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Skipped heart beats

About 25 years ago I was hospitalized with dehydration. They did many many test on me including a sonagram on my heart and heart monitor. I was having many many skipped beats then but the monitor never picked anything up.

My cardiologist said my heart was in exceptional condition and said the missed heart beats were not ever present on the monitor.

Lately I have been started noticing them more. Im not sure why but I just do. It is starting to [عزيزي الزائر يتوجب عليك التسجيل لمشاهدة الرابط للتسجيل اضغط هنا] worry me some and I wanted to find out just when [عزيزي الزائر يتوجب عليك التسجيل لمشاهدة الرابط للتسجيل اضغط هنا] a skipped beat becomes dangerous?

I ask my doctor about them and they she said that they were a normal heart activity and my heart was strong and there was no need to peruse anything about the heart. But getting back to my question I was just wondering if there are specific times when someone [عزيزي الزائر يتوجب عليك التسجيل لمشاهدة الرابط للتسجيل اضغط هنا] should be concerned about missed heart beats? I want to thank you in advance for your response and as always you are greatly appreciated. Michael

Skipped beats are normal heart activity, no threat to life or health in someone with normal EKG and echo. About half of us have them, they are easy to understand as normal from knowledge of the heart’s electrical [عزيزي الزائر يتوجب عليك التسجيل لمشاهدة الرابط للتسجيل اضغط هنا] system, and they don’t mean you will ever get heart disease or any catastrophe. They are truly harmless. Anxiety and panic make them more frequent. You need not be concerned at any specific time. They never become dangerous.

Please write back if this note doesn’t answer all your questions.

QUESTION: I hate to bother you again but I need [عزيزي الزائر يتوجب عليك التسجيل لمشاهدة الرابط للتسجيل اضغط هنا] some info on the way my heart has been acting. I noticed this morning when I got up and went to the bathroom my pulse started beating pretty fast but I just thought it was because I got up quick.

I came back to bed and put my ear down on the pillow and I could hear my pulse beat kind of muffled but every few beats I heard a THUD. I take ziac and have for years. I took one and felt it after awhile I stopped feeling the THUDS and it started to beat more normal.

I know you said that skipped beats are no threat but [عزيزي الزائر يتوجب عليك التسجيل لمشاهدة الرابط للتسجيل اضغط هنا] I still get a series of them at night almost like they are timed. I lay very still and my heart skips heavy thud and then beats and then skips heavy thud and then beats and then another thud and it goes back to beating normal for a bit but it seems to do this off and on as I go to sleep.

I know you have been very understanding and answered many questions for me and its greatly appreciated. I just get nervous thinking there could be something wrong with my heart. I am going on 55 this week so heart issues really are on my mind.

Also I wanted to ask you if you would know for sure if you had a heart condition? My fingers aren’t blue or lips or nothing and I seem to function ok. My breathing gets a little constrained sometimes but I think that is mostly anxiety. Its not consistent also we live a mile and one half above sea level.

I haven’t really had any issues since last I went to the doctor but I have to go again this week for my checkup for meds and guess im feeling a little anxious. I don’t mean to be a nuisance here and hope you aren’t annoyed with me. Thanks in advance. MichaelThe thuds occur in the beats after a skip because the heart fills extra full of blood during the long pause of the skip so it makes an extra big beat after the pause. Such thuds are normal.

One can have heart conditions and not know it. You don’t have congenital heart disease because you had a normal echo, which also shows that your heart is pumping normally. It is of course possible to have narrowing of coronary arteries without knowing it, and such narrowing wouldn’t show on an echo. If you have no chest pain, you don’t need an intervention like cardiac catheterization with balloons or stents. The indications for intervention are pain you don’t want to put up with. But you are male, which is one risk factor for narrowing of coronary arteries. The others are age 55 or more, high blood pressure, smoking, high cholesterol, obesity, diabetes and family history of heart attack or unexpected death in parents or siblings below age 55. Ask your doctor to measure your cholesterol and blood sugar and maybe a blood test called CRP. High results of CRP indicate more likelihood of asymptomatic narrowing of coronary arteries. Don’t smoke, eat a healthy heart diet, exercise a lot, lose weight if you’re overweight. 180 is too high unless you are nearly 6 feet tall.

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