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Dr. Andrew Rynne
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes heart palpitations?

hi doc, my mum is 72 yrs old with no past illness. For 2 years she has been having sleepless nights because she has to work up in the early hours of the morning due to heart palpitations. She weighs 78kg and she is 1,7m high, All her vital signs are normal. The EKG and Echo were normal. Holter monitor was also normal. what could be the cause as she looks frustrated now because of failure to find treatment
Fri, 31 Jul 2015
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General & Family Physician 's  Response
Welcome to health care magic,

Heart palpitations could be due to anxiety, stress,anemia,gastric reflux or may be ectopic beats,SVT.

In healthy individuals, it is mostly of anxiety or stress but if your mother has sleeplessness ,then she must evaluate for premature atrial or ventricular contractions,paroxysmal supra ventricular tachycardia, atrial fibrillation etc.

The above heart diseases have many other symptoms apart from palpitations but they some times start with this symptoms.

Her ECG,holter monitoring ( 24 hr heart activity) and 2D echo are normal then she should go for thyroid function tests.

She must consult your physician if facing this problem since long time.
You can give her tab.lexapro,its good drug for anxiety.

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