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palpatations

i was just wondering if celexa 20 mg would help reduce the amount of skipped beats that im feeling in my throat, or if it would make them worse? anyone have any knowledge or experience with this?
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257552 tn?1404602554
Hi,

Chest pain I could not tell you about.

Can arrhythmias appear out of nowhere? Hell yes. I've been doing the arrhythmia thing since I was 15, and I am now 50. They come and go. You're only 22, not much older than my first episode at 15.

If you have currently seen a Doctor, and he/she has told you that your heart is structurally sound, you should really not be at any increased risk of death than anyone else your age in similar condition with similar habits. Doctor's don't want you to have problems, they also don't want to be sued. If you have any problem that they thought the slightest bit likely to deteriorate into something serious, they would act on it before hand. They won't let you go with the idea that you "might make it". If they thought that your heart was unstable, they would not let you drive. If you had an unstable rhythm, you could pass-out while driving and kill someone else, whose family would sue the Doctor.

Bradycardia is when your heart rate is below 60 Beats per minute. Tachycardia is when it is above 100 beats per minute. Slow heart rates can be attributed to being in very good physical shape. Also, some medications will make your heart slow. Off hand, I would say your heart rate was probably slow while sleeping, perhaps while resting in the evening as well. If your Doctor saw no significance in it, you are ok. Mine, due to medication, would be as slow as 54 beats per minute while I was sitting in a chair, I am sure much slower while sleeping. The Doctor was unconcerned. The Maximum Heart Rate was probably when you were exerting yourself, this may (and probably would) account for their reference to Tachycardia.

Supraventricular means "above the ventricles". Though it could affect the ventricles themselves, in your case, all of your Ectopics (extra beats) were confined to the Atria of your heart. Arrhythmias in the Atria are usually less of a concern then ventricular arrhythmias. You have very little activity. Out of 95,040 heart beats during a 24 hour period (66 Average Rate per minute x 60 for rate per hour, x 24 per day = 95,040) you had 14 atrial couplets, 54 single premature atrial contractions, 21 late beats. I still believe they are talking about Junctional Escape Beats (they call them late beats). These would likely be expected when your heart beats slow, as they are the temporary failure of the SA Node to discharge, usually due to Vagal Stimulation. From a medical EKG Reading Site: "The most common cause of junctional escape beats in healthy individuals is sinus bradycardia", which you have. It is not a problem if you have been examined by a Doctor and told that you are ok.

From what your Holter appears to show, anyone (a healthy person) without any known problems, fitted with a Holter for 24 hours, may very well show much more activity than you did. The references to the R-R Interval is as follows. The heart rhythm is recorded on the EKG, with various parts of the rhythm being named. The common parts are the P-QRS-T, forming the usual shape we all associate with seeing an EKG Recording, such as on TV. The R-R Interval is the amount of time from the R of one beat to the R of the next. If you divide 60 by 1.5 (the maximum R-R Interval), this would give you a pulse of 40 Beats per minute. But this was the Maximum R-R, most of you other R-R Intervals were shorter then 1.5 Seconds. Since they are shorter, your heart rate will be higher than 40, ergo the minimum recorded rate (over 60 seconds) as 44 Beats per Minute.

Back to the Pain. Does the pain increase when you are exerting yourself? (DO NOT intentionally over exert yourself, unless you have been cleared by your Doctor). Does it get worse when walking up stairs? What did your Doctor say about the pain? If you have not recently been examined, you should visit your Family Doctor at the very least. Please post when you have most recently been seen for the pain and who you were seen by.

Otherwise, be well.
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Avatar universal
1: i was just wondering what type of chest pain would palpatations present, and where is it usually located? 2: could arrythmias just appear all of the sudden out of nowhere when you've been healthy all your life? 3: could benign pvc's, pac's, late beats, atrial pairs, premature beats, or any other palpatation eventually turn into a fatal or life threatning one over time? 4: here is a copy of my holter monitor from 2 years ago, could what was read on this one be worse now? 5: is there any concern on the results of this one below? someone please shed some light on this for me. thanks

Monitoring started at 8:52 am and continued for 27 hrs 41 mins. The average heart rate was 66BPM. The minimum heart rate was 44 BPM. The maximum heart rate was 133 BPM, occuring at 11:17 am.

The patients rhythm included 10 hrs 9 mins 28 sec of bradycardia. The slowes single episode of bradycardia occured at 12:14:23 am D1, lasting 6 mins 46 sec, with minimum heart rate of 44 BPM.

The patients rhythm included 7 min 15 sec of tachycardia. The fastest single episode of tachycardia occured at 11:17:54 am D2, lasting 11 sec, with maximum heart rate of 133 BPM.

Supraventricular ectopic activity consisted of 89 beats, of which, 14 were in atrial couplets, 21 were late beats, 54 were single PACs. The longest R-R interval was 1.5 seconds. The longest N-N interval was 1.5 seconds.

1) The patient was in normal sinus rhythm with rates ranging from 44 to 133 BPM.
2) There were no ventricular beats noted.
3) Supraventricular ectopic beats consisted of rare premature beats with episodes of Atrial Pairs and Late Beats noted.
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257552 tn?1404602554
Hi,

Not to be flippant, but Celexa could reduce the number of PVCs that you feel, or make them worse. From my reading, Celexa has been designed to minimize the potential for heart rhythm problems, but side effects differ from person to person.

Here is a link to a Doctor's answer to your question, posted by another forum Member.
http://www.medhelp.org/forums/cardio/messages/32606.html

Best of health to you.
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