please help. Thanks kyona
Thu, 23 Apr 2015
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Psychiatrist,  's  Response
Hi Welcome to HCM.
I understand your query and concern.
Palpitations in your case can be a definite feature of heart rhythm disturbances.Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way.Few drugs like beta blockers are certainly known to reduce the heart rate and accelerate the dizzy spells.I advise you to have a complete 24 hour holter ECG which can accurately determine the cardiac conduction abnormalities.Monitor your blood pressure and heart rate.Drugs like Isoproterenol will help to increase the heart rate.Drugs like amiodarone can also help to minimise the rhythm irregularities.A 2 Dimensional echocardiography will help to assess the functional reserve of the heart ruling out organic heart lesions.Electrophysiological study and Radiofrequency ablation will also help to eliminate abnormal foci of rhythm.
Consult your cardiologist for expert management.
Post your further queries if any,
Thank you.
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What Causes Heart Palpitations And Trembling Hands?

Hi Welcome to HCM. I understand your query and concern. Palpitations in your case can be a definite feature of heart rhythm disturbances.Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way.Few drugs like beta blockers are certainly known to reduce the heart rate and accelerate the dizzy spells.I advise you to have a complete 24 hour holter ECG which can accurately determine the cardiac conduction abnormalities.Monitor your blood pressure and heart rate.Drugs like Isoproterenol will help to increase the heart rate.Drugs like amiodarone can also help to minimise the rhythm irregularities.A 2 Dimensional echocardiography will help to assess the functional reserve of the heart ruling out organic heart lesions.Electrophysiological study and Radiofrequency ablation will also help to eliminate abnormal foci of rhythm. Consult your cardiologist for expert management. Post your further queries if any, Thank you.