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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The Extra Systole In The Heart Beat And Shortness Of Breath Due To Anxiety?

Hi There,
I have a question and I hope that somebody has an answer/suggestion.
During my study years (5 years ago) the consumption of a lot of energy drinks combined with sleep derrivation triggered an extra systole in my heartbeat. I had some research done by a cardiologist and he concluded that the circumstances created an inflammation to my heart thus creating the extra systole. He gave me tambocor 50 to releive the problemens and it worked within hours. After one week I didn't have the extra systoles anymore, but the medication made me feel uncomfortable so I stopt taking them. Ofcourse...after a short time...the extra systoles came back so I was forced to take the tambocor tablets once again. I still didn't want to be dependent of this drug my whole life so I started to work out again in the gym and started taking creatine as a supplementation. Within weeks I got off the tambocor and all symptoms were gone. That was then....now...5 years later...starting one week ago...the extra systole came back and are increasing in frequency. They are accompanied with a little shortness of breath, but I don't know if this is anxiety related. During the last 3 years I've had Testosteron injections (not constant, but from time to time) with the last admission beeing 5 weeks ago. I don't know if the sudden withdrawl could be the cause of this relapse or that it should have nothing to do with it. If anybody has any tip on what I can do (other then maybe start with creatine again)....I'd very much welcome the suggestions
Mon, 8 Jun 2015
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Cardiologist 's  Response
Doing your college days as your cardiologist have suggested surely the extrasystole were due to your life style. However flecanamide for extra systole is rather a strong drug. Coming to the present time, recurrence of similar episode noted. Now testosterone itself and shoot some extra systole as well as sudden withdrawal. So restarting testosterone is out of questions. Now if you have access and the symptoms are everyday, get a 24 holter, to make sure that it's nothing more than an extra systole. If the diagnosis is confirmed a small does of cardiac specific beta blocker like metoprolol will do the trick. I still don't think tambacor for just extra systole is justified.
Regards Dr priyank mody
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Could The Extra Systole In The Heart Beat And Shortness Of Breath Due To Anxiety?

Doing your college days as your cardiologist have suggested surely the extrasystole were due to your life style. However flecanamide for extra systole is rather a strong drug. Coming to the present time, recurrence of similar episode noted. Now testosterone itself and shoot some extra systole as well as sudden withdrawal. So restarting testosterone is out of questions. Now if you have access and the symptoms are everyday, get a 24 holter, to make sure that it s nothing more than an extra systole. If the diagnosis is confirmed a small does of cardiac specific beta blocker like metoprolol will do the trick. I still don t think tambacor for just extra systole is justified. Regards Dr priyank mody