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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Hard Heart Beats?

I have a beat in my chest that feels like a really hard heart beat. Not a flutter, one beat that is drastically hard than the others. It lasts about 2 hours every evening the past 2 months. My dad and fraternal grandmother have Afib. Could this be the start?
Tue, 31 Jul 2018
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Cardiologist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

Most probably these are ventricular premature complexes or even may be atrial ectopics which may be a precursor of a fib. These are ectopic or extra beats. These are usually benign and not life threatening. These are frequently associated with MVP, also caffeine, alcohol, thyroid problems may aggravate these. So before going ahead we need to confirm it. Since these are not frequent ECG may be normal, so in that case you ll need 24 Holter monitoring which can diagnose these. You should also get thyroid test done. You ll need beta blockers like Metoprolol to keep these under control.

Hope this helps you and get back if you have any questions.
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What Causes Hard Heart Beats?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Most probably these are ventricular premature complexes or even may be atrial ectopics which may be a precursor of a fib. These are ectopic or extra beats. These are usually benign and not life threatening. These are frequently associated with MVP, also caffeine, alcohol, thyroid problems may aggravate these. So before going ahead we need to confirm it. Since these are not frequent ECG may be normal, so in that case you ll need 24 Holter monitoring which can diagnose these. You should also get thyroid test done. You ll need beta blockers like Metoprolol to keep these under control. Hope this helps you and get back if you have any questions.