When your heartbeats get irregular, it is known as arrhythmias. The different types of arrhythmias are premature atrial contractions, premature ventricular contractions, premature junctional contractions, atrial fibrillation, atrial flutter, paroxysmal supraventricular tachycardia, ventricular fibrillation, and ventricular tachycardia. The symptoms include palpitation, heart beats too fast (tachycardia), heart beats too slow (bradycardia), chest pain, and shortness of breath.

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I have PVC after starting Methadone. Will beta blockers help?

Query: Hi doctor, I am a 35 year old male, and I am currently on Methadone for chronic pain. I currently have PVC, and my last EKG showed a long QT (over 500 ms). The doctor recommended that I take Magnesium and Potassium supplements as he believes that Methadone may be reducing my magnesium and potassium ...  Read Full »

Dr. Isaac Gana

Answer: Hello, Welcome to I have gone through your explanation in detail, and I understand your worries. Long QT syndrome can predispose you to a fatal arrhythmia known as torsades de pointes. In your case, I will strongly advise you to commence treatment with a beta blocker. This is a saf...  Read Full »

Are pounding heart and skipped heartbeat signs of atrial fibrillation?

Query: Hello doctor, I am a 46 year old female. My blood pressure is low normal. I have never had any heart issues except palpitations when pregnant 10 years ago. They did a cardiac ultrasound at that time, which was normal. Just over a week ago, I started feeling, intermittently during the day, as if my ...  Read Full »

Dr. Rishu

Answer: Hello, Welcome to I have gone through your detailed narration and understand your concerns. The ECG (electrocardiogram) recordings are clearly suggestive of atrial fibrillation (AF) and there is no doubt about it. The P-wave is absent and the rhythm is irregular. Both are suggestive of...  Read Full »

I am suffering from irregular heartbeat for a year. Please help.

Query: Hello doctor,I have been experiencing irregular heartbeat since a year. I consulted a doctor who suggested to undergo ECG (echocardiography) which I repeated after sometimes before taking any medicine. Thereafter, doctor asked to put me on a Holter, after that they transferred me for electrophysiol...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello,Welcome to have checked your report (attachment removed to protect the patient's identity). ECG (electrocardiogram) is normal. Please share Holter and echocardiography reports. Kindly share the electrophysiologic study report. Please share if you have any other underlying medica...  Read Full »

I have racing heartbeats, breathlessness and headaches at times. Pease help.

Query: Hello doctor,I need your help. I have seen many doctors about the symptoms that I am having. Several years ago, I would have these little episodes with my heart where for about five to ten seconds, my heart would race extremely fast when I say remarkably, I mean, within 5 seconds, it would beat 15 t...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to Thanks for the query. In Hyperthyroidism, cardiac rhythm issues are common. Atrial fibrillation is a common Arrhythmia. Do you have documented atrial fibrillation on ECG (electrocardiogram)? If not, I would recommend having cardiac event monitoring done. It is a lon...  Read Full »

I am skipping heartbeat occasionally throughout the day. What should I do?

Query: Hello doctor,I have been experiencing an irregular heartbeat for about a month. It is happening every day now. It occasionally occurs throughout the day, sometimes a couple of times. I also had a similar issue before, but it never lasted this long, so I am getting worried.Additionally, I would menti...  Read Full »

Dr. Arpit Varshney

Answer: Hello,Welcome to skipping of beats is suggestive of arrhythmia. The best way to evaluate them is to get an ECG (Electrocardiography) done. If there is some abnormality, it can be treated easily with medications. There is nothing to worry about. If ECG shows such abnormalities, you mu...  Read Full »

Why do I have irregular heartbeats?

Query: Hi doctor, I have had an irregular heartbeat for several years. I visited many cardiologists in person, but nobody was able to give an exact diagnosis. I did echo, ECG, and chest x-ray. Please advise.  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I understand your concern. Were these irregular heartbeats (ventricular ectopics) captured on ECG anytime? These ventricular ectopics occur intermittently, so they may be missed on ECG (Electrocardiography), and one may require to undergo 24 hour Holter monitorin...  Read Full »

I have abnormal heartbeat and breathing difficulties. Please suggest course of action.

Query: Hi doctor, I am a 27-year-old female. I have been feeling my heartbeat, breath, and pulse rate to be abnormal for the past three weeks. It feels like my heart is pounding so bad. And then, I feel difficulty for breathing, like I have run or jogged more than my capacity, even if I am sitting or lyin...  Read Full »

Dr. Ashaq Hussain Parrey

Answer: Hello, Welcome to I went through your post. Your chief complaints are palpitations and lower abdomen pain. Anyone who notices a change in their heartbeats should go for ECG (electrocardiogram) to rule out arrhythmia. The most common causes of one-sided pain in the lower abdomen...  Read Full »

Suffering from Heart palpitations, Hypertension, Depression and Anxiety. Need advice

Query: Hi doctor, I am a 26 year old male. I am having hypertension, palpitation, depression and anxiety. ECG, 2D echo, renal Doppler, VMA culture, cortisol and lipid profile are normal. I need advice.  Read Full »

Dr. Rohit Jain

Answer: Hi, Welcome to The tests you have mentioned are used to find a cause for significant hypertension. You have not mentioned anything about your BP levels and whether they are really significantly high. We have no details of your weight, your lifestyle and your family history. ...  Read Full »

What are the side effects of implantable cardioverter-defibrillator?

Query: Hello doctor, Could you let me know if an implantable cardioverter-defibrillator can cause AFib? Please explain.  Read Full »

Dr. Rishu

Answer: Hi, Welcome to Implantable defibrillators are implanted to terminate an episode of atrial arrhythmia. AFib (atrial fibrillation) is also a type of atrial arrhythmia. The ICD (implantable cardioverter defibrillator) not only provides treatment for atrial arrhythmias but also for v...  Read Full »

I have irregular heartbeat after taking higher dose of stimulant. Please help.

Query: Hi doctor, I took my usual stimulant this morning, but at a higher dose (Vyvanse 50 mg, rather than the usual 30 mg). In addition to the usual coffee, I have tried for the first time a dietary supplement with caffeine (200 mg), Niacin (10 mg, 50% daily value), and vitamin B12 (1000 mcg, 16,667% dai...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to I have thoroughly gone through your case and can understand your health concerns. I want to assure you that everything will be fine if proper care and treatment are opted in for. I have seen the heart beat monitored through your smartphone (attachment removed to pro...  Read Full »

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