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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Rapid Heart Beat?

I had a ablation done 16 months ago, and everything went fine except for my pulse which ran higher than my norm. It was beating between 98- 105 for 6 months my doctor has me on twenty mil of I derail twice a day and my pulse is between 75- 84 which is normal to me For the last month I have noticed some skip beats but not like I had before they seem to be different Instead of a fast skip , they see to beat at least 12 beats then a blank orvwhatvi call a stopped beat then 10 , 12 14 perfect beats. I have always been able to feel everything in my chest. My blood pressure tonight was 94/63 which concerned me, my usual pressure is 124/74 with 82 pulse My pulse was the same 82 tonight but the pressure was low which I noted 94/63 I haven t been getting a lot of sleep and could this cause it ? Is this serious? Is the inderal causing the problem ? I am 62,170 pounds 5-9 and work out at least 3-4 times a week My stress level is high do to work but the heart beat has me worried which just adds to the skips I am a type A which you knew already Please give me your thoughts No shortness of breath, no cheats pains just the dam skip or stop that I feel is making me a bit concerned which makes me worry Please give me your opinion if this us serious Thank you Kenny
Mon, 16 Feb 2015
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Cardiologist 's  Response
Hello Kenny! Thank you for your question! Regarding your concern about those extra-beats that you are experiencing seems that we have to do with extrasystolic arrhythmia, but to be quite clear about its nature and to have a quantitative measure of its severity you should perform an ambulatory ECG monitoring. I don't know the reason you have performed the ablation before (was it AF, SVT or ventricular arrhythmia,etc). Propranolol doesn't seem to have caused your intermitent irregular heat beats; but sometimes drugs like this can trigger existing potential for arrhythia, especially if a predisposing cardiac substrate exists.
Nevertheless, you must consult your cardiologist, perform an ambulatory ECG, and in accordance with your prior arrhythmia histori to draw the right conclusion. If you show me the prior full history of your cardiac problem, the exact reason of ablation, and the results of the axam I recomended to you, I could give an appropriate recommendation for your problem. Please feel free to ask me again. Greetings from Dr. Iliri
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What Is The Treatment For Rapid Heart Beat?

Hello Kenny! Thank you for your question! Regarding your concern about those extra-beats that you are experiencing seems that we have to do with extrasystolic arrhythmia, but to be quite clear about its nature and to have a quantitative measure of its severity you should perform an ambulatory ECG monitoring. I don t know the reason you have performed the ablation before (was it AF, SVT or ventricular arrhythmia,etc). Propranolol doesn t seem to have caused your intermitent irregular heat beats; but sometimes drugs like this can trigger existing potential for arrhythia, especially if a predisposing cardiac substrate exists. Nevertheless, you must consult your cardiologist, perform an ambulatory ECG, and in accordance with your prior arrhythmia histori to draw the right conclusion. If you show me the prior full history of your cardiac problem, the exact reason of ablation, and the results of the axam I recomended to you, I could give an appropriate recommendation for your problem. Please feel free to ask me again. Greetings from Dr. Iliri