dear sir i am having palpitation since last 4 years off and on....it started when i was a medical student .i started having alcohol those days and started smoking........i consulted psyciatrist he prrescribed me propanolol and alprazolam.later i developed mild hypertention now i am taking atenolol 50 mg and losartan 25 mg.sir due to palpitation i m having difficulty in onset of sleeping. pulse is visible at my suprasternal notch.sir i m chronic smoker and alcoholic.........after taking alcohol i feel no palpitation.............sir kindly advice me what investigation shud i go for........please tell sir will u treat such type of patients with similar complains
Whenever patients have a significant amount of palpitations that cause symptoms, a 30 day event monitor or holter monitor can usually be done to determine if there is an arrhythmia that is causing the palpitations. Further treatment can then be determined there. Alcohol has been associated with arrhythmias such as atrial fibrillation.
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