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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heart Palpitations Despite A Normal ECG?

dear sir i easily sensing my heart palpitations and am not able to sleep,last four month i did 4 ECG and 2 echocadiogram and various blood test,all results are normal finally last wekk cardio doctor recomended for concor 2.5 mg tablut i have diffuse erosive gastrits problem since last 6 months please guide me my bp is 80/130
Mon, 8 Sep 2014
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Internal Medicine Specialist 's  Response
Hi,

Thank you for your query. I can understand your concerns.





Palpitations is common during exertion or heightened emotion/ anxiety/ excitement (sympathetic over activity) or sometimes lying on Lt side.It may be most noticeable in bed at night when external visual and auditory inputs are minimum and visceral sensations are prominent
In patients with panic disorders and other anxiety states, the sensation of palpitations may occur during periods of normal rate and rhythm.
Palpitations can also be due to excessive coffee,tea,alcohol .
Endocrine causes like phaeochromocytoma, thyrotoxicosis, hypoglycaemia can give rise to intermittent palpitations when ECG may remain normal in the intervening symptom free period.
Concor (Bisoprolol) is highly beta 1-selective beta-adrenoceptor antagonist with low beta2-receptor affinity & reduces the heart rate.Beta-adrenoceptor antagonist is prescribed in anxiety states to relieve symptoms.

Regards

Dr. T.K. Biswas M.D.
Mumbai
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What Causes Heart Palpitations Despite A Normal ECG?

Hi, Thank you for your query. I can understand your concerns. Palpitations is common during exertion or heightened emotion/ anxiety/ excitement (sympathetic over activity) or sometimes lying on Lt side.It may be most noticeable in bed at night when external visual and auditory inputs are minimum and visceral sensations are prominent In patients with panic disorders and other anxiety states, the sensation of palpitations may occur during periods of normal rate and rhythm. Palpitations can also be due to excessive coffee,tea,alcohol . Endocrine causes like phaeochromocytoma, thyrotoxicosis, hypoglycaemia can give rise to intermittent palpitations when ECG may remain normal in the intervening symptom free period. Concor (Bisoprolol) is highly beta 1-selective beta-adrenoceptor antagonist with low beta2-receptor affinity & reduces the heart rate.Beta-adrenoceptor antagonist is prescribed in anxiety states to relieve symptoms. Regards Dr. T.K. Biswas M.D. Mumbai