I had open RNY gastric bypass 4-24 (I currently weigh 250) and last week I started getting heart palpitations. I had blood work done and "The 15 second" EKG and was told the palps are not from the surgery. There were 2 areas checked, can't remember exactly, but it seems like Albumin was in one and electrolytes was in the other. I've had no caffeine, I think I eat enough, and I do not do any physical activity, yet. It seems like it's possible to not have to worry about palpitations, but it happens so much, several times an hour and sometimes they will happen right in a row. Because it happens so often can hormone related (I'm 46) palpitations be ruled out.
I would make sure they checked potassium and magnesium levels as well as the other electrolytes. Your absorption is not as good after this procedure and it is possible you are low in either of these electrolytes. Second I would request a Holter monitor study. This is a 24-hour monitor that can be worn as an outpatient and will give your doctors a better idea of what type of palpitations you are having. Probably your internist would be the best doctor to follow-up on this issue as the surgeons will not be as interested.
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