Recently Answered Questions
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I experience ectopic beats sporadically. Why?
Query: Hello doctor, I had an echo, stress test, and 14-day Holter tests, that came back showing arrhythmia or reduced heart function. I have brought it up to my regular doctor that sporadically I get ectopic beats when I go out for my evening walks. I have noted them on different days and found that my he... Read Full »
Answer: Hello, Welcome to icliniq.com. Your Holter monitoring report is normal. The palpitations you felt, were not due to heart rhythm issues. Few premature beats are normal. These increase due to anxiety, excessive caffeine intake, or electrolyte abnormalities. You said echocardiography was normal, so n... Read Full »
I have had ectopic heartbeats, and I have had trigeminy or quadrigeminy episodes. Please help.
Query: Hello doctor,I have been having ectopic heartbeats for quite a while now. I got an echo, ECG, Holter and stress test, and all are fine. Holter showed mostly PAC but also a few PVC. But the thing is that I sometimes have trigeminy or quadrigeminy episodes. They can go for a few seconds to almost an h... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Most of the time PACs (premature atrial contractions) and PVCs (premature ventricular contractions) are normal. Your echocardiography is normal, so most likely, ectopic beats are regular. Caffeine and anxiety precipitate premature beats. Avoid... Read Full »
I have experienced a significant increase in ventricular ectopic beats. Please help.
Query: Hello doctor, I have experienced a significant increase in the number of ventricular ectopic beats (PVCs) over the past 2 weeks. I started recording them with my ECG recorder and noticed today that PVCs sometimes occur in three to four sequences. I have heard this may be problematic and would like a... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. PVCs (premature ventricular contractions) are generally present in healthy people. Anxiety and caffeine intake increase PVCs. I suggest having 12 leads ECG (electrocardiogram) and 24 hours of Holter monitoring to count PVCs in 24 hours. The... Read Full »
What causes premature beats and how is it controlled?
Query: Hi doctor, I have an ECG recording of two beats simultaneously, three times in a minute, and wanted to see if someone can take a look at it. I took a Melatonin spray of 2 mg the night before for the first time. Melatonin made me sleep 10 hours and have a very vivid dream. Felt slightly weak or lazy... Read Full »
Answer: Hi, Welcome to icliniq.com. Thank you for the query. ECG (electrocardiogram) strip shows premature beats, but I doubt whether these are actual premature beats or just artifacts. A 12 leads ECG will be helpful to clarify it. Even if these are premature beats, these are not dangerous and will disapp... Read Full »
I feel strong heartbeat inspite of BP and ECG being normal. Why?
Query: Hi doctor, I am 46 years old, on no medication apart from Zinc daily that seems to help with my low testosterone. BP averages about 110/63 mmHg, resting pulse between 58 and 65 bpm. My height is 5' 10" and weigh about 165 pounds. About five years ago, I noticed odd heart rhythms after playing two h... Read Full »
Answer: Hi, Welcome to icliniq.com. It seems that all the tests you had are reassuring. What you are describing seems to me as ectopics and a small dose of beta blockers could help. But if the resting heart rate is less then 65 bpm then better to avoid them. In this case, if the ectopics burden is very hi... Read Full »
I have ventricular ectopic beats. Could these cause cardiac arrest?
Query: Hello doctor, My heart is normal, but I have ventricular ectopic beats. Could these cause cardiac arrest and kill me at the age of 23 years? I worry about it every day. Kindly advice. Thank you. Read Full »
Answer: Hello, Welcome to icliniq.com. It is unusual for ventricular ectopic beats alone to cause cardiac arrest. Still, it depends on various factors like cause of ectopic beats, the morphology of ectopic beats, frequency of ectopic beats, LV function on Echo. What symptoms do you have? You have uploaded... Read Full »
There is ventricular bigeminy and ectopics post MI. Do I need a device?
Query: Hi doctor, Post MI (after one year) ventricular bigeminy is diagnosed. I am describing my cardiac problem. Please give your valuable suggestion. My problem is exactly one year back which was MI. Treatment started after 20 minutes with Reteplase and other drugs. Next day at 9 AM, I underwent angiogra... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). Most probably, these VPC (ventricular premature contraction) are due to the scar in the RV (right ventricle). As advised by the cardiologists, I would also advise an EP study (elec... Read Full »
I sometimes have a weird heartbeat that feels like a big thump. Should I worry?
Query: Hi doctor, I am 25 years old, and I have really bad anxiety about my health. I have been to therapists but nothing seems to help. Since I was 20, I have had these weird heartbeats that would last no more than a second that feels like a big thump. They would happen randomly and usually worse when I a... Read Full »
Answer: Hello,Welcome to icliniq.com.Most probably, these are ventricular premature complexes. These are ectopic or extra beats. These are usually benign and not life-threatening. These are frequently associated with MVP (mitral valve prolapse), also caffeine, alcohol, thyroid, gastritis and acidity problem... Read Full »
I have normal ECG and echo. Why am I getting ectopic beats?
Query: Hello doctor, I am 21 years old and have a normal ECG and echo. I am getting ectopic beats for a while now, sometimes one per minute. Currently, I am on Lovan and Vyvanse. Kindly advise. Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, ectopics in this age are benign and not worrisome. I guess they are confirmed on Holter and assumed to be ventricular ectopics. And also ruled out the structural heart disease on echo. They are also associated with excess caffeine, alcohol consumption, and t... Read Full »
I experience premature ventricular contractions. Will it ever go away?
Query: Hello doctor, Since approximately eight months, I experience premature ventricular contractions (feeling of heartbeat skipping). I never had shortness of breath, severe chest pain, heavy sweating or dizziness, or like I will pass out. It also never goes on for several minutes, just around 10 to 20 ... Read Full »
Answer: Hello, Welcome to icliniq.com. I passed carefully through your question and would explain that some PVC or ectopic heartbeats are quite normal in every healthy individual during emotional stress or physical activity. Anyway, a cardiac arrhythmia cannot be excluded either. Coming to this point, I w... Read Full »