Common "Palpitations" queries answered by top doctors | iCliniq

Palpitations

Palpitation is when you feel that your heart has skipped a beat or beating too hard and fast or fluttering. The causes can be anything from simple conditions like strenuous exercise, stress, anxiety, low blood sugar, and shock to severe diseases like arrhythmias and heart valve defects. Get medical help immediately if palpitation is accompanied by loss of consciousness, sweating, chest pain, and difficulty breathing.

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Are palpitations normal during pregnancy?

Query: Hi doctor, I had a baby 9 months ago. Since I was 18 weeks pregnant, I had heart palpitations and high blood pressure. I do not have high blood pressure now, but I am still having palpitations, but not as frequent. It seems to be a hormone imbalance. I got them this month on the first day of my peri...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to icliniq.com. The palpitations you are experiencing are mostly a normal phenomenon during pregnancy. It is known as sinus tachycardia. Nevertheless, it is better to get an ECG done to reaffirm my suspicion. The hives and skin issues are also could be due to the hormonal changes in ...  Read Full »

Is my palpitation after exercising, running, jogging, and playing football a sign of cardiomyopathy?

Query: Hello doctor, I am a 19-year-old male. And I am out of shape. I am a little overweight, and I have been physically active for the last month. I lost 6 kg of weight with regular exercise. I used to run, jog, and play football or soccer. A few days ago, when I was playing, I experienced palpitation f...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to icliniq.com. Thanks for the query. Your heart rate and blood pressure are perfectly normal, and getting PVC (premature ventricular contractions) twice per day is completely normal. In the long run, inactivity is harmful, so I advise you to continue jogging, running, and being involv...  Read Full »

Do you see signs of ischemia in my ECG reports?

Query: Hello doctor, I have abnormal t-wave, high QRS Voltage, abnormal Qtc and pulse of 60 beats per minute. Two readings were taken. Marfan syndrome present. I am a 33 year old male with a weight of 180 lbs and height of 6.1 feet tall. I also have chest tightness, heart palpitations, fast heartbeat, flut...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to icliniq.com. I have gone through the ECG and images (attachment removed to protect patient identity). The abnormally high QRS voltage could be due to the chest wall deformity and thus the heart being closer to the chest wall than usual. Hence, the recording electrodes recording high...  Read Full »

Is Metoprolol sufficient to treat heart palpitations in mitral valve prolapse?

Query: Hi doctor, I am a 33-year-old female of height 5'2" and weight 134 pounds. I was diagnosed with mitral valve prolapse three and a half years ago. My last check-up was two and a half years ago. My current medication is Metoprolol 50 mg half tablet twice daily. My symptoms are palpitation that usually...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hi, Welcome to icliniq.com. You are already taking Metoprolol 50 mg half tablet twice daily. There is the option to increase it to a full tablet once and later twice daily or switch to Propranolol 10 mg, which I feel is more effective in treating palpitations due to mitral valve prolapse. If even ...  Read Full »

Is a 30-day Holter monitor necessary for my on and off palpitations?

Query: Hi doctor, I am a 30 year old Caucasian woman, 5 feet and 11 inches, 195 lbs and semi-active. My family has a history of heart problems. My mother, eldest brother, and father are all taking Metoprolol for heart arrhythmias and my maternal grandfather died of a heart attack at 55. My father also has...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hello, Welcome to icliniq.com. I went through your reports. The Holter shows runs of ill-sustained supraventricular tachycardia, possible atrial tachycardia, and a few ventricular premature beats. Ideally, Metoprolol would be good for you. But, since you are unable to tolerate it, I suggest Di...  Read Full »

What is the reason for my heart beats heard hard against the sternum?

Query: Hi doctor, I am a 46 year old female, and I am obese. I do not drink caffeinated drinks, smoke, or do drugs. I took myself off Lisinopril because it was causing more symptoms than helping. I have high blood pressure, but it got too high, so I am back on it. I was born with a small heart murmur, and ...  Read Full »


Dr. Vivek S Narayan Pillai

Answer: Hi,Welcome to icliniq.com.There are two issues over here. One is obesity, which in itself causes hypertension and can cause the pounding sensation of the heart that you experienced. Also, the loss of spinal curvature may cause the heart to appear closer to the chest wall. Hence, you may experience p...  Read Full »

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