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Q. I am anxious because I feel pauses between my heartbeats. Please help.

Answered by
Dr. Sagar Ramesh Makode
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 18, 2017 and last reviewed on: Oct 21, 2021

Hi doctor,

I have a history of benign PVC. Lately, I am getting these pauses between heartbeats that are felt in my stomach that range from 2 to 12 a minute. I have gas and burping. How many pauses per minute are dangerous and is this a cardiac issue? I put my fingers on my pulse when it happens, and I can feel the pauses between beats. Sometimes, it is a beat, a pause, two beats, another pause, two more beats, and another pause, then regular rhythm for a minute or two. My anxiety is through the roof because of this, and I need to know what is going on. I am a 73 years old, who works 40 hours a week, and I go to the gym five days a week. Thank you.

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Hello,

Welcome to icliniq.com.

  • These pauses are nothing but the PVCs (premature ventricular contractions). Immediately after PVC, which is an extra beat, there is a temporary pause till next normal beat resumes. Most of the times, these are benign and not dangerous.
  • However, considering your age, it is important that we rule out ischemia as a cause of these. So, as you mentioned these as benign, I guess you are already evaluated with echocardiography, ECG (electrocardiogram), cardiac stress test, etc. These are increased by smoking, excessive alcohol intake, excessive thyroid hormone levels, caffeine, etc.
  • I think you should get your thyroid profile done to rule out hyperthyroidism. Get an ECG to confirm this. If not done, cardiac stress test like treadmill test or stress thallium can also be done.
  • Regarding your current symptoms, this appears to be acidity and gastritis. This can worsen PVC by altering vagal tone. So overall, the likelihood of serious issues is less but needs to be evaluated. The treatment for this is beta blockers like tablet Metoprolol 25 mg once a day, to be increased gradually. So, consult your physician for a prescription.
  • For gastritis, I suggest you try the following:
  1. Avoid fatty, oily, and spicy diet.
  2. Go for a walk after having food, instead of taking rest.
  3. Have multiple small meals instead of heavy meals.
  4. Have regular sleep habits and avoid stress.
  5. Consume a lot of green leafy vegetables, fruits, etc.
  6. Elevate your head by using pillows during rest and sleep.
  7. I suggest trying tablet Pan DSR (Pantoprazole and Domperidone) 40 mg, three times a day for two weeks, along with a prokinetic, which helps in propelling the acid forward.
  8. If there is no adequate relief, then you should add syrup Sucral O (Sucralfate and Oxetacaine), two teaspoons, three times a day for a week.

Hope this helps you, and get back if you have any other doubts.

For more information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist


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