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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What is the cause for heart enlargement and intermittent palpitations?

Query: Hello doctor, I had bronchitis and they did a chest x-ray, it showed my heart was enlarged. My primary doctor did an echo and the results are below. My family history, maternal grandfather died of a blood clot that went to his heart and caused a heart attack. Mother died after a heart valve surger...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I passed carefully through your medical history and cardiac ultrasound report. Your echo data seem to be fine, only there is a mild left atrial dilation. You cannot change your family history, but you can change and modify your lifestyle and your diet. The most impo...  Read Full »

I have palpitations intermittently while working and during rest. Why?

Query: Hello doctor,I have palpitations intermittently while doing my job and during rest for the past two weeks. Also, I have neck pain and phlegm while coughing. But there is no cough always. I have severe acidity too. Sometimes I take Rantac tablets before food. But it is not reducing. I took the ECG wh...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I read your echo report carefully and would explain that it shows mild changes related to arterial hypertension (attachment removed to protect patient identity) but nothing serious. I would recommend increasing the dose of antihypertensive drugs to have better control ...  Read Full »

What could be the reason could be for louder pulse?

Query: Hello doctor, I am 38-year old, 85 kg, male. Had extensive heart check last year, which came clear. Doctor said I have mild valve insufficiency (doctor said it is normal) and blood pressure of 110/70. Lately, I hear my pulse more noticeably and feel it in various parts of my body (chest, neck, stom...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I passed carefully through your medical history and would like to explain that your symptoms (palpitations and pulse feeling through the body) are not related to any specific heart disorder unless you have primary aortic valve insufficiency. When significant (moderat...  Read Full »

The ECG taken for palpitations show sinus rhythm and marked right axis. Kindly assess the further steps.

Query: Hello doctor,I have a patient who is an athlete, has a history of panic attacks. Yesterday, he had palpitations, and some tingling was then sent for an ECG. The findings are sinus rhythm, marked right axis deviation, and ECG without any abnormalities. Would you be able to see it and assess what furt...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I reviewed carefully your ECG images (attachment removed to protect patient identity) and would explain that besides right axis deviation, I also noticed the presence of prominent P waves in DII lead, which indicates a pattern or left the posterior fascicular block. ...  Read Full »

I have low blood pressure and heart rate with palpitations. Kindly help.

Query: Hello doctor, I am having heart palpitations. I have low blood pressure and low heart rate.  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to I understand your concern. You should know that some palpitations are quite normal in every healthy individual, especially during physical activity and anxiety. Anyway, as you are feeling them more frequently lately, I would recommend consulting with your attending p...  Read Full »

I experience heart palpitations and skipped beat. Do I need medicine?

Query: Hello doctor, I am 22 years old. I experience heart palpitations with a skipped beat for three years. When I exercise (run), I experience heart palpitations and I cannot breathe freely and naturally (exercise intolerance). I consulted a cardiologist and he says nothing is wrong with my health. Afte...  Read Full »

Dr. Ilir Sharka

Answer: Hello, Welcome to Your symptoms could be related to anxiety. I agree with your doctor that mitral valve prolapse is not a serious medical disorder. Anyway, it can trigger ectopic heart beats especially during straining physical activity. Anyway, if the problem persists, I would recom...  Read Full »

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