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Suggest treatment for heart palpitations, dizziness and brain fog

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Posted on Thu, 19 May 2016
Question: i have a condition going on where ny heartbeat has been consistently irregular causing major palpitation that leaves me with no energy at times and dizzy and kind of brain fogged..my bp hasnt been to bad while it has been going on currently ranging from 123/86-143/98 but my monitor reads irregular heartbeat every time i take it..but even when i check my pulse u can feel the irregular beat like it skips a beat then beats fast to catch back up..aat ine point if time i thought it was due to medicines for acid reflux like pantropozole that list one of the side effects is itregular heartbeat. well i stop that and tried previd a.c. and still the same beats..i stop that 3 days ago and palpitations seems worse..at times to the point of dizziness and catching of breath..i have done numbers of test from yesterday checking cholesterol numbers which i currently take crestor for and i have worn a heart monitor before this past summer and they didnt notice anything irregular
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Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that your symptoms could be related to cardiac arrhythmia.

The fact that your heart monitor has not noticed any abnormality does not exclude cardiac arrhythmia.

Besides, the fact that these symptoms have become worse indicates that further tests are needed to exclude possible cardiac arrhythmia.

I would recommend performing :

- a cardiac ultrasound to examine your heart function and structure and exclude possible cardiomyopathy
- a new 24-48 hours ECG monitoring would be necessary to examine your heart rhythm trends during the day
- blood lab tests (complete blood count for chronic anemia, blood electrolytes for possible imbalances and thyroid hormone levels for possible thyroid dysfunction).

If all these tests result normal, you should consider anxiety as a possible trigger of this symptomatology.

Hope to have been helpful!

Kind regards,

Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 8608 Questions

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Suggest treatment for heart palpitations, dizziness and brain fog

Brief Answer: I would recommend as follows: Detailed Answer: Hello! Welcome and thank you for asking on HCM! I carefully passed through your question and would explain that your symptoms could be related to cardiac arrhythmia. The fact that your heart monitor has not noticed any abnormality does not exclude cardiac arrhythmia. Besides, the fact that these symptoms have become worse indicates that further tests are needed to exclude possible cardiac arrhythmia. I would recommend performing : - a cardiac ultrasound to examine your heart function and structure and exclude possible cardiomyopathy - a new 24-48 hours ECG monitoring would be necessary to examine your heart rhythm trends during the day - blood lab tests (complete blood count for chronic anemia, blood electrolytes for possible imbalances and thyroid hormone levels for possible thyroid dysfunction). If all these tests result normal, you should consider anxiety as a possible trigger of this symptomatology. Hope to have been helpful! Kind regards, Dr. Iliri