Recently Answered Questions
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I have chest pain and a racing heart. Why is the EKG normal?
Query: Hi doctor, I am 25 years old, and I have really bad anxiety about my health. I have been to therapists but nothing seems to help. Since I was 20, I have had these weird heartbeats that would last no more than a second that feels like a big thump. They would happen randomly and usually worse when I a... Read Full »
Answer: Hello,Welcome to icliniq.com.Most probably, these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), also caffeine, alcohol, thyroid, gastritis and acidity problem... Read Full »
Will beta blockers help PVC after Methadone intake?
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 »
Answer: Hello, Welcome to icliniq.com. 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 ... Read Full »
I have had head and chest pains for years. Please help.
Query: Hi doctor, I am a male, who is 5.6 feet tall and weigh 172 lbs. I have head and chest pains for over five years. Currently, I take Metoprolol, Amlodipine, Losartan, and Prednisone. My pulse and heart rates are normally regular, but immediately after doing Valsalva maneuver, it becomes trigeminal p... Read Full »
Answer: Hi, Welcome to icliniq.com. I have carefully reviewed your case and understand that you are worried about your heart beats and pulse after doing Valsalva maneuver. The trigeminal pulse is defined as the one with a pause after every third heart beat. It is usually due to the underlying process ca... Read Full »
What is the risk of SCD in a patient having LVH and PVCs?
Query: Hello doctor, What is the risk of SCD in a patient with LVH and history of PVCs and possible NSVT? Will simply treating BP reverse any risk? All I have read about this indicates the prognosis is unclear but I am very worried and hope you can shed some light on my situation. I have not had confirmed ... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, how bad are your hypertension and hypertrophy? Can your hypertrophy be explained by your hypertension? If yes, then it is likely hypertension induced. Hypertrophic cardiomyopathy may cause hypertrophy in young age, but it usually causes severe hypertroph... Read Full »
Query: Hello doctor,I am a 35 year old male weighing 218 pounds. I have a blood pressure of 110/75 mm of Hg, a resting heart rate of 60 to 70 bpm, and a total cholesterol level of 118 mg/dL. I suffer from anxiety and gastroesophageal reflux disease. I take Zoloft 150 mg and multivitamins daily but was prev... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read the query, and I can understand your concern. I understand your concern about anxiety and suspicion of underlying heart disease. So PVCs (premature ventricular contraction) are the ectopic beats that come from the ventricle muscle cells instead of the n... Read Full »
I am experiencing frequent episodes of palpitation and delay in heartbeat rhythm. What should I do?
Query: Hello doctor,I occasionally have heart palpitations, but today they became rather severe every 30 seconds. This continued for a few hours. Although it has now subsided and I am feeling good, it is still quite worrying. I would monitor my pulse when it occurred. Whenever I had a palpitation, my heart... Read Full »
Answer: Hello, Welcome to icliniq.com. You most likely have PVCs (premature ventricular contractions) causing your palpitations, and these pauses are nothing more than the PVCs. There is a little delay before the following regular beat begins right after PVC , which is an additional beat. These are often ... Read Full »
My ECG shows irregular beats. Can this be due to stress and lack of sleep?
Query: Hello doctor, I have taken my ECG using a device. I have been getting these irregular beats for about a week. Sometimes I think I have been getting some slight chest pain also but not sure if that is a placebo-like effect or not. My uncle who is a doctor thinks they are ectopic beats in relation to... Read Full »
Answer: Hi, Welcome to icliniq.com. These extra beats are called premature ventricular complexes (PVCs) (attachment removed to protect patient identity). Normally heartbeat is caused by an electric current in microvolts. That current is generated in an area of the heart called the sinus node. That current... Read Full »
Query: Hi doctor, I am a 30-year-old male weighing 230 pounds. I have been having ectopic heartbeats for four days, and my heart skips beat two times a minute or sometimes less. Should I be worried? Is it something serious? I have had ectopic heartbeats before, which usually last only two days. This time ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read the query, and I can understand your concern. The cause for your condition could be ventricular premature complexes. These are ectopic or extra beats that are usually benign and not life-threatening. However, structural cardiac disease should be ruled ou... Read Full »
Is it safe to exercise with premature ventricular contractions?
Query: Hello doctor, I have PVC and bigeminy. I have had tests done and I do not have structural heart problems. Are alcohol and exercise harmful in case of PVC and bigeminy? Also, is it absolutely safe to exercise, if I have PVC and bigeminy during exercise and afterward as well? I take Thyroxin, but my T... Read Full »
Answer: Hello, Welcome to icliniq.com. Exercise is safe as you do not have any structural heart disease. Just keep observing if PVC (premature ventricular contractions) increases after exercise. Alcohol tends to increase PVC and bigeminy. So, you will need to avoid it. Also, smoking, drug abuse, and caff... Read Full »
I have heart palpitations or flutters. Why?
Query: Hi doctor, I am a 37-year-old woman and I have been having heart palpitations or flutters consistently for a week. I went to my GP and had a quick EKG, revealing that I am having premature ventricular contractions. I was told not to worry and that they will go away, but a few days have passed and th... Read Full »
Answer: Hi, Welcome to icliniq.com. I read your query and can understand your concern. I would like to directly review your resting ECG (electrocardiogram) for a more professional opinion. I would also like to review your Holter report as soon as you will be able to upload them. In the meantime, I would r... Read Full »