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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What could random heart beat with shortness of breath suggest?

Recently I have had a strange feeling going on. About once a day, usually evening right before or right after dinner, I can feel my heart beating, a normal pace about 75 to 80 bpm, but it seems like maybe every so often one beat is harder than others, kind of like beat, beat, beat, BEAT, beat beat...if that makes sense. I have no shortness of breath, chest pain or other physical issues. I am a 49 year old male ,over weight (264 poulds @ 5' 9") As ar as I know chplesterol and glucose are normal, blood pressure was found to be slightly elevated during a recent check up and I take enalapril 10mg twice a day. I also take Alopurinal for kidney stones, It is 300mg once a day. I try to watch my diet avoiding caffeine and too many sweets etc. I probably eat more red meat than I should but thats a work in progress. Thanks for any insight on if this a potential problem o maybe just a little stress or anxiety as a friend said. I might not have mentioned that the hard beats go away after a short time, usually if I get involved in a project or something else that takes my mind away from listening to my own heart thumping away.
Mon, 22 Apr 2019
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General & Family Physician 's  Response

Since you are taking Allopurinol ideally uric acid levels in the blood should not increase. But as your blood pressure is on a slightly higher side, get blood tests done to check your uric acid levels. Elevated uric acid level cause BP to get raised.

Avoid red meat at all cost (it may trigger cardiac or gout issues), if you can't resist cut on the amount you take. Hypertension leads to stroke, coronary artery disease, Kidney disease, vision loss, etc.

Make lifestyle changes, take herbal & nutritional supplements, avoid alcohol or addiction if any. Take avocados, nuts, omega oils & olive oils. Cut on excessive salt intake.

Since you are having shortness of breath, maintain weight as per BMI. Stay away from extremes of physical or emotional stress.

Take adequate sleep, stay well hydrated. Regular exercise, walking. Consult a therapist for relaxation techniques.

Random heart beats with shortness of breath may be indicative of developing cardiovascular disease. To stay on the safer side get physically examined by a cardiologist, get urine & blood tests, stress tests, ECG, Echocardiography, it needed Holter done.

Hope I have answered your query. Let me know if I can assist you further.

Dr. Nupur K, General & Family Physician
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