Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
191 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What causes skipped heart beats with normal heart check up?

Answered by
Dr.
Dr. Raju A.T

General & Family Physician

Practicing since :2008

Answered : 4000 Questions

default
Posted on Fri, 4 Jul 2014 in Hypertension and Heart Disease
Question: hello
I asked a question recently about pvcs and pacs. I started having them as a teenager and they have continued (and gotten worse) as an adult ( I'm 30 now). I've had a full work-up (recently) and my heart is structurally normal. my question is this: about 1-2x per month I get an episode where the skipped beat is very bad. today, for instance I had a pause that lasted 3 seconds. I can feel when there's a skip, checked my pulse and felt nothing for that 3 second period (I had a clock right in front of me). I also felt very strange during that period; a feeling that blood was rushing to my head. I got worried, so I started coughing thinking that would help start it again. when the beats started again, they were fast for about a minute. does this sound like a typical skipped beat and should I go get a second opinion? I called my cardiologist who said he thinks they are just the pauses between pvcs that I am feeling. thanks
(I've tried posting this question twice, but it doesn't show up. Sorry for the duplicate if it shows on your end)
doctor
Answered by Dr. Raju A.T 8 hours later
Brief Answer:
Holter monitoring

Detailed Answer:
Hi,

Thanks for your query.

A 3 second pause is very rare but not impossible. This could be a escape rhythm seen in PVCs. The duration may not increase more than this but the risk of getting it frequently may be more if untreated.

I believe there us need for detailed investigation of the same. Heart normal structurally does not exclude conduction defects. You may have to get a Holter monitoring done and get it analysed by a cardiologist to plan a suitable management.

Hope, I answered your query.

Wish you good health.

Regards,




Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on