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Suggest treatment for severe heart palpitations caused by stress

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Posted on Wed, 20 Jul 2016
Question: Dr. I am a 27 year old healthy male who is feeling a bit more palpitations than usual. I've always had some here and there (dad has pvc's, too) but they are a little more frequent in the last month. I have also been under a tremendous amount of stress at work and home, so I am wanting to ask if I can feel reassured this is the cause? When I have them my pulse remains fine. Always under about 80.

No family history of heart disease and no other symptoms like dizziness, light headed or passing out, etc. I can also exercise without problem- I run 2-3 miles at a 9 minute pace several times per week.

Does this sound benign given my
History, etc?

doctor
Answered by Dr. Ilir Sharka (34 minutes later)
Brief Answer:
Your symptoms are not cardiac related

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would explain that your don't seem to be related to any cardiac disorders.

Anxiety seems to play an important role in all your symptomatology.

You should know that it is quite normal to have some palpitations during physical or emotional stress.

They are caused by the activation of sympathetic nervous system, leading to a load of adrenaline and noradrenaline in your blood.

Nevertheless, if the problem persists I would recommend performing an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during the day.

Some blood lab tests ( thyroid hormone levels, blood electrolytes) would also exclude other metabolic causes that may trigger this symptomatology.

Meanwhile I recommend you to focus on your anxiety and try to manage it better.

Physical activity and Yoga can help for this purpose.

Hope to have been helpful!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (3 minutes later)
Thanks for your help doctor. I do believe you are correct- i have been so anxious that i have had stomach trouble, etc.

So, given this, would you say this is 99% likely to be from the stress and not a life threatening issue? Thank you again. I appreciate it .
doctor
Answered by Dr. Ilir Sharka (17 minutes later)
Brief Answer:
My opinion:

Detailed Answer:
Hello again!

I can reassure you more than 99% that your symptoms do not indicate any serious health disorder ( including cardiac disorders).

So just try to relax and do not think about it any more!

Hope you will find this answer helpful!

Kind regards,

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

Cardiologist

Practicing since :2001

Answered : 4714 Questions

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Suggest treatment for severe heart palpitations caused by stress

Brief Answer: Your symptoms are not cardiac related Detailed Answer: Hello! Welcome and thank you for asking on HCM! I understand your concern and would explain that your don't seem to be related to any cardiac disorders. Anxiety seems to play an important role in all your symptomatology. You should know that it is quite normal to have some palpitations during physical or emotional stress. They are caused by the activation of sympathetic nervous system, leading to a load of adrenaline and noradrenaline in your blood. Nevertheless, if the problem persists I would recommend performing an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends during the day. Some blood lab tests ( thyroid hormone levels, blood electrolytes) would also exclude other metabolic causes that may trigger this symptomatology. Meanwhile I recommend you to focus on your anxiety and try to manage it better. Physical activity and Yoga can help for this purpose. Hope to have been helpful! Kind regards, Dr. Iliri