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What Causes Skipped Heart Beats With Normal Heart Check Up?

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Posted on Fri, 4 Jul 2014
Question: hello
I asked a question recently about pvcs and pacs. I started having them as a teenager and they have continued (and gotten worse) as an adult ( I'm 30 now). I've had a full work-up (recently) and my heart is structurally normal. my question is this: about 1-2x per month I get an episode where the skipped beat is very bad. today, for instance I had a pause that lasted 3 seconds. I can feel when there's a skip, checked my pulse and felt nothing for that 3 second period (I had a clock right in front of me). I also felt very strange during that period; a feeling that blood was rushing to my head. I got worried, so I started coughing thinking that would help start it again. when the beats started again, they were fast for about a minute. does this sound like a typical skipped beat and should I go get a second opinion? I called my cardiologist who said he thinks they are just the pauses between pvcs that I am feeling. thanks
(I've tried posting this question twice, but it doesn't show up. Sorry for the duplicate if it shows on your end)
doctor
Answered by Dr. Dr.Raju.A.T (8 hours later)
Brief Answer:
Holter monitoring

Detailed Answer:
Hi,

Thanks for your query.

A 3 second pause is very rare but not impossible. This could be a escape rhythm seen in PVCs. The duration may not increase more than this but the risk of getting it frequently may be more if untreated.

I believe there us need for detailed investigation of the same. Heart normal structurally does not exclude conduction defects. You may have to get a Holter monitoring done and get it analysed by a cardiologist to plan a suitable management.

Hope, I answered your query.

Wish you good health.

Regards,



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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr.Raju.A.T

General & Family Physician

Practicing since :2008

Answered : 4933 Questions

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What Causes Skipped Heart Beats With Normal Heart Check Up?

Brief Answer: Holter monitoring Detailed Answer: Hi, Thanks for your query. A 3 second pause is very rare but not impossible. This could be a escape rhythm seen in PVCs. The duration may not increase more than this but the risk of getting it frequently may be more if untreated. I believe there us need for detailed investigation of the same. Heart normal structurally does not exclude conduction defects. You may have to get a Holter monitoring done and get it analysed by a cardiologist to plan a suitable management. Hope, I answered your query. Wish you good health. Regards,