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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Having Palpitations, Feeling Uneasy. ECG, Heart Scan Normal. No Heart Problems In Family. Suggestions?

Hi. I've been having harsh palpitations for almost a year now. Especially when I exercise. I consider myself very fit. It's very startling and stops me on my bike or skates. Sometimes it's not even during high intensity. Just a stroll. A times it's a one off and others just a couple of minutes Inbetween up to ten times. I've never felt faint after but it is defo alarming.

I went to the hospital and all my ECG results were normal. They put me on a treadmill and said that was all normal. Had a heart scan and again the structure of my heart all seem fine, but I don't like having them. It's like a massive flutter and scares me. Should I be concerned?

No heart problems in my family. No sudden deaths but I am also quite often tachycardic. Most days my resting heart rate is 63-65. Not sure if you need any more info.....

Thank you!!!
Wed, 15 May 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

     Irregular heart beats need to be DOCUMENTED by ElectroCardioGram (EKG). / Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode occurs randomly or precipitated by a specific activity like exercise, one needs Holter or event monitor. Holter records for days; Event monitor for weeks / Holter records continuously / Event monitor only at certain times .
     If there are no clues and if the problem is still bothering to the extent of interfering with life style,you may need Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. The treating doctor may suggest them depending on need, based on his assessment of the situation.
There are other advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS.
     Discuss with your doctor...

Take care
Wishing speedy recovery
God bless
Good luck
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Having Palpitations, Feeling Uneasy. ECG, Heart Scan Normal. No Heart Problems In Family. Suggestions?

Hi friend, Welcome to Health Care Magic Irregular heart beats need to be DOCUMENTED by ElectroCardioGram (EKG). / Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode occurs randomly or precipitated by a specific activity like exercise, one needs Holter or event monitor. Holter records for days; Event monitor for weeks / Holter records continuously / Event monitor only at certain times . If there are no clues and if the problem is still bothering to the extent of interfering with life style,you may need Electro Physiological Studies (EPS) it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. The treating doctor may suggest them depending on need, based on his assessment of the situation. There are other advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS. Discuss with your doctor... Take care Wishing speedy recovery God bless Good luck