Are occasional palpitations a concern with normal tests?
Patient's Query
Hello doctor,
I occasionally experience PVCs or PACs, usually a few times a week. Last night, after lying down quickly, I felt my heart palpitate for a couple of seconds, but it stopped without any symptoms. Despite having normal echos, EKGs, and a stress test in the last six months, my health anxiety is causing concern. Current medication history is Zoloft 150 mg and Pantoprazole 30 mg daily. I am seeking reassurance on whether this incident warrants an immediate doctor visit. Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I have read your query and can understand your concern.
The palpitations may be related to a heart rhythm issue or, more likely, anxiety. Given that your electroencephalogram and echocardiography are normal, there is no need to worry. Ensure your thyroid function and electrolyte levels are normal. If occasional palpitations persist, consider Holter monitoring, also known as ambulatory electrocardiography, which involves wearing a portable device that continuously records the heart's electrical activity over an extended period, typically 24 to 48 hours or event recording. It is worth noting that PVCs (premature ventricular contractions) and PACs (premature atrial contractions) are normal in healthy individuals. Do share if there is any history of sudden cardiac death in first-degree relatives.
I hope this helps.
Revert in case of other queries.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
No family history of sudden cardiac arrest (SCA). I underwent an ECHO, stress test, EKGs, and blood work and wore a simple single lead throughout the day. Only one or two PAC and PVC incidents were detected. While my doctor suggests no further testing, I seek a second opinion to ensure there is no cause for concern.
Thank you.
Hello,
Welcome back to icliniq.com.
I read your query and can understand your concern.
There is no cause for concern; occasional PVCs (premature ventricular contractions) and PACs (premature atrial contractions) are normal. Even a few hundred premature beats are considered normal. To reduce cardiovascular risk, I suggest maintaining a healthy weight, and exercising regularly. I suggest following a Mediterranean diet and checking fasting lipid profile and HbA1c (hemoglobin A1c) levels. If abnormal, take measures to control them. Additionally, I suggest refraining from smoking and alcohol, as they are detrimental to the heart and overall health.
I hope this helps.
Please revert in case of further queries.
Thank you.
Same symptoms don't mean you have the same problem. Consult a doctor now!
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