Dr. Prashant Valecha
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
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.
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.
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.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Cardiology
Related Questions
Is it possible that my calcium level is shortening QT interval?
I get dizziness when I look up or get up. What is causing this?
Disturbances of Heart Rhythm
Is my dizziness related to any heart problem?
Severe heart palpitations in a 20-year-old man. What can be done?
Why are palpitations occurring even after pacemaker implantation?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
