Can Physical Activity And Anxiety Cause Ectopic Heart Beats?
Hi again ~ yes, I do suffer from hypo-thyroidism and take synthroid.
I had an ECG last week = all is good.
My bowel movements are normal and I have two every day. But, I feel like burping after I eat.
I have been walking like that since 2012 and intend to continue. I gave up smoking and I barely drink (wine the very odd time - one small glass).
A neuro-surgeon told me that my L5-S1 nerve root is compressed on both sides leading to claudication. A vascular surgeon told me in writing that the neurogenic condition predominates over the vascular one and that my vascular is mild to moderate, if that. Neurogenic issues can affect the ABI readings and mimic vascular conditions thereby leading to false positive or negative vascular conditions.
Since the nerve root at L5-S1 is compressed severely by a disc, the blood vessels in the nerve root going down my leg are affected and this in itself could affect any Doppler readings of my leg arteries, would it not?
The murmur was discovered by stethoscope. And as I said, only two of 5 doctors ever heard it...
Any more comments? I believe that the murmur is only anxiety...what do you think?
After I have the echo in early April, I will scan it and put it on here for you to view, OK?
I would explain as follows:
Detailed Answer:
Hello,
I passed carefully through your question and would explain that some ectopic heartbeats or palpitations are quite normal in every healthy normal individual during anxiety or physical activity.
From the other hand, cipralex may trigger palpitations as it is known to cause QT prolongation. For this reason, I would recommend you to follow up with resting ECG every 6 months to exclude this possibility.
Irritable bowel syndrome can also trigger palpitations, due to extensive gas.
I would also recommend checking your thyroid hormone levels for possible thyroid dysfunction.
Regarding the heart murmur, it could be related to anxiety. Anyway, I would like to directly review your cardiac ultrasound for a more professional opinion.
You should know that cardiac ultrasound reports may be different, even when performed at the same time by different machines or technicians due to inter-observer variability, which is related to the technique used during the measurement and the machine resolution.
In the meantime, I would encourage you to follow your healthy lifestyle.
Regarding claudicatio, it could be related to the spinal canal stenosis.
Nevertheless, I would recommend performing a Doppler ultrasound of the leg arteries to exclude peripheral arteriopathy.
Regarding White Coat syndrome, it is related to the psychological stress during the doctor consult and does not need to be treated.
Hope I have answered your query. Let me know if I can assist you further.
Take care
Regards,
Dr Ilir Sharka, Cardiologist
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello,
I agree that the murmur could be related to anxiety, as you suffer from White Coat Syndrome, as it was variably heard by different doctors.
The cardiac ultrasound is the best tool to examine your heart function and structure and to investigate for the possible murmur causes.
As it is OK, there is nothing to worry about!
Hope to have clarified some of your uncertainties!
I would be happy to review your test reports whenever you will upload them for a second professional opinion!
Hope I have answered your query.
Take care
Regards,
Dr Ilir Sharka, Cardiologist