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How to manage low BP and heart rate with palpitations?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am experiencing heart palpitations. I have low blood pressure and a low heart rate.

Please help.
Answered by Dr. Ilir Sharka

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome to icliniq.com.

I understand your concern. You should know that some palpitations are quite normal in healthy individuals, especially during physical activity or anxiety. However, since you have been experiencing them more frequently lately, I would recommend consulting with your attending physician and undergoing some tests, such as a resting ECG (electrocardiogram), a complete blood count to check for anemia, blood electrolytes to assess for possible imbalances, thyroid hormone levels, and ambulatory 24 to 48-hour ECG monitoring to examine your heart rhythm trends over an extended period and check for potential arrhythmias. You should discuss these tests with your doctor.

Regards.

The Probable causes

The probable causes are anxiety or cardiac arrhythmia.

Investigations to be done

The investigations to be done include Holter monitoring, blood electrolytes, and thyroid hormone levels.
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Patient's Query

Hello doctor,

Thank you for the reply.

Did you review the images I attached? I can clearly feel when my heartbeat is irregular and somewhat sluggish. I recently had blood work and an ECG, and everything was fine.

Answered by Dr. Ilir Sharka

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hello,

Welcome back to icliniq.com.

I reviewed the files you uploaded (attachment removed to protect patient identity). They show a normal regular rhythm. However, they are short recordings, and it is difficult to assess the entire day-night period in case a possible arrhythmia occurs. More specialized devices are designed for this purpose, as they can monitor heart rhythm over extended periods. These laboratory tests should be conducted, as they may reveal potential factors contributing to your symptoms.

Thanks and regards.

Medically reviewed by Dr. K. Shobana
Published At December 22, 2018
Reviewed At November 11, 2024

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

Dr. Ilir Sharka
Dr. Ilir Sharka

Cardiology

Consult this doctor

Education:

Faculty of Medicine

Professional Bio:

Dr. Ilir Sharka is a Cardiologist. He can diagnose and manage heart diseases such as coronary artery disease and heart failure. He can interpret ECG, echocardiography, and stress tests. He can help in hypertension management and lipid control. He can treat arrhythmias and conduction disorders. He also does interventional procedures, including angioplasty and stenting (where applicable). He can help in heart valve disease assessment and management. He can provide preventive cardiology and risk factor modification.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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