Dr. Yermal Tanmai Deelip
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.
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Patient's Query
Hi doctor,
I had a stress echo in my early twenties due to the feeling of skipped beats. At that time, it was normal, and the doctor said to ignore them. Fast forward to these past few months at the age of 39, and this was my second few-week stretch with tons of skips, especially during digestion with no symptoms. I have a scheduled Holter monitor in two weeks and doing bloodwork this week. Are these concerns feels that the volume is so much higher? On bad days I have an hour or a few times that they happen every so many beat, so up to four minutes at its worst. But it will not last more than an hour or two during a run. I bought the kardia device for my cell phone, and it is always normal, but I was able to catch a run, and it said normal sinus with PVCs. I am so scared something major has changed with my heart.
Hello,
Welcome to icliniq.com.
I went through your query, and I can understand your concern. First of all, I would like to assure you that you need not worry much about your present symptoms. But yes, it indefinitely requires evaluation and treatment. The description of your symptoms most likely suggests frequent premature ventricular contractions. I would like to know some more details about your present symptoms. Do you have any other cardiac symptoms associated with shortness of breath on exertion, chest pain or discomfort, palpitations, giddiness, swelling on your feet, etc.? Is there any family history of cardiac disease? Do you have any risk factors like diabetes, hypertension, smoking, alcohol? I would like to suggest you get 24-hour Holter monitoring done and 2D echocardiography (stress echo not required). Just a normal 2D echo with Doppler is enough. Kindly get back with all the above details.
Patient's Query
Thank you doctor,
I have no other cardiac symptoms other than the skips. My blood pressure is normal unless I see white coat. My sugar fasting is under 100 mg/dL. My resting heart rate is in the 60 beats per minute. My dad had a heart attack when he was 60, and doctors said it was due to smoking. I do drink, and I do have anxiety. And this year, I have been very obsessive with COVID-19. I am petrified something worse will happen, and I am waiting too long for the tests. Also, I get my second COVID-19 vaccine Tuesday. Will I be safe to do so?
Hi,
Welcome back to icliniq.com.
You need not worry much about your present symptoms. You can safely go ahead and get your vaccination done. How often do you drink, how much are the quantity, and which brand (alcohol percent)? Are the values of your height (approx 162 centimeters) and weight (around 84 kilograms) correct? If yes, then your BMI (body mass index) is high, i.e., obesity. Start working on your anxiety issue by meditation and regular exercise. Whenever possible, get Holter, echo, and laboratory blood tests that include serum electrolytes (sodium, potassium, calcium, magnesium), and serum creatinine.
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Cardiology
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