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tazechip, MD
Category: Cardiology
Satisfied Customers: 32776
Experience:  Yeard of experience in Critical Care Medicine
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I'm 40 years old. I've been experiencing some heart

Customer Question

Hi. I'm 40 years old. I've been experiencing some heart palpitations over the past week. Not a flutter but more like thud or thump in the chest, like a skipped beat almost. The only risk factor I have is family history due to my father not taking care of himself with drinking, smoking and diabetes and he had a heart attack which killed him. I don't smoke, drink on occasion and don't have diabetes. My Full CBC is normal, however my iron was low, around 18 back in July. I had one infusion and am scheduled for another one the end of the month. This was due to an anal fissure and hemorrhoids (diagnosed) that were bleeding all the time. I have stopped the bleeding with maybe a slight streak of blood on the toilet paper once in a blue moon depending on what I eat. I had a full cardio work up in 2009 and 2011, with an angiogram done in 2011. The results were negative. I'm a little concerned about these palpitations. I have had anxiety in the past but I have not had a panic attack in a few months. Should I worry?
Submitted: 1 month ago.
Category: Cardiology
Expert:  tazechip replied 1 month ago.

Hello I'm Dr Chip

How often do these occur?

Customer: replied 1 month ago.
Been happening for a week. More often today and on Monday but less on Tuesday. I did cut back on drinking tea in the AM but had a diet soda this afternoon.
Expert:  tazechip replied 1 month ago.

And how many of them do you have in, say, a minute's time?

Customer: replied 1 month ago.
Once or twice an hour when it was bad but on a good day I may have had only a few.
Expert:  tazechip replied 1 month ago.


Nothing too serious here

These are premature atrial contractions and it's not a dangerous rhythm problem and it isn't a threatened heart attack

Many people have them

Sometimes caffeine can cause them but they can also signal an electrolyte imba***** *****ke low potassium, magnesium, or calcium

You need to see your doctor for this to get an EKG and some blood work

If necessary they can be treated with either a beta blocker like propranolol or a calcium channel blocker like verapamil

Please let me know if you need any more information

Customer: replied 1 month ago.
How would I know if it was a dangerous rhythm problem or an impending heart attack?
My blood work indicated low phosphorus from July. Could that cause it too? Or could it be the anemia?
Expert:  tazechip replied 1 month ago.

It could be the anemia yes

A dangerous rhythm would be a sudden very rapid rise in your pulse rate or many skipped beats back to back

But this is an electrical problem with your heart and not a coronary artery blood flow problem so it isn't going to give you a heart attack