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Suggest Treatment For Cough And Skipped Heartbeat

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Posted on Wed, 19 Oct 2016
Question: Hi Dr,

I have skipped heartbeat on n off for several years. Certain days more than others. Im living with it to the best and ignoring it as much as I can. I had holter and echo done some 2 years ago. There were few hundreds of skipped beats. Echo showed slight mvp.

Last night I woke up in the middle of my sleep with fluttering heartbeat in my chest. Not pounding , jux rapid flutter than lasted for about 10-15 secs. Naturally I cough hard to try n stop it. Was too sleepy and only realized when I wake up with some impression on this episode.

I know u would probably suggest me to go for a holter test again etc. but this fluttering is hard to catch as it is Random and very inconsistent. My last episode of this is when I bend my body down to pick up some heavy objects.

I'm afraid of sudden deaths and heard ppl die in their sleep because of cardio failure. How are they related ? What causes this?

doctor
Answered by Dr. Benard Shehu (1 hour later)
Brief Answer:
Following advice

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

What has happened to you seems to be related to tachycardia and palpitations (paroxysmal supra ventricular tachycardia) which may be normalised with coughing hard techniques.

If you have had a more serious arrhythmia (like atrial fibrillation, ventricular premature beats, ventricular tachycardia etc.) you shouldn't be able to sleep once again. What is more important these types of arrhythmias can't be stopped by breathing or coughing techniques.

However in order to find out what sort of arrhythmia you do on this occasion I would recommend to implant a subcutaneous loop monitoring (cardiac event recorder).

You are asking about sudden death by arrhythmia or heart failure. What you should know is that such a thing doesn't happen if you have a normal heart.
Cardiac deaths are related with abnormal findings on cardiac echo, holter monitoring or stress test.

This is why I strongly recommend that you should do a complete cardiac evaluation (with echo, holter and stress test) once a year.

Hope this will be of help!
Wish you health!
Dr. Shehu
p.s: If you have more questions, pleasedon't hesitate to ask me again.


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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Suggest Treatment For Cough And Skipped Heartbeat

Brief Answer: Following advice Detailed Answer: Hi and thank you for asking! I read your query and understood your concerns. What has happened to you seems to be related to tachycardia and palpitations (paroxysmal supra ventricular tachycardia) which may be normalised with coughing hard techniques. If you have had a more serious arrhythmia (like atrial fibrillation, ventricular premature beats, ventricular tachycardia etc.) you shouldn't be able to sleep once again. What is more important these types of arrhythmias can't be stopped by breathing or coughing techniques. However in order to find out what sort of arrhythmia you do on this occasion I would recommend to implant a subcutaneous loop monitoring (cardiac event recorder). You are asking about sudden death by arrhythmia or heart failure. What you should know is that such a thing doesn't happen if you have a normal heart. Cardiac deaths are related with abnormal findings on cardiac echo, holter monitoring or stress test. This is why I strongly recommend that you should do a complete cardiac evaluation (with echo, holter and stress test) once a year. Hope this will be of help! Wish you health! Dr. Shehu p.s: If you have more questions, pleasedon't hesitate to ask me again.