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    Unusual Palpitations
    Anon_169050 posted:
    Ok I've got a weird question. My husband I both just started having heart palpitations at the same time. Very weird. My palpitations started first. It feels like a flip flop in my chest and it just takes my breath away for a second. I had an EKG and cardiac markers done and everything seemed normal so the doc wrote it off to anxiety. I started anxiety meds and it did seem to get better and then all of a sudden this week they started back. I have no pain with it at all, just an unusual feeling in the chest that will take my breath for just a second.

    My husband started having the palpitations shortly after my started. We have not had anything stressful going on in our lives. Our relationship is great and we have two beutiful sons. Although my husbands family heart history is horrible. His father had his first heart attack at 51, he has had quadruple bypass surgery and he has 15 stints (his doctor said that is the most stints he has every known of). His brother had a heart attack last fall at the age of 42. He just had an artificial aortic bypass because of 95% blockage to his legs also. So my husbands practitioner wanted to err on the side of caution and sent my husband for EKG and it was normal, cardiac markers were normal and he had an echocardiogram and it was normal and showed no blockages. He saw a cardiologist and he said that lots of time there are no explanations for palpatations and they are normal. Oh he wore a 24 hour holter and it showed that his one palpatation was within the normal T waves??

    Are there any suggestions. Could it just be stress? Although I don't know what from. Would you suggest us going back to the doctor? I haven't told my husband that my palpatations have come back because I don't want him to worry. I also have Crohn's disease but it is in remission and I am on no meds for it at this time.
    cardiostarusa1 responded:

    Medical rule-of-thumb, report ANY bothersome, concerning, troublesome, worrisome, worsening, or new symptom(s) to your doctor promptly.

    "He saw a cardiologist and he said that lots of time there are no explanations for palpitations and they are normal."

    ......"and it showed that his one palpitation was within the normal T waves??"

    The T wave occurs in the heart's electrical conduction cycle when the heart is getting ready to pump blood again, so a palpitation or a premature venticular beat there makes sense.

    As applicable to the patient, the most common type of palpitations, premature ventricular contractions (PVCs, occurs even in many heart-healthy individuals), is described that the heart is flip-flopping, fluttering, jumping, pausing or stopping briefly (though it's actually not doing that), pounding, skipping, thumping, or strong, hard, or forceful beats being felt in the chest, neck, throat, and has various causes (cardiac and non-cardiac) or triggers, includes stress, even at the subconscious level (affecting the subconscious mind).

    As applicable, some individuals have reported, palpitations (PACs, PVCs), being triggered off by GERD/acid reflux/heartburn, swallowing (food or drink), gas, bloating, belching, burping, or coughing, or after a heavy meal/on a full stomach

    These are known as indirect causes or an "reactive-arrhythmia". This may/can also be a side effect of some foods (which includes additives and preservatives), drinks, or drugs. On the flip side, in some cases, belching, burping, or coughing may/can terminate/relieve an irregular heartbeat/arrhythmia.

    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 when sustained ventricular tachycardia (runs of PVCs over 30 seconds) occurs.

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

    Best of luck to you and your husband down the road of life.

    Take care,


    WebMD member (8/99)



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    lbcash replied to cardiostarusa1's response:
    Thank you for your response. After seeing the doctor yesterday he has determined that my palpitation is caused by Symbicort (which I take for asthma). Although I have taken it for over a year it is the trigger. I tend to be very sensitive to meds.

    My husbands could very well be triggered by stress due to the fact his brother had a heart attack less than a year ago and had artificial aortic bypass a little over a month ago. He is trying to take control of his health now before he ends up like his dad and brother. But, sometimes he gets down thinking that it's inevitable that he will have heart problems from their history.

    Again thanks for all of the wonderful information!!
    cardiostarusa1 replied to lbcash's response:
    You're welcome.

    "He is trying to take control of his health now"

    Kudos on that.

    "But, sometimes he gets down thinking that it's inevitable that he will have heart problems from their history."

    Not necessarily.

    Important to know, as reported, a risk factor merely increases the probability that one will develop cardiovascular disease, BUT doesn't 100% guarantee that one will develop it, nor does its absence (or even the absence of ALL known risk factors) 100% guarantee that one won't have a heart attack or brain attack/stroke.

    Take good care,




    Additional info

    Heart-Healthy Foods

    Nothing complicated, just plain and simple

    foods high in saturated fat and cholesterol. CHOOSE skim or low-fat milk, low-fat yogurt and reduced-fat cheeses. Eat more fish and poultry. LIMIT servings to five to seven ounces a day. TRIM visible fat. Limit egg yolks. SUBSTITUTE two egg whites for one whole egg or use an egg-substitute. Eat more fruits and vegetables, whole grains, breads and cereals. USE LESS salt and fat. SEASON WITH herbs and spices rather than with sauces, gravies and butter

    _ . _

    Good to know, for the primary and secondary prevention of heart attack and brain attack/stroke

    Epidemiologic studies (EDS) have revealed risk factors (encompasses some new, novel or emerging) for atherosclerosis, typically affecting the carotid, coronary and peripheral arteries, which includes age, gender, genetics (gene deletion, malfunction or mutation) , diabetes (considered as being the highest risk factor), smoking (includes second and thirdhand), inactivity, obesity (a global epidemic, "globesity"), high blood pressure (hypertension), Low HDL (now questionable, according to recent studies) high LDL, small, dense LDL, RLP (remnant lipoprotein), high Lp(a), high ApoB, high Lp-PLA2, high triglycerides, HDL2b, high homocysteine (now questionable), and high C-reactive protein (CRP/hs-CRP).

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