Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

157 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Had PICC placed. Started getting palpitation and skipped beat. Is this normal?

Answered by
Dr.
Dr. Anil Grover

Cardiologist

Practicing since :1981

Answered : 922 Questions

default
Posted on Tue, 11 Dec 2012 in Hypertension and Heart Disease
Question: I just had a picc placed 5 days ago due to osteomyelitis of theower mandible. had to have 4 molars removed and some jaw, cheek and gum removed for biopsy, done under general anesthesia as an inpatient. since then I get "palpitations" weird flipping, skipping beats that sometimes makes it difficult to catchy breath. And have had. Comstant heavy feeling iny upper abdomen like I am over full. Is this normal with a picc?
doctor
Answered by Dr. Anil Grover 2 hours later
Hi,
Thanks for writing in.
I am a qualified and certified cardiologist. I read your mail with diligence.
Let us know about PICC which is an acronym and its complications and see whether your problem with skipped beats can fit in.
PICC Lines
Peripherally inserted central catheters (PICC) provide prolonged central venous access, a means of administrating medications & nutrition through venous route(to patients unable to tolerate oral feedings). Not only do these central lines provide life-saving therapy, they are easily inserted, cost effective and convenient.
Regards
With Best Wishes:
Dr Anil Grover
MBBS, MD (Medicine) DM(Cardiology)
Cardiologist and Internist
http:/ WWW.WWWW.WW
There are, indeed, many benefits in using these catheters. However, physicians, nurses and patients must be aware of the risks involved with placement of PICC lines so that complications can be minimized. Although the risks of PICC lines are low, and the lowest of all centrally placed IV access devises, there are several complications which can occur.

1. Air Embolism.
2. Infection:
3. Phlebitis:
4. Catheter Malposition:
5. Thrombus Formation:
6. Difficult Removal:
7. Nerve Injury or Irritation:
8. Leakage:
9.Catheter Breakage:

In your case the symptoms do not suggest any of these complications. In any case visiting nurse attendant who must be looking after drug administration or the doctor supervising would have noticed and taken the remedial action.

What you have described are the symptoms of heart beating out of rhythm that is arrhythmia.
Normally, heart beats for about 100,000 times a day (72 x 60 x 24); one percent of these beats can be normally out of rhythm, to a sensitive and more perceptive person, these may be perceived as missed beats. At times heart can beat faster rate it can be due to rhythm disorder which can be:
1. Proxysmal Supra Ventricular Tachycardia (PSVT), comes like a bolt from blue and after few minutes to hours stops as abruptly as it came. Manifests as Palpitation. This is not the symptom your husband is having.
2. Inappropriate Sinus Tachycardia: Similar to above but gradual set in and set off also manifests as palpitation that is not the situation with your husband.
3. Irregular beats inappropriately timed ventricular or supra ventricular ectopics which may manifest as missed beats or at times as palpitation. If ventricular function is normal (as determined by clinical examination, echocardiography or when there is normal ability to perform adequate exercise in form of stress test it is normal) then these ectopics are of not much significance except a little apprehension for the person who perceives them. All of us are exposed to stress, how we react to that is what counts. Once investigated and declared normal heart I assume anxiety will also be alleviated. Personally, I feel a cardiology consult, where a cardiologist will thorougly examine you and may plan ultrasound of heart that is echocardiography which would confirm normal structure and function of heart. A furhter test of Holter may be needed if your ECG suggests or cardiologist feel, wherein 24 recording of ECGs is done by a portable i pod like device to be analysed by a computer. These tests are needed to find whether you need any medication or not. There is nothing to worry, the whole thing could be normal aberration and after illness have become more perceptive.
Heavy abdominal feeling and unability to catch your breath intermittently is part of the same.

If there is any further question I will be most happy to answer. Good Luck.


Regards
With Best Wishes:
Dr Anil Grover
MBBS, MD (Medicine) DM(Cardiology)
Cardiologist and Internist
http:/ WWW.WWWW.WW
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Anil Grover 8 days later
Thank you for the information.. My osteomyelitis got worse and so did the heart flutters. The doctor was concerned that I was getting worse, not better. I was sent to the e.r who literally told me it was anxiety. But they decided to hook me up to a m
Hooked me up to a monitor which immediatly showed v-tach. I was given amiodorone and then sent to icu. I am now on tambocor 100mg twice a day. But they only want me on it for a month. Until the bone imfection is gone. And then they want to take me off it. Does this sound safe? Vtach is scarey my heart stopped twice. What should i do
doctor
Answered by Dr. Anil Grover 1 hour later
Thanks for writing back. Well sustained ventricular Tachycardia does cause concern. Three factors are posititive: a). That your heart is per se normal b). it is responding to treatment c): as far as you wrote it is not causing hemodynamic changes like Giddiness, fall in BP and so on.
Tombocor is FLECAINIDE tit is grod substiute with Let us not hurry and let us pray to almighty that you get well soon Good Luck

