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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Palpitations And Slow Heart Rate?

I have always had palpitations throughout my life.......some for weeks/months, then they become less. Then later a repeat. I had a thorough cardio workup 2 yrs. ago, and heart is normal, no plaque, and am now experiencing more than ever. (healthy diet) I have CFS and a lot of anxiety. I am concerned about it changing to a fib since I have a feeling of fluttering, but also have a slow heart rate. Should I be concerned about it?
Tue, 6 Sep 2016
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General & Family Physician,  's  Response
Common causes of palpitation include
a.     strong emotional responses such as fear
b.     stress or anxiety
c.     strenuous exercise
d.     caffeine/nicotine
e.     taking cold and cough medications that contain pseudoephedrine
Occasionally heart palpitations can be a sign of a serious health problem, such as
a.     overactive thyroid gland - hyperthyroidism
b.     abnormal heart rhythm - cardiac arrhythmia
Arrhythmias may include very fast heart rates (tachycardia), unusually slow heart rates (bradycardia) or an irregular heart rhythm.
Advice
1.     Take rest and avoid all sorts of strenuous activity
2.     Alprazolam 0.25 mg at bed time per oral for 1 month
3.     Avoid tea, coffee, alcohol and smoking
4.     Lose weight if you are overweight
5.     Regularly check your blood pressure
6.     Investigation
a. ECG at the time of heart palpitation
b. Holter monitoring
c. Hb%
Consult a cardiologist with report.
Thanks
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What Causes Palpitations And Slow Heart Rate?

Common causes of palpitation include a. strong emotional responses such as fear b. stress or anxiety c. strenuous exercise d. caffeine/nicotine e. taking cold and cough medications that contain pseudoephedrine Occasionally heart palpitations can be a sign of a serious health problem, such as a. overactive thyroid gland - hyperthyroidism b. abnormal heart rhythm - cardiac arrhythmia Arrhythmias may include very fast heart rates (tachycardia), unusually slow heart rates (bradycardia) or an irregular heart rhythm. Advice 1. Take rest and avoid all sorts of strenuous activity 2. Alprazolam 0.25 mg at bed time per oral for 1 month 3. Avoid tea, coffee, alcohol and smoking 4. Lose weight if you are overweight 5. Regularly check your blood pressure 6. Investigation a. ECG at the time of heart palpitation b. Holter monitoring c. Hb% Consult a cardiologist with report. Thanks