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Heart Disease  (Expert Forum)
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DROPPED HEARTBEAT?
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MedHelp Member's Question

DROPPED HEARTBEAT?

by niña, May 05, 2000 12:00AM
I am a 35 year old female.  I have a problem what I can only describe as "dropped heartbeat".  I have been for EKG's, echos, etc. and they cannot find anything structurally wrong with my heart.  Somedays I only feel one or two thumps but other days I feel it a thump sometimes twenty times a day.  These dropped beats really bother me and cause me alot of grief.  I do not want to go on beta blockers or any long term medication so what are my other options?  My question is are twenty thumps a lot to be getting during one day?  Can my thinking about these bumps bring them on?  Why do my hands go kind of tingley when I get these thumps and I feel my head go kinda fuzzy for a second or two?  Thanks!!!!



Nina Nitachek
Doctor's Answer

by CCF CARDIO MD - DLB, May 05, 2000 12:00AM
If you have had a thorough cardiac evaluation and the skipped or dropped beats have no underlying structural cause, medications would be used only to decrease symptoms. Beta blcokers are a reasonable option. You could try lifestyle measures first, such as eliminating all intake of caffeine, tobacco, and alcohol and stress reduction techniques as well.
Member Comments (20)

by Greg, May 05, 2000 12:00AM
I have them too premature ventricular contractions....the doc is right, avoid caffein, alcohol(especially)....basically anything that is a stimulant. mine seem to go away or slack off if i increase sleep, exercise, and if i dont overeat...and yes, thinking about them will make you "feel" them more...docs say that they are benign. but if they are interfearing with your life in any way, i just dont see it....p.s. my experience with beta blockers has been dissappointing as far as controlling these.

by Jamie, May 06, 2000 12:00AM
I have them too, but even more frequently- about twelve dropped heartbeats an hour, palpitations most of the day. It's driving me crazy! My doctor recently started me on a low dose of Inderal- I haven't noticed a difference yet, but hopefully soon! I hate to take drugs, but these have gotten so bad, I don't see that I have a choice. Ditto for the advice on reducing caffeine and alcohol intake- eliminate if possible. Also, avoid over-the-counter decongestants and weight loss products, anything that contains stimulants like pseudoephedrine (Sudafed, etc.)

by Barbara, May 06, 2000 12:00AM
ive had the skipped beats for 23 years ive learned to live with them most of the time, but at times they do scare me, i have taken timolol for long time and it dose help mine, if i walk 3 times a week it seems to depress them to . try and not let them control your life because they can and will if you let them. good luck

by Cheryl, May 06, 2000 12:00AM
I have these too.  I wore a holter moniter recently and it showed I was having about 102 PVCs per hour, 62 of them came in pairs.  My heart rate also goes as slow as 32 beats per minute, so I can't take medication for mine.  I am schedules to see a pacemaker specialist to see what other options I have.

About 2 years ago, I had an EP study and they ablated an extra pathway to my Av node.  This did not work for me, but I guess it works for some.  Good luck!

by Kat, May 11, 2000 12:00AM
Yep, I have them to.

Have had for along time, they scare me to. I take Xanax on occassion when i get really frightened.

But my Doc gave me a beta blocker (tenormin-25 mg a day) and i am not sure that i like it. It does make the things go away-BUT my heart rate does not increase when i do things. (excercise type stuff) and that is somewhat strange. So-I have to decide which is worse, the PVC's or taking meds. Try both for yourself.

I don't like taking medications either-but sometimes it helps your sanity.

Good Luck to you!

by Joe B, May 12, 2000 12:00AM
I 36 male I really feel for you people especially for the lady who gets down to 30 beats (Be assured that if you were hooked on a monitor you are probably doing much better that  taking your own pulse can be misleading) I went to the ER the other day and was having a PVC beat every other heartbeat it is very bothersome About my pulse was staying around 80) I went not because i felt that I might die I have been told many times that im not going to  but I was hopeing for a new treatment they gave me a beta blocker (woopie! been there!) I went because i'm so sick and tired of having these episodes Had them pretty much under control for about 3 years but they have flared up in the last 2 weeks when i went on a Diet of sorts this diet is just a change in behavior it only involves eating less and only when you are hungry its seems to me that the blood sugar level swings are what aggrevate them this is very fustrating because i am actually losing weight but I am so damn miserble some times  Im at my witts end I think I will try some excercize. sorry about my spelling Im on a lot of Xanax and do not feel much like proof reading any Ideas are will be appreciated one bit of advice that i have for you people is to find a place for Jesus in your heart Go to a church and join it and you will find something along the line  that will convince you eventially and you will become a believer  at least it takes away some fear of dying and praying does bring some comfort.And also you will find Christains very supportive and caring about you.

by Jill (36 year old), May 13, 2000 12:00AM
My heart skips or flutters on occasion. It's been going on for about 20 years.  It happens maybe three times a week and when I'm exhausted.  With my flutters I have a shortness of breath.  This scares me.  At one point about 10 years ago I put on a Holter monitor and recorded every time I felt the flutter and the dr. said nothing registered when I wrote down the time.  Again, my heart typically does this when I lay down at night after a long day.  It use to happen all the time regardless of whether or not I was standing or sitting.  I guess the worst part for me is that when it happens I have difficulty breathing.  I also have allergy related asthma so sometimes I think it may be related.  Today I think it's fluttering so much because I've drank a lot of caffeine.  I haven't seen or told a doctor about this for a long time.  I'm not sure they can do anything.

by kevin, May 21, 2000 12:00AM
I too am suffering with this.  I have had treadmill test, Thalium Stress tests, Echo Cardio etc.. Halter Monitor.. They see the missed beats but say nothing.   They put me on a beta blocker.  Yesterday was my daughters wedding and I had to give a speech.  I experienceced your normal stage fright for the speech, but after that I had the symptoms all night, I really couldn't enjoy anything until I got home and laid down.   If so many people get these why hasn't the medical community researched more and come up with the reason these things happen and a treatment for them.



by katnevada, May 23, 2000 12:00AM
I agree with Kevin-and also wonder- why hasn't the medical community done more research-so we at least know WHY this happens???

by HEY JILL!, May 26, 2000 12:00AM
Jill,



I have a chest sensation that sounds so much like yours, although mine can quickly crescendo into dizziness too. Like you, 2 holters haven't revealed anything, kinda makes me feel silly. However, there are valve problems that can cause these sensations, not that I seem to have any on my Echo, but lots of people complain of the same thing.



Do you have them worse if you lie flat, bend over, or lay on your left? Those are my trouble positions. I find them worse when I exercise and then lay down.

by Jon, May 26, 2000 12:00AM
Mine are wors when I lay on my side. In fact my heart won't start beating normally again until I get off my side. Scary.

by Sandy, May 27, 2000 12:00AM
I was just came home from a short hospital stay. I was having some heart palpatations,fluttering in my chest, a headache, nausea, indigestion and was told I was experiencing angina pain. My blood pressure was running high. It was recorded as high as 180/110. My pulse is running low.  It was around 40 to 50 and as low as 32 beats per minute while on the heart monitor.  My blood pressure slowly came back down, but my pulse is still 45 to 50.  I had every test you can think of. I still have to complete a cardiac test next week.  I was found to have gallstones and need to have my gallbladder removed. I have always had a lower pulse. I still am concerned about this. I lost 20 pounds over the past year and exercise at least 3 days a week. My weight