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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Occasional Heart Palpitations?

I felt palpitation in December 2007 and February 2009.my echocardiography .ECG,TMT and holter reports are normal.Tg was 236 in2007.Now it is normal.Cardiologist advised me to take seloken xl 50 mg, Tg goal once daily.i am taking these medicines since 2009.what should I do
Wed, 10 Jun 2015
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Psychiatrist,  's  Response
Hello thanks for asking from HCM for your health related queries

I can understand your concern. You have problem of racing heart and palpitations since 2007 and are taking drug Seloken XL 50 (Metoprolol) for that. Your all cardiac tests came normal including ECG, TMT and holter. The palpitations are occurring occasionally and this points more towards some neurotic cause like anxiety rather than cardiac cause. As your symptoms are persistent and not relieving with medicines I would advise you to consult a psychiatrist for proper help. For episodes of anxiety medicines like low dose benzodiazepines can help. Etizolam or Clonazepam in low dose when taken on SOS basis help to control the anxiety. Apart from this conventional anti anxiety drugs like SSRIs can prove useful for non remitting symptoms. Visit a psychiatrist for prescription of these drugs.

Thanks, Hope this helps you. Take care

Dr. Seikhoo Bishnoi,
Psychiatrist.
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What Causes Occasional Heart Palpitations?

Hello thanks for asking from HCM for your health related queries I can understand your concern. You have problem of racing heart and palpitations since 2007 and are taking drug Seloken XL 50 (Metoprolol) for that. Your all cardiac tests came normal including ECG, TMT and holter. The palpitations are occurring occasionally and this points more towards some neurotic cause like anxiety rather than cardiac cause. As your symptoms are persistent and not relieving with medicines I would advise you to consult a psychiatrist for proper help. For episodes of anxiety medicines like low dose benzodiazepines can help. Etizolam or Clonazepam in low dose when taken on SOS basis help to control the anxiety. Apart from this conventional anti anxiety drugs like SSRIs can prove useful for non remitting symptoms. Visit a psychiatrist for prescription of these drugs. Thanks, Hope this helps you. Take care Dr. Seikhoo Bishnoi, Psychiatrist.