With Best wishes
Dr XXXXXXX Grover

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on

Recent questions on  Cardiac arrhythmia

doctor1 MD

I recently had an ECG after an abnormal EKG. The ECG showed vent. rate 108bpm Sinus tachycardia, PR interval 158 ms, possible left atrial enlargement, QRS duration 88 ms , nonspecific ST abnormality, QT/QTc 368/493 ms, abnormal ECG, P-R-T axes 70 48 58 and prolonged QT. The cardiologist didn t seem very concerned and felt the abnormality was because of the medication I was taking - remeron for sleeping; I suffer from chronic insomnia. I have been on this medication for over two years and have never had any side effects or problems with it. In the past three-four months, however, I have been experiencing chest pains, some severe which is why I went to my physician to get the first EKG which showed a fast heart beat and was referred to the cardiologist for an ECG, EKG and a stress test. I was only on the treadmill for maybe 4 1/3 minutes before I experienced SOB and chest pains. They repeated the ECG and I was told it was abnormal and to discuss my medications with my psychiatrist and that I had nothing to worry about. When I see abnormal ECG, EKG and am taking nitro tablets with a family history of heart disease (father COPD, CHF and angioplasty; grandfather died of a heart attack), I have a tendency not to believe the doctor. I have not even been contacted by my physician for a follow-up visit. Should I be concerned. Cancer also runs in my family; my father died of colon, liver CA and I am breast cancer survivor. I d appreciate your comments. Should I seek another opinion? Thanks, Mary Kopco YYYY@YYYY I am a 61 y.o. white female, 137 lbs w/ hx of cancer (bilateral mastectomy and hysterectomy for CA of uterus), osteoporosis and osteoarthritis, high cholesterol (328), allergic to any statin drugs, being treated with Zetia 10 mg 1 x/day. Presently taking nitro tabs for chest pain, oxybutityn for overactive bladder, clonazepam 1mg 3x/day for anxiety and depression. I look forward to your response. Thank you.

doctor1 MD

I am a 24 year old male. I have PVC s and PAC s. I am extremely active and in great physical condition, I spend 1.5 hours, 5 days a week working out. I am 225 lbs, 8% body fat, and 6ft tall. I take no supplements. Recently I have been having some worrisome palpitations. Usually in the early morning my heart will either beat extremely fast (180-250bpm) for a few seconds accompanied with near syncope and SOB or it will beat erratically. I had an extended episode (30 seconds) of appx 200-250 bpm brought on by a sprinting session about 2 months ago. That is when these strange rhythms began. Normally I feel my PVC s, so I am very aware of my heart beat. My heart feels strange like it is tired latley. What could this be? I am worried about VTach, but as I do not have insurance I am wary of going to the cardiologist. What should I do? Thank You

doctor1 MD

i am 38 years old, 6'5" and 330 pounds. I've been having severe heart palpitations with shortness of breath that seems to rise up my body. First i get a warm feeling in my left ear, then i get very dizzy and start seeing white spots, then it feels like i'm losing oxygen to my head and i start to blackout. it usually goes away after i close my eyes and sit still. i have been to cardiologists who told me that i have high blood pressure and could lose weight, but my angiogram, etc. all prove normal. i am taking a beta blocker (cardovilol or something) plust a high blood pressure medication.

doctor1 MD

Hi. I am a male. As long as I can remember, i have experienced a sharp, burning chest pain that occurs randomly. It does not radiate and usually only lasts a few seconds. It is not brought on by exercise. I also occasionally experience palpitations. Sometimes, it feels like my heart stops and skips a beat and then continues. I also can feel my heartbeat sometimes and it beats fast and hard. My usual resting heart rate is about 103. My BP is about 128/76. I have panic attacks also. Occasionally, I feel lightheaded which usually only lasts for a few minutes and is followed by extreme anxiety. I sometimes get nauseous and have irregular bowel habits. Sometimes I am constipated and other times I have diarrhea. I have seen my doctor and had blood work and a EKG done. Palpitations did show up on the EKG but my doctor says they are not serious. Some people have suggested I have acid reflux. I seem to have some symptoms of MVP but I was never diagnosed with it.

doctor1 MD

I have high blood pressure(165/110) and was put on Lisinoprin 3 weeks ago and it has come down about 30 points...however i have head aches and have shortness of breath . I wake up at night and feel like i'm not getting enough oxygen . I weigh 260...

doctor1 MD

I was diagnosed with attrial flutters ( arrhythmia ) and the cardiologist did a cardio version and a subsequent EKG showed the condition was corrected. The doctor has me on Xarelto and a beta blocker . I feel fine and I am wondering if I can drink...

doctor1 MD

My husband is 80 years old and has been diagnosed with congenial heart dease. His heart is only pumping half the speed of a normal heart beat. And now his lungs are filling with fluid. He also has Alzheimer's.