What causes premature beats and how is it controlled?

Q. What does my ECG recording of simultaneous two beats suggest?

Answered by
Dr. Muhammad Zohaib Siddiq
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jun 22, 2021 and last reviewed on: Jul 12, 2023

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. There were sudden double beats, lack of appetite, early satiety when I would eat. When I woke up, I had some of these double beats (a couple per minute) for a few hours, which was very concerning. I did blood work, and everything seemed relatively fine except creatinine in urine because I had whey protein that morning.



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 disappear on their own. Reduce caffeine or energy drinks if you have a lot of these. Please tell the following. What symptoms do you have? Do you feel extra beats? Do you have palpitations? Regards.

Thank you doctor for the reply,

I felt extra beats. I believe they are occasional premature atrial contractions but what is concerning is I have a couple per minute for a few hours in one day, and then they completely stopped. I had a lack of appetite. I felt a little weaker that day. I never drink caffeine or energy drinks. The only different thing I did the night before took Melatonin 2 mg spray for the first time. I had a profound 9 to 10 hours of sleep, intense dreams, and then when I woke up, I noticed the double beats and recorded an ECG.



Welcome back to icliniq.com.

Melatonin itself does not produce any rhythm abnormality. However, it sometimes slows the heart rate, which can cause escape beats such as ventricular or junctional escape beats. Do not worry about premature beats. Increasing heart rate with exercise will prevent these premature beats. Being anxious and stressful can produce stress hormones which can create extra beats, so avoid taking stress. Kindly get 12 leads ECG to see any other abnormality, if present. If melatonin causes a slower heart rate, try tablet Benzodiazepine for sleep aid such as tablet Alprazolam 0.5 mg at night time. It has a mild sedative effect and anxiolytic effect and no direct impact on heart rate. Your other tests were regular, as you mentioned, so do not worry it will resolve soon. Anytime you feel palpitations such as extra beats, have a brisk walk, and different rhythms will disappear. Regards.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Kindly share your opinion about my ventricular ectopic beats and VT.

.. are abnormal beats, which have their origin in the ventricle chamber of the heart. A few ventricular ectopics are a common finding, but 7000 ventricular ectopics cannot be neglected. VT (ventricular tachycardia) of less than 30 seconds is called non-su   Read full

What can be done for chronic anxiety with constant tachycardia?

.. appear to be fine other than ectopics and probably sinus tachycardia, which are benign (attachment removed to protect patient identity). You should get your thyroid test and hemoglobin level done if not done recently.   Read full

Stress causes stiffness in my neck and back. What can be done about it?

.. symptoms, it seems like fibromyalgia with anxiety. Whenever we are anxious, our autonomic nervous system plays a role, and hence increases the blood flow to various organs by pumping more blood at higher rates, and thus heartbeats can be felt by us.   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

PCOS and Liver Problems
The hormonal imbalances in polycystic ovary syndrome could cause liver diseases. Read the article to know the relationship between these medical conditions.  Read more»
Inferior Alveolar Nerve Lateralization Technique
The inferior alveolar nerve lateralization technique is a surgical lateralization technique to reposition the nerve. Read the article to know more about this.  Read more»
COVID-19 and Ebola: Similarities and Differences
This article gives a comparison and broader overview of the outbreak of the two deadliest diseases that showed a greater incidence over the last two decades.  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

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.