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HomeAnswersCardiologyirregular heartbeatI am having arrhythmia during exertion and rest. Why?

I have irregular heartbeats, especially when I exercise. What could be the problem?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Ilir Sharka

Medically reviewed by

Dr. K. Shobana

Published At March 31, 2018
Reviewed AtFebruary 18, 2024

Patient's Query

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.

Answered by Dr. Ilir Sharka


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. Do a resting ECG (electrocardiogram) 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 and complete blood count for anemia. If these tests result normally, you should consider anxiety as the main cause of your complaints.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ilir Sharka
Dr. Ilir Sharka


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