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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Should Heart Palpitations With Dizziness, Syncope And Tightness Be Treated?

Hi, okay, my husband is having or has been having, for a while now where his heart beats normal then skips a beat, stops, then starts to beat normal again. It's been like this for almost 2 years. He never gets dizzy/faints, etc... but his chest gets tight if he's stressed, so he calms down and he's fine within seconds.
Wed, 4 Sep 2019
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Cardiologist,  's  Response
Hello,

I would explain that his symptoms could be related to possible cardiac arrhythmia. For this reason, I would recommend consulting with his attending physician for a resting ECG and a cardiac ultrasound.

An ambulatory 24-48 hours ECG monitoring would help examine his heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia.

Some blood lab tests (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes for possible imbalance) are necessary to exclude other possible metabolic causes that may trigger this clinical situation.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Ilir Sharka, Cardiologist
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How Should Heart Palpitations With Dizziness, Syncope And Tightness Be Treated?

Hello, I would explain that his symptoms could be related to possible cardiac arrhythmia. For this reason, I would recommend consulting with his attending physician for a resting ECG and a cardiac ultrasound. An ambulatory 24-48 hours ECG monitoring would help examine his heart rhythm trends for a prolonged time and exclude possible cardiac arrhythmia. Some blood lab tests (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes for possible imbalance) are necessary to exclude other possible metabolic causes that may trigger this clinical situation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist