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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Skipping Of Heart Beats?

Sometimes when I am standing up, I feel like my heart skips a beat. I've had it checked and my doc said it was nothing to worry about, not to drink caffeine. Sure enough it went away. In the past 2 months, I've had two episodes of that again an momentarily felt faint. What is it?

Fri, 4 Jul 2014
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Cardiologist,  's  Response
Dear friend,
Welcome to Health Care Magic

     A beat comes earlier than normal – this itself is not usually felt. The next beat is a bit delayed - longer time to recover from early extra beat – so heart fills more and the beat appears forcible – one feels missed or forcible…
     Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / electrolytes/ Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on - may be responsible.... / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible!
     Many cases of palpitation are benign, especially when associated with normal ECHO and may not require treatment
     EKG / HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance.

The treating doctor may suggest them depending on need, based on his assessment of the situation.

Take care
Good luck
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What Causes Skipping Of Heart Beats?

Dear friend, Welcome to Health Care Magic A beat comes earlier than normal – this itself is not usually felt. The next beat is a bit delayed - longer time to recover from early extra beat – so heart fills more and the beat appears forcible – one feels missed or forcible… Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / electrolytes/ Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on - may be responsible.... / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible! Many cases of palpitation are benign, especially when associated with normal ECHO and may not require treatment EKG / HOLTER (24 to 48 hour ambulatory monitoring) / ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance. The treating doctor may suggest them depending on need, based on his assessment of the situation. Take care Good luck