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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes fluttering heart with skipped beats?

I will start with saying that I m a smoker and I do drink beer. I m a Texana lol. I m 39 years old 40 in July. Most my life I ve had heart flutters and skipped beats. I ve noticed lately that the skipped beats happen mostly when I bind a certain way or stretch. I do notice them a lot more after a night of drinking. When I have skipped beats. It s like my heart beats hard and heavy for about 5 or 6 beats like it s catching up. Sometimes I have flutters that last for a few seconds. The flutters sometimes give me anxiety attacks. Which I know are in my mind. I ve been dealing with the anxiety since I was 14. I ve learned to breath my way out of it and take my mind off of it without meds. Should I be concerned ?
Wed, 13 Apr 2016
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  Anonymous's Response
's  Response
Hello and thank you for using HCM. I carefully read you question and i understand your concern.I will try to explain you something and give you my opinion.
Someone might experience palpitations, skipped heart beats for different reasons. As you explain, my opinion is that we are dealing with a rhythm issue.
These symptoms might be because of what we call extra-systolic beats. These are electrical impulses generating from parts of the heart different from normal sinus rhythm. They cause this escaped skipping beat that you feel, an anxiety sensation.
But when you feel that your heart is running in a chaotic way this might be another problem, what we call atrial fibrillation.This is an arrhythmia, when the heart loses its normal sinus rhythm.
It is quite known in cardiology that atrial fibrillation might generate because of excessive alcohol consumption. We even have a syndrome for this. It is called "mondey morning syndrome", because of this kind of arrhythmias that generates after Saturdays with alcohol consumption.
So, my opinion as a cardiologist is that now its time to explore this symptoms and dont leave them like this any more.
I suggest you to make a blood analyses, an electrocardiogram, an echo-cardiography and a holter monitoring to see what kind of rhythm issue is this.
At mean time you have to stop drinking beers because they exacerbate your symptoms and this is not a good thing.
After finding what kind of a rhythm issue is this, than we can think for treatment oppositions.
I hope i was helpful. Whish you good health and best regards.
Cardiologist, Electrophysiology Dr. A Akhuli's  Response
Hello, welcome to HCM..
Thanks for writing to us.

I think you should be concerned with the problem.There are many types of rhythm disturbances of heart which should be thoroughly evaluated. You should first go for a EKG preferably when you feel like skipped beats or flutter.Consult your doctor after the Ekg report is available.To curb anxiety take sedative pill.

Hope I have answered your query.
Stay fit, good luck.
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