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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Regular Heart Palpitations, Skipped Heartbeats And Lightheadedness?

I am 82 years old, I have had a heart ablation 4 years ago, I have been on bisoprolol 5mg one half twince a day, recently I have started to have palputaions again 2-3 times a week and then my donc. put me on APO-diltiaz cd 180mg a week ago, since I have have had more palputation more frequest but less siviere, the diltiaz was taken 1 capsule once a day before going to bed. Last friday I call my doctor and he advised to take the diltiaz in the morning instead since then I have not had any patputations but I feel light headed and can feel my heart skip at times. I am schedules for a nulear study in a few weeks. Is this normal? Maurice,
Mon, 29 Jun 2020
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General Surgeon,  's  Response
Hi,

* As per my clinical experience, the conduction path disturbances at the level of SA node, AV node or Bundle of His, Purkinjee fibers is responsible for the skipped heart beats and palpitations.

* If you can provide me an EKG of the latest doc visit, I can guide you further precisely in this regard.

* The headache can be related to side effect of anti arrhythmic drug consumed or cerebral hypoxia from various causes.

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

Take care

Regards,
Dr. Bhagyesh V. Patel
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What Causes Regular Heart Palpitations, Skipped Heartbeats And Lightheadedness?

Hi, * As per my clinical experience, the conduction path disturbances at the level of SA node, AV node or Bundle of His, Purkinjee fibers is responsible for the skipped heart beats and palpitations. * If you can provide me an EKG of the latest doc visit, I can guide you further precisely in this regard. * The headache can be related to side effect of anti arrhythmic drug consumed or cerebral hypoxia from various causes. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Bhagyesh V. Patel