Can food allergies cause palpitations?

Question

Hello doctor,

I had my first heart palpitations two years ago. A doctor prescribed Propranolol and Aspirin for three months. The doctor also suggested Diltiazem or Flecainide on an as-needed basis. I experienced palpitations even after taking these medications. Diltiazem worked when needed, but since it was a strong medication, I stopped taking it. After one year, I had all the tests done again, and an irregular heartbeat was detected during Holter monitoring. I have attached the reports.

Currently, I have been on Bisoprolol for the past two months. I experience around two episodes per week, but with this medication, the duration and maximum heart rate have been controlled. Attached are the latest Holter monitoring test results from 48 hours ago and the 2D echo test reports.I need your opinion on the following questions:

Can food allergies cause arrhythmia? I noticed palpitations just after consuming food items with cheese.
Are there any recommended tests to identify food allergies that may be causing palpitations?
What are the long-term side effects of these medications?
What is the success rate of cardiac ablation?
If required, should we opt for burn or freeze ablation?

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

You are suffering from paroxysmal atrial fibrillation and intermittent ectopy. Food allergies will not cause this issue, but consuming spicy foods, lack of sleep, and mental or physical stress can aggravate the problem. Generally, these medications have little to no side effects; however, it is important to continue taking them. Radiofrequency ablation is a safe and effective option, with a success rate of 60 to 70 percent. You should discuss this with a specialist cardiologist and an electrophysiologist. Continuing the medications on a long-term basis is essential. Bisoprolol is a good medication, and taking Atorvastatin and Aspirin after meals is also advisable. I hope you do not have any thyroid problems.

Thanks and regards.