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What Causes Skipped Heart Beats?

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Posted on Mon, 27 Feb 2017
Question: I cannot
reply to following questions so I feel i maybe repeating myself. my heart flip flops for hrs maybe once a week or every 2. im scared!!!!!! saw a cardiologist says im ok but this isn't right!!
doctor
Answered by Dr. Dr. Meriton Siqeca (10 minutes later)
Brief Answer:
Possible extrasystoles; nothing to be worried

Detailed Answer:
Greetings. Welcome to HCM and thank you for your question. I understand your concern.

Most probably this is happening to you due to stress. Extrasystoles or premature ventricular beats (commonly known as skipped heart beats) are phenomena when another part of the cardiac muscle generates electrical impulses, rather than the original pacemaker of the heart, the sinus node. The latter quickly "takes over" the situation by producing another, more forceful beat. This beat may be perceived as a shortness of breath or "the heart jumping out one's chest". Although it may come as scary to the individual having it, it is harmless and there is nothing to be worried about. This is as a result of excess adrenalin levels that are flushed into the system when one is stressed. There is nothing to be worried about.

I hope I was helpful. I am happy to help if you have follow-up questions.

Best regards,
Dr. Meriton
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Dr. Meriton Siqeca (6 minutes later)
it has been happening on amd off for three years and now for thr last 3 hours. eg ehen i breathe in lie on my back and have jaw pain amd feel hot. I don't know of i should go to the hospital. when do i know its serious??
doctor
Answered by Dr. Dr. Meriton Siqeca (5 hours later)
Brief Answer:
Panic attacks

Detailed Answer:
Hello again.

These symptoms may be explained by panic attacks. I do not think that it is necessary for you to go to the hospital. If this is happening for three years now, on and off, and if this is affecting your quality of life and/or work, I would recommend you to consult a psychiatrist or a clinical psychologist, and a short course of anxiolytic agents, such as benzodiazepines, is recommended.

I hope you find my follow-up helpful. If you do not have further questions, close the discussion and rate the answer.

Kind regards,
Dr. Meriton
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Meriton Siqeca (4 hours later)
it is not anxiety! I get them more after eating ! what if its a fib a serious arythmia. why is it after eating espe5if I wat a little more than usual?
doctor
Answered by Dr. Dr. Meriton Siqeca (9 hours later)
Brief Answer:
Not a-fib

Detailed Answer:
Welcome back.

It does not match the symptoms and signs of atrial fibrillation. There is a remote possibility that eating, due to the passage of food into the oesophagus and the stomach overload, may cause ectopic beats, because of the changes happening in the pressure within the ribcage, where the heart is anatomically situated. However, also, if you want to be "in the clear", you can be put on a 24 or 48 hour heart rhythm monitor, and see whether there is an arrhythmia happening in those suspicious moments.

I hope you find this helpful.

Regards,
Dr. Meriton

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Dr. Meriton Siqeca (9 minutes later)
it is happening once a week.. mostly when I've been on my feet for a while and I lay down.. or when I'm relaxed out of nowhere in bed a thud! I have had a holter twice and nothing.. could i have pots??
doctor
Answered by Dr. Dr. Meriton Siqeca (49 minutes later)
Brief Answer:
No pots

Detailed Answer:
Hi again.

No, I do not think you have pots. Based on your description, my opinion remains as the one I provided initially. However, if you think there is something wrong, a good alternative of the rhythm monitor, which registers contiuously, is the episode monitor, which has a manual switch which helps you set to record the perceist episode when your symptoms appear.

I hope this is helpful.

Regards,
Dr. Meriton
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Dr. Meriton Siqeca (24 hours later)
I have had a clear echo that doesn't mean my heart is electrically ok. it's never caught anything yet. I sit take a deep breath in and bang! bang bang! today i was holding my friends friends baby and it quivered. happens when im sitting or lying down and now weekly. it's not normal 😥
doctor
Answered by Dr. Dr. Meriton Siqeca (2 hours later)
Brief Answer:
Episode monitor

Detailed Answer:
Hello again.

That is why I proposed for you to hold an episode monitor, so when the episodes start, you can record them by manually switching on the devices, which allows us to know exactly what is this and, thus, treat it properly.

I hope this follow-up helps.

Best regards,
Dr. Meriton
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Dr. Meriton Siqeca (9 minutes later)
as I mentioned before I have dine these 3 times amd caught nothing. doesnt happen when I wear them
doctor
Answered by Dr. Dr. Meriton Siqeca (37 minutes later)
Brief Answer:
Episode monitor is different

Detailed Answer:
Hello again.

This is exactly why I proposed an episode monitor. I am informed by you that you have worn the holter rhythm monitor three times, and it came back normal, because these episodes did not happen while you are on it. The difference between the holter monitor and the episode monitor, is that the episode monitor records only when you manually switch it on. It does not record continuously, and it is designed particularly for these cases. As soon as you sense the symptoms, you switch the recorder on, which later can be read and, thus, find out what happens to your heart at that very moment of symptoms, and the proper treatment can be started, if needed.

I hope I was helpful. If you do not have further questions, close the discussion and rate the answer.

Regards,
Dr. Meriton
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Dr. Meriton Siqeca (5 minutes later)
I am from Australia and have my appointment with the electrophysiologist soon. she said that they don't have a machine like this? as a cardiologist of your opinion what else can i do . I don't want to give up. maybe a natural doctor
doctor
Answered by Dr. Dr. Meriton Siqeca (2 hours later)
Brief Answer:
Clinic with a monitor

Detailed Answer:
Hello again.

I think there may be some clinic that does have it. However, since this is a sub-specialty of an electrophyiologist, it is her field of specialty and discuss with her if there is any other way to figure this out. Furthermore, if there is not a episode monitor available, and if your symptoms are being present on a daily basis, you can wear the Holter monitor again.

Kind regards,
Dr. Meriton
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Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
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Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

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What Causes Skipped Heart Beats?

Brief Answer: Possible extrasystoles; nothing to be worried Detailed Answer: Greetings. Welcome to HCM and thank you for your question. I understand your concern. Most probably this is happening to you due to stress. Extrasystoles or premature ventricular beats (commonly known as skipped heart beats) are phenomena when another part of the cardiac muscle generates electrical impulses, rather than the original pacemaker of the heart, the sinus node. The latter quickly "takes over" the situation by producing another, more forceful beat. This beat may be perceived as a shortness of breath or "the heart jumping out one's chest". Although it may come as scary to the individual having it, it is harmless and there is nothing to be worried about. This is as a result of excess adrenalin levels that are flushed into the system when one is stressed. There is nothing to be worried about. I hope I was helpful. I am happy to help if you have follow-up questions. Best regards, Dr. Meriton