Q. I have irregular heartbeats, especially when I exercise. What could be the problem?
Hello doctor,
I have had irregular heartbeats for quite some time. I get palpitations and a feeling that my heart is missing beats. I get breathless and dizzy when this happens. Sometimes, the trigger is exercise, either walking or climbing stairs; other times, it occurs when at rest. I am currently taking Aripiprazole and Citalopram. The heart problem began before I started taking these medications. I was recently given a heart monitor to record episodes. I can send you pictures of the episodes for you to read if possible. I would like some answers as my local cardiology department is taking some time.
Hello,
Welcome to icliniq.com.
I understand your concern and would recommend performing some tests to investigate for possible cardiac arrhythmia or other metabolic causes that may trigger this situation.
- A resting ECG and a cardiac ultrasound.
- An ambulatory 24 to 48 hours ECG monitoring to investigate for cardiac arrhythmia.
- Blood electrolytes for possible imbalance.
- Thyroid hormone levels for thyroid gland dysfunction.
- Complete blood count for anemia.
If these tests result normally, you should consider anxiety as the main cause of your complaints.
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