Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
120 Doctors are Online

Felt a missed heartbeat. What are the complications?

User rating for this question
Answered by
Practicing since : 1966
Answered : 4506 Questions
the other day i was driving and felt my heart beat changed pace!! was so scary i had to pull over, it felt like my heart stopped and then beated very hard the next beat as if pumping hard to keep going, i felt like fainting, dont know if because i got so scared or what happened. I have never ever had any problems, i have actually done a heart scanning thing for a cosmetic surgery i done a couple of years ago and there was nothing wrong. I do sometimes feel my heart skip a beat or change pace i am not sure, but from time to time i feel that too but nothing that i feel i should worry but this time i got scared, is this a sign of something? I eat healthy but am not very active. I am also going through a very emotionally stressed period, I am 1.65cm tall and 47kg so i have not much fat in my body. recommendations please? thanks :)
Posted Fri, 2 Nov 2012 in Heart Rate and Rhythm Disorders
Answered by Dr. Anantharamakrishnan 44 minutes later

Your description is typical of 'missed beat'...As a matter of fact, the beat is not missed -it comes early / so there is a longer pause after that and the next one is a bit more forcible because of delay. It is called premature beat or extra systole. Usually the beat itself is not felt; it is the following forcible beat that is appreciated by most people.
It can be present in normal people. The common cause is anxiety (tension). Smoking is responsible in many. Too much Coffee or Cola is the cause in many. There are several other reasons - including heart disease in some!
Generally they are harmless - called benign. Usually, no treatment is needed.
However, for a proper assessment and assistance, we need to examine the patient first. Then we have to do investigations. An ElectroCardioGram (ECG) - routine 12 leads is the basic one. Then there are more - 24 or 48 hour ambulatory monitoring of ECG (Holter) is the next step. An ECHOcardiogram to assess the valves, walls and function is a routine. A basic laboratory work like blood count and sugar - sometimes hormones like thyroid function tests are done. Very often they are negative and reassuring / more often to exclude than to rule in.
Generally no drastic treatment is necessary. Reassurance, relaxation techniques, stopping smoking, reducing or stopping coffee, cola and carbonated drinks - will help most people. If still symptomatic, beta blockers are started - they help both anxiety and missed beats.
There are several other issues - depending on the complexity of the cases, which are dictated by the findings on routine tests and follow up. Most of the cases do not require most of the things - except basic work up
In summary, see your Internist or Cardiologist / Do not worry / All will be well
Wishing you a speedy recovery / Good luck
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions

The user accepted the expert's answer

Ask a Cardiologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor