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What Is Happening When You Heart Beats Twice In A Row And Then Normally And Repeats The Pattern?

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Posted on Fri, 22 Sep 2023
Question: What's happening when you heart beats twice in a row then normal then twice in a row and so forth ?
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Answered by Dr. Ilir Sharka (53 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:

Hello,

Regarding your concern I would like to explain that such a clinical symptomatology (recurrent extra beats in a row) may be due to extra-systolic cardiac arrhythmia.

This happens when cardiac electrical impulses (necessary to activate the cardiac muscle) are generated abnormally by sites different from the normal pacemakers.

Isolated extra beats, bigeminy, couplets or even more complex arrhythmia may be present.

The reason from such a disorder may due to excessive adrenergic stimulation of the heart, thyroid dysfunction, possible electrolytes imbalance, anemia, cardiac ischemia or a present cardiomyopathy, etc.

Coming to this point, especially in case these clinical findings keep persisting, it is recommended performing a medical checkup including a physical exam and additional testing as follows:

- resting ECG,
- cardiac ultrasound,
- complete blood count,
- thyroid hormones level,
- blood electrolytes imbalance,
- ambulatory ECG (Holter) monitoring,
- chest X ray study, etc.

You should discuss with your doctor on the above mentioned issues.

Hope to have been helpful to you!

In case of any further questions, feel free to ask me again.

Kind regards,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9541 Questions

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What Is Happening When You Heart Beats Twice In A Row And Then Normally And Repeats The Pattern?

Brief Answer: I would explain as follows: Detailed Answer: Hello, Regarding your concern I would like to explain that such a clinical symptomatology (recurrent extra beats in a row) may be due to extra-systolic cardiac arrhythmia. This happens when cardiac electrical impulses (necessary to activate the cardiac muscle) are generated abnormally by sites different from the normal pacemakers. Isolated extra beats, bigeminy, couplets or even more complex arrhythmia may be present. The reason from such a disorder may due to excessive adrenergic stimulation of the heart, thyroid dysfunction, possible electrolytes imbalance, anemia, cardiac ischemia or a present cardiomyopathy, etc. Coming to this point, especially in case these clinical findings keep persisting, it is recommended performing a medical checkup including a physical exam and additional testing as follows: - resting ECG, - cardiac ultrasound, - complete blood count, - thyroid hormones level, - blood electrolytes imbalance, - ambulatory ECG (Holter) monitoring, - chest X ray study, etc. You should discuss with your doctor on the above mentioned issues. Hope to have been helpful to you! In case of any further questions, feel free to ask me again. Kind regards, Dr. Iliri