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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heart Palpitations At Night?

Why does my heart skipped a beat when I lying down at night only.It goes away but I get nervous and I ready to sleep but it distract my sleep pattern. I don t feel them in the morning only when I lying on my back or left side. I take 25mg atenelol. I notice the skip a beat three weeks ago when I turn 50 and also before and a week after my period.
Mon, 23 Jul 2018
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Internal Medicine Specialist,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

To know the exact pattern of arrhythmia ,you have to undergo ECG with long lead II recording for 2 minutes and if indicated Holter monitoring. Ventricular premature beats may be causing missed beat feeling due to compensatory pause following the extra beat.During day time sinus rate is usually high and is acting as over-drive pacing to suppress the ectopics.

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What Causes Heart Palpitations At Night?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. To know the exact pattern of arrhythmia ,you have to undergo ECG with long lead II recording for 2 minutes and if indicated Holter monitoring. Ventricular premature beats may be causing missed beat feeling due to compensatory pause following the extra beat.During day time sinus rate is usually high and is acting as over-drive pacing to suppress the ectopics. Hope I have answered your query. Let me know if I can assist you further.