Brief Answer:
Routine EKG has limitations
Detailed Answer:
Hi
An EKG is just a record of electrical activity / it has a lot of limitations... / The recording takes a few seconds and will miss the missed beats, unless they happen to occur then by chance… / hence the need for continuous monitoring… / Permanent changes like chamber enlargement,
heart attack and so on – lead to and leave permanent changes…
Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / calcium, magnesium / Medicines like
Phenylephrine used for ‘cold’;
Salbutamol used for asthma and so on - may be responsible.... / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible!
Yes, anxiety can cause arrhythmia / arrhythmia can cause anxiety – a vicious cycle indeed. It is generally mediated by the
Sympathetic nervous system (…adrenaline). The first line medicine here is generally beta blockers, like
Metoprolol – slow release and small dose. It will benefit both anxiety and missed beats. Your doctor will give proper prescription and follow up
Regards
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