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 am 42-year-old mother experiencing extra heartbeats. Is this life-threatening?

Query: Hi doctor, I am a 42 years old mother of two boys with 1.80 m height and 66 kg weight. Following considerable stress at work, the last few days, I have experienced some rare palpitations. Although they are not frequent, I am distraught because they give me a different feeling than those I had a few ...  Read Full »

Dr. Prathish Kumar

Answer: Hi, Welcome to I understand your concern. Given the previous history of idiopathic extra beats, the present palpitations could be arrhythmia. Needs evaluation. Since by the time you reach emergency room (ER), the electrocardiogram (ECG) stays normal, we need to go for continuous ECG ...  Read Full »

Is it safe to change the dosage of heart medicines to once every two days?

Query: Hi doctor,I am a 49 year old male. Five years ago, I got two stents on the left. Actually, my heart was good only 30 % block. I take Vitoryn and Aspirin until now. I started having arrhythmia two years ago. AF comes out once every one and a half months for two to four hours. When AF attacks, I canno...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hello, Welcome to I have reviewed your health query and can well understand you are worried about your heart health. I would not say to stop Xarelto (Rivaroxaban) and/or Cordarone (Amiodarone) as these are very important medications and you need them. For stent patients, Xarelto reduc...  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 and 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...  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 o...  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 »

Does my recent EKG report say I have Brugada syndrome?

Query: Hi doctor, I was told I have arrhythmia but wanted a second opinion. I have had chest pain and intermittent dizziness for over two years now. And I took EKG for dizziness recently. I am currently taking Truvada, Doxycycline, and Librium. Does my EKG indicate Brugada? Please give me your suggestions.  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to I went through your query and understood your concern. It is suspected you may have an arrhythmia, but it is not a typical pattern (attachment removed to protect the patient's identity). Do you have any other symptoms or a family history of arrhythmia? However, I sugg...  Read Full »

My friend fainted while working out with raised heart rate of 224 beats per minute. Why?

Query: Hello doctor, I have a friend who said they fainted for 30 minutes while they were working out and woke up not remembering what had happened. Once they had woken up, they realized they had a severe headache. They decided to check their heartbeat for the timespan of when they had passed out, and it h...  Read Full »

Dr. Shubadeep Debabrata Sinha

Answer: Hello, Welcome to Tachycardia is increased heartbeats beyond normal (72 to 90 beats per minute). 224 beats per minute is way beyond the normal limit and probably denotes a heart condition that might be related to rhythm disturbances (arrhythmias) in the heart. For this purpose, you mu...  Read Full »

Do all my symptoms occur due to alcohol neuropathy or back injury?

Query: Hello doctor, I am a 31 years old, who weighs 160 lbs and 5.10 feet tall. I drink alcohol on and off since I was 18 years old. Once I got back from deployment, I drank pretty hard with friends. I would say 3 to 8 beers every other night and then 12 to 16 on weekends. I quit drinking cold turkey a mo...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to After quitting alcohol, many patients get alcohol withdrawal symptoms, but that usually develops within a week of quitting alcohol. Chest tightness and racing heart can be because of some cardiac problem like rhythm disturbance or ischemic heart disease, or it can a...  Read Full »

I have had arrhythmia and my heart beats are irregular for the past ten years. What could be the reason?

Query: Hello doctor, I have had arrhythmia for the past ten years. Sometimes, my heart beats twice faster and then back to normal. Also, I can hear one sound louder than the other, and when this happens, I burp a lot and feels that the air cannot go outside. Also, my breath becomes short, making it difficu...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to I understand your concern. Your symptoms are most likely premature beats. These are of normal occurrence and increase in case of anxiety and excessive caffeinated beverages intake. If the symptoms persist, I would suggest ECG. Thank you.  Read Full »

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 »

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 »

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