I Get Palpitations Regularly At Night. Dr Did Echo 4

Posted on Tue, 21 May 2019

Question: I get palpitations regularly at night. Dr did echo 4 years ago and holter last September. He%E2%80%99s a cardio and says they are benign. No pain but very unnerving. Hard to sleep. Worse with indigestion. Any ideas?

Follow up: Dr. Ilir Sharka (0 minute later)

I get palpitations regularly at night. Dr did echo 4 years ago and holter last September. He%E2%80%99s a cardio and says they are benign. No pain but very unnerving. Hard to sleep. Worse with indigestion. Any ideas?

Answered by Dr. Ilir Sharka (57 minutes later)

Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome to Ask a Doctor service!

I understand your concern and would explain that your symptoms could be related to acid reflux.

For this reason, I would recommend taking an antiacid or PPI ( omeprazole, pantoprazole) before sleep.

If this helps, the next step to follow would be performing a fibrogastroscopy.

If this doesn't help,I would recommend performing further tests to investigate for possible causes which may trigger this situation:

- complete blood count for anemia
- thyroid hormone levels for thyroid gland dysfunction
- blood electrolytes for possible imbalances
- an ambulatory 24-48 hours ECG monitoring in order to investigate for possible cardiac arrhythmia.

Hope you will find this answer helpful!

Wishing all the best,

Dr.Ilir Sharka, Cardiologist

Above answer was peer-reviewed by : Dr. Yogesh D