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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Irregular Heart Rhythm Suggest?

My heart keeps having episodes where it will speed up or pound really hard when there is little reason I can understand. My family thought it was panic attacks, but it happens when I m calm. This weekend, my heart rate hit 180 and I think it was while I was sleeping/waking up. Should I be worried?
Tue, 12 Sep 2017
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Cardiologist 's  Response
Hello!

Welcome and thank you for asking on HCM!

Your symptoms could be related to a cardiac arrhythmia or thyroid dysfunction.

Anxiety can also mimic this clinical situation.

Anyway, considering your heart rate and these fluctuations, I would recommend consulting with your attending physician for a careful physical exam and some tests:

- a cardiac ultrasound
- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends and exclude possible cardiac arrhythmia
- complete blood count for anemia
- thyroid hormone levels for thyroid dysfunction
- blood electrolytes for possible imbalance.

Hope you will find this answer helpful!

Wishing good health,

Dr. Iliri
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What Could Irregular Heart Rhythm Suggest?

Hello! Welcome and thank you for asking on HCM! Your symptoms could be related to a cardiac arrhythmia or thyroid dysfunction. Anxiety can also mimic this clinical situation. Anyway, considering your heart rate and these fluctuations, I would recommend consulting with your attending physician for a careful physical exam and some tests: - a cardiac ultrasound - an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends and exclude possible cardiac arrhythmia - complete blood count for anemia - thyroid hormone levels for thyroid dysfunction - blood electrolytes for possible imbalance. Hope you will find this answer helpful! Wishing good health, Dr. Iliri