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Arrythmia and antibiotics
nic14120 posted:

I am 33 yr old female, and after my 2nd pregnancy I have developed a heart arrythmia, where my heart will skip a beat, double up, but the cardioligist feels it's more annoying than serious. It happens all day long. I intend to make an appt with the rythm cardio to have the electrical aspect looked into.
I currently have an infection in my tooth, that is going to require an extraction on Monday. I was put on Clindamycin, and started to worry because it was affecting my stomach. THey offered to switch me to a Zpack- azythromycin.
1) Are both these antibiotics safe, and not going to affect my heart?
2) Is there any special precautions I shoud take with the novicane, etc when I get my dental work done, taking the heart arrythmia into consideration?
Thank you!
cardiostarusa1 responded:

"After my 2nd pregnancy I have developed a heart arrhythmia"

In general, pegnancy (first, second, or more) itself can place a tremendous strain on the heart and circulatory system, which may/can cause, or aggravate/worsen/exacerbate various symptoms/conditions, even in healthy individuals.

Post-pregnancy, symptoms/problems may/can continue or entirely new ones may/can develop/arise, sometimes slowly, gradually or suddenly.

"Where my heart will skip a beat, double up,"

As applicable, the most common type of palpitations, premature ventricular contractions (PVCs, occurs even in many heart-healthy individuals, feels like the heart is fluttering or skipping), has various causes or triggers, cardiac and non-cardiac in origin.

Often, PVCs are typically harmless (benign), be it isolated (single), couplets (2-in-row), triplets (3-in-a-row) or salvos (short bursts of 3 or more in-a-row), bigeminy (occurring every other beat), trigeminy (occurring every third beat), quadrigeminy (occurring every fourth beat), etc., etc.

However, the main problem or concern (even more so, much more emphasized for those with certain major or serious heart conditions) with PVCs is if/when sustained ventricular tachycardia (runs of PVCs over 30 seconds) occurs.

PVCs may/can occur with/in the presence of bradycardia (heart rate under 60 BPM), tachycardia (heart rate over 100 BPM).

Symptoms that may/can occur wih PVCs includes none at all or chest pain/discomfort/pressure/tightness, difficulty breathing, lightheadedness/dizziness, and in uncommon to rare cases, near-syncope or syncope (temporary loss of consciousness, includes fainting and passing out).

"Are both these antibiotics safe, and not going to affect my heart?"

One would think yes.

"Is there any special precautions I shoud take with......"

This should be discussed with your doctor(s).

Best of luck down the road of life. Live long and prosper.

Take care,


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