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

188 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.

Have phlegm in throat. Why does my heart skip a beat?

Answered by
Dr.
Dr. Prahlad Duggal

ENT Specialist

Practicing since :1998

Answered : 784 Questions

default
Posted on Mon, 25 Nov 2013 in Ear, Nose and Throat Problems
Question: why does my heart skip a beat when I have phlegm in my throat?
doctor
Answered by Dr. Prahlad Duggal 3 hours later
Brief Answer: A stray signal to pace maker when phlegm in throat Detailed Answer: Hello, You have a pace maker implanted from which I understand that you must be suffering from heart block/bradycardia/arrhythmias. You say that your heart skips a beat when you have phlegm in throat. The possible explanation can be, when a person tries to extract phlegm, he/she coughs or does try to cough and this raises pressure inside the chest and this can be a reason for missing a beat. But actually the heart is adapted for this pressure and most of the times the heart does not skip a beat but may occasionally do so. A pace maker monitors your heart continuously and acts when it thinks it needs to give a beat to the heart. When you try to clear phlegm, a stray signal may get passed on to the pace maker and it can lead to a skipped beat. This does not happen as a rule always but can happen. If you are having this occasionally and are not having symptoms similar to the symptoms for which a pace maker was implanted in the first place like vertigo/syncope etc, there is nothing to worry. But if you are having symptoms because of this, do consult your cardiologist who will be the best person to look in to it. Hope this helps. Let me know if you need clarifications. Take care. Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Prahlad Duggal 46 hours later
Good afternoon Dr. XXXXXXX Duggal, I have to apologise because I did not put my question to you correctly; the irregular heartbeat problem only occurs as the phlegm builds up in my throat Once I clear the phlegm by coughing I am fine again. The uncomfortable feeling I get with this skipping of my heartbeat is a reminder that phlegm has lodged in my throat. I hope this explains my dilemma a little clearer. I have consulted 2 cardiologists but neither can shed light on my problem? Yours, Brian. PS My pacemaker is use less than one third of the day. When I jog for example, my pacemaker is not required, sometimes for the whole day (according to my regular test analysis).
doctor
Answered by Dr. Prahlad Duggal 1 hour later
Brief Answer: More pressure on thoracic ms and thus missed beat Detailed Answer: Thanks Dear for clarifying about the problem. You are stating an unusual problem. The possible explanations can be: 1. The build up of phlegm in the throat forces your thoracic muscles to work more to breath normally and that leads to changes in intra-thoracic pressure and thus leads to skipping of beat. 2. The other explanation I can think of is (this is not supported by literature and thus can be considered a guess in medical terminology and can not be supported by any level of evidence available in medical literature at present) that build up if phlegm in throat irritates your throat and that activates the nerve which controls heart rate and also supply a part of throat and mediates gag reflex. Regards
Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Treatment/Therapy

Recent questions on  Cardiac arrhythmia

doctor1 MD

A Pleasent Good Day,

Started having palpitations over 6 months ago. Seemed worry-sum then, doc here reccommended i be monitored with this strap-round belt for 24 hours...It happens off an on still. No strenous activites, but why hasn't it all call quits.

How do i know how serious this is or may become?

doctor1 MD

hello, I recently have been getting heart palpitations, heavy chest, headaches and dizziness its been two weeks now. I am a 19 year old female 126 lbs and just started body by vi about a month ago and have had a merina iud put in 2 months ago. I'm not sure if it is something i should be worried about or not.

doctor1 MD

Hello, I had an abnormal ECG-ST & T segment downsloping in 2-3 aVF, V4-V-6. The doctor said it looked worse than the one I had 6 monthes prior. So, I was sent for an Echo Stress test- Results: Excellent exercise capacity 13.9 METS- QRS pattern in lead V1-V-2. Approximately 1-1.5 further inferolateral ST depression over the resting abnormality. No arrhythmia. It stated Otherwise, normal echo. No indication of exercise induced ischemia, or septal infarction. I worry about this everyday. Should I have further testing, my cardiologist said to see him again in 2 years. F-49 yrs. Thank-you.

doctor1 MD

My son is 14 years old normally healthy not over weight and was diagnosed last year with high blood pressure the top number runs high but bottom number runs low. He had no problems until last year they also found he has a premature heart beat which they have told me not to worry about well i am worried they have him on Claudine 1mg tablets for blood pressure and it makes him very tired. They have ran all types of test but say they can find no cause for the high number in the blood pressure. I m not happy with this answer i want to know what is causing the blood pressure and premature heart beat when he never had it before last year. Can you help?

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.