What are ectopic beats and how to manage them?

Question

Hello doctor,

I am 21 years old and have normal ECG and echocardiogram results. I have been experiencing ectopic beats for a while now, sometimes as often as one per minute. Currently, I am taking Fluoxetine and Lisdexamfetamine.

I would appreciate your advice.

Answer 1

Hello,

Welcome to icliniq.com.

Firstly, ectopic beats at this age are usually benign and not worrisome. I assume they were confirmed on Holter monitoring and are believed to be ventricular ectopics. Structural heart disease has also been ruled out with the echocardiogram. Ectopic beats can be associated with excess caffeine, alcohol consumption, and thyroid problems, which may aggravate them. If a thyroid test has not been done, it should be conducted.

Regarding the medications you are currently taking, were they prescribed before the ectopic beats started? Some of these medications can cause and aggravate ectopic beats, so they may need to be tapered off gradually. Additionally, stress, anxiety, and lack of sleep can contribute to this condition. As I mentioned, ectopic beats are typically benign and usually require no treatment. However, for symptomatic relief, you may consider taking beta-blockers like Metoprolol once a day. Also, try to reduce smoking, alcohol, and caffeine consumption, if applicable.

I hope this helps. Thank you.