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Do premature atrial contractions, dizziness, and palpitations indicate heart failure?

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

Patient's Query

Hello doctor,

My symptoms are getting worse day by day. I have frequent premature atrial contractions, and now my hands feel weak and swollen. I also feel dizzy and get weird palpitation. I had an echo one month ago, and the results were negative. I am scared and do not know what to do. Is this a sign of heart failure? Should I go to ER? Kindly help.
Answered by Dr. Prashant Valecha

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

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Hi,

Welcome to icliniq.com.

I hope you are well. If your echocardiogram was normal, then you do not have heart failure. Hand swelling can be due to some other reason. Kindly avoid the triggering factors like stress, panic attack, anxiety disorder, alcohol, and excess caffeine as these can cause PAC (premature atrial complex) and palpitations. I suggest you continue beta-blocker. If your hand swelling is significantly there and not going away, I recommend you do a vascular doppler of that limb. Also, do holter monitoring to rule out any other arrhythmias like atrial fibrillation. Take care.

Patient's Query

Hello doctor,

Thanks for the reply. I had a heart monitor, and it showed PACs but no fibrillation. I do not know what would have triggered these, and they make me feel so weird. I am taking 10 mg of beta-blockers thrice daily. How long can I take these medications? What is the recommended dose for the beta-blockers? Thanks.

Answered by Dr. Prashant Valecha

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

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

Consult other doctors in the same speciality

Hi,

Welcome back to icliniq.com.

You did not mention which beta-blocker you are taking; it seems you are taking Propranolol. I suggest you take Metoprolol succinate 25 mg once daily. Anemia, excess menstrual bleeding, and hyperthyroidism can also cause these events, so keep a watch on these. Take care.

Medically reviewed by Dr. K. Shobana
Published At October 1, 2021
Reviewed At July 14, 2023

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

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. Prashant Valecha
Dr. Prashant Valecha

Cardiology

Education:

MD

Professional Bio:

Dr. Prashant Valecha is a General Practitioner with expertise in Preventive and Noninvasive Cardiology. He completed his MD (Physician) from Yerevan State Medical University, Armenia, in 2009, and brings over 14 years of clinical experience to his practice in Bhopal. Skilled in the diagnosis and management of a wide range of cardiac ailments, Dr. Valecha focuses on early detection, risk-factor management, and noninvasive treatment approaches to heart disease. He is committed to patient-centered, evidence-based care, helping patients achieve better heart health and overall well-being through prevention, timely intervention, and clear, compassionate guidance.

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

Consult other doctors in the same speciality
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