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Suggest Treatment For Persistent Ectopic Heart Beats And Palpitations
Question: Hi doctor i have been having Etopic beats and palpitations over the past year. I had all cardiac testing done and my echocardiogram showed a structurally normal heart with some trace regurgitation in 3 areas. I passed both stress tests i had and i also had 2 48 hour holters. The first last year showed 925 PACS in 48 hours including 2 bigemy cycles and 3 couplets. The most recent holter showed 400 single PACS over 48 hours and 15 pvcs. I saw 2 separate cardiologists and both insist my heart is very healthy and that anxiety is at the root of the problem. However why do i get these symptoms when i am calm before bed and in the morning when i wake up. Also if my heart is healthy whey am i getting these symptoms. My doctor says my heart is healthy and these etopics have a different etiology that is not originating from my heart. I dont understand what this means.
Also this morning i noticed a few etopics and then i had tacycardia. Can PACS trigger this or this from anxiety about feeling the etopics?
Also this morning i noticed a few etopics and then i had tacycardia. Can PACS trigger this or this from anxiety about feeling the etopics?
Brief Answer:
Following advice...
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
You are experiencing more ectopic beats and palpitations more in the evening before sleep and in the morning is normal and is explained with the following reasons:
- The quietness of the night and the early hours of the morning make the person to be aware of palpitations and tachycardia.
- In the early hours of the morning there's an increase of adrenaline and other hormones that cause tachycardia and palpitations.
As you can see what you are experiencing is normal and we expect to happen to you.
Since your heart was normal and nothing wrong was found on cardiac examinations and other causes are to be responsible for your symptoms. The most common extra cardiac causes for palpitations are anxiety and GERD.
Anxious patients have larger adrenaline levels than normal people and this is associated with an increased risk for arrhythmia, palpitations and tachycardia. However you should keep in mind that since your cardiac examinations were normal you shouldn't worry about those arrhythmias because they are harmless.
Hope this was of help!
Wish you health!
Dr. Shehu
Following advice...
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
You are experiencing more ectopic beats and palpitations more in the evening before sleep and in the morning is normal and is explained with the following reasons:
- The quietness of the night and the early hours of the morning make the person to be aware of palpitations and tachycardia.
- In the early hours of the morning there's an increase of adrenaline and other hormones that cause tachycardia and palpitations.
As you can see what you are experiencing is normal and we expect to happen to you.
Since your heart was normal and nothing wrong was found on cardiac examinations and other causes are to be responsible for your symptoms. The most common extra cardiac causes for palpitations are anxiety and GERD.
Anxious patients have larger adrenaline levels than normal people and this is associated with an increased risk for arrhythmia, palpitations and tachycardia. However you should keep in mind that since your cardiac examinations were normal you shouldn't worry about those arrhythmias because they are harmless.
Hope this was of help!
Wish you health!
Dr. Shehu
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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