Suffering From Extra Heart Beats. Done With EKG, Nuclear Stress Test, And An ECG. On Beta Blockers. Suggestions?
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Normal ECHO practically excludes major structural anomalies...
Nuclear stress test has excluded Coronary Artery Disease as the cause...
Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / Vitamin D, calcium, magnesium / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on - may be responsible.... / Illicit ‘drugs’ like Amphetamine are notorious to cause abnormal beats / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible!
These ectopic beats are not always symptomatic. The feeling depends on individual sensitivity – some do not feel them at all / some may feel every beat. Many cases of palpitation are benign , especially when associated with normal ECHO and may not require treatment, If you also have symptoms like blurred vision, dizziness, loss of consciousness, shortness of breath, chest pain along with this, you need further and urgent work up
Specific treatment may not always be necessary. The first line medicine is generally beta blockers, like Metoprolol – slow release and small dose. It will benefit both anxiety and missed beats. You are in good hands... everything is proper...
If there are no clues and if the problem is still bothering to the extent of interfering with life style, there are advanced techniques of investigation – Electro Physiological Studies (EPS). Though the test is the gold standard, it is INVASIVE and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. The treating doctor may suggest them depending on need, based on his assessment of the situation. There are other advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS.
You are well / you just need follow up...that is all.
Take care
Wishing speedy recovery
God bless
Good luck
The internet is an ocean of information – uncensored!
It can often confuse individuals, not related to the speciality...
I have already seen the EKG / it is basically NORMAL except for the 3 ‘skipped beats’...
Beta blockers are quite safe / they have been in use for several decades...
Which of them are you using? I presume either metoprolol or atenolol?
Rate of 52 is on the lower side, but still no cause for concern. If you are stable for some time, the dose of the drug can be reduced...
Generally, if they are frequent - more than 5 per hour, 2 or more beats coming consecutively – they should be investigated further. It is not simply the number - there are several other features, your doctor will look for. Leave it to him and relax!
You had been tolerating the rate well, for several hours - means that you are unlikely to have any basic disease of the valve, muscle and so on.
You are alright / you will be alright...
Regards
The underlying cause is there since long / may be inherited and from birth! The manifestation depends on other factors influencing it, both XXXXXXX and external – Anxiety, alcohol, caffeine and tobacco are some common ones...
Age has no direct influence / Degeneration, Coronary Artery Disease and so on can have a role
There are several classes of drugs and several drugs in each class / Your cardiologist can choose / supplement and supplant the present drug...
Good luck