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What causes heart palpitations?

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Posted on Tue, 13 Sep 2016
Question: ok recently my heart has been skipping a beat after I worked out on sunday I have no pain no shortness of breath but I sense the misfire I am 67 don't smoke I did a 6 mile speed walk today and felt nothing
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Answered by Dr. Ronald Schubert (44 minutes later)
Brief Answer:
Premature ventricular contractions

Detailed Answer:
Thank you for contacting HCM with your health care concerns

You are concerned about missing a heart beat after a work out. This really is a common occurrence and can be linked to premature ventricular contractions or premature atrial contractions. Both of these are caused by a misfire of the heart and does not indicate any heart disease. The only way to diagnose this irregular heart beats is to capture them on an EKG. You would need to first get a regular EKG and if that did not find an abnormality then you would proceed with a Holter monitor. This is a heart monitor that captures your heart beats over a 24 hour period.

If you develop any chest pain or lightheadedness with the irregular heart bet then you need to see someone immediately. But since you had no accompanying symptoms this can be evaluated as needed.

I hope I answered your question. Please contact us again if you have any additional questions
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ronald Schubert (1 hour later)
the only other question is that while I do not feel any pain or any symptom with this it has not stopped I feel nothing when I exercise but when I lie down I notice it hard to fall asleep any suggestions re what can possibly stop this started mon am after exercising was away last week had a lot of sun not sure if that triggered this I have had this over the years but very slightly a little more intense now
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Answered by Dr. Ronald Schubert (14 hours later)
Brief Answer:
Palpitations

Detailed Answer:
Your palpitations are most likely caused by the PVC or PACs. These are benign and usually are not even treated. I would recommend that you see your medical provider for an EKG and possible holter monitor. After you have these tests complete then you can discuss treatment options. If they are the PVCs or PACs there is no treatment. There is no treatment because the treatment is more dangerous than the disease itself. So please see your provider
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ronald Schubert

General & Family Physician

Practicing since :1984

Answered : 2407 Questions

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What causes heart palpitations?

Brief Answer: Premature ventricular contractions Detailed Answer: Thank you for contacting HCM with your health care concerns You are concerned about missing a heart beat after a work out. This really is a common occurrence and can be linked to premature ventricular contractions or premature atrial contractions. Both of these are caused by a misfire of the heart and does not indicate any heart disease. The only way to diagnose this irregular heart beats is to capture them on an EKG. You would need to first get a regular EKG and if that did not find an abnormality then you would proceed with a Holter monitor. This is a heart monitor that captures your heart beats over a 24 hour period. If you develop any chest pain or lightheadedness with the irregular heart bet then you need to see someone immediately. But since you had no accompanying symptoms this can be evaluated as needed. I hope I answered your question. Please contact us again if you have any additional questions