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hi. I woke up last night and my heart was

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Posted on Mon, 21 Jan 2019
Question: hi. I woke up last night and my heart was racing and my blood pressure cuff indicated irregular heartbeat. when I took my pulse it was super fast (150 bpm) and erratic. it lasted 20 minutes. all day today my blood pressure cuff has said irregular heartbeat. I just had this ECG done that is attached. I had a stress test and cardiac catheterizarion 3 years ago that were normal. should I be worried?
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Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I passed carefully through your question and would explain that as all previous cardiac tests have resulted normal, there is no reason to worry about it.

Anyway, if erratic pulse persists, I recommend performing some blood lab tests:

- complete blood count for anaemia
- thyroid hormone levels for thyroid dysfunction
- blood electrolytes for possible imbalances.

Unfortunately I can not see your ECG report attached to this question. Maybe a system error.

Could you please try to upload again, so I can give a more professional opinion?

I remain at your disposal for any further questions whenever you need!

Kind regards,

Dr.Ilir Sharka, Cardiologist
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Ilir Sharka (24 minutes later)
I reattached my ecg readout for you
doctor
Answered by Dr. Ilir Sharka (49 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

I just reviewed your ECG report and would explain that it shows only an ectopic heart beat but the main basal heart rhythm is normal sinus rhythm.

For this reason there is no reason to panic.

I would just recommend performing the above mentioned blood lab tests to check for any possible metabolic disorders.

If these palpitations persist, I would recommend discussing with your attending physician on the possibility of starting low dose of bisoprolol, to help prevent ectopic heart beats.

Hope you will find this answer helpful!

Wishing all the best and a Happy New year,

Dr.Iliri
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 7507 Questions

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hi. I woke up last night and my heart was

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome to Ask a Doctor service! I passed carefully through your question and would explain that as all previous cardiac tests have resulted normal, there is no reason to worry about it. Anyway, if erratic pulse persists, I recommend performing some blood lab tests: - complete blood count for anaemia - thyroid hormone levels for thyroid dysfunction - blood electrolytes for possible imbalances. Unfortunately I can not see your ECG report attached to this question. Maybe a system error. Could you please try to upload again, so I can give a more professional opinion? I remain at your disposal for any further questions whenever you need! Kind regards, Dr.Ilir Sharka, Cardiologist