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What are the causes and treatment for palpitations?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have consulted two different cardiologists, and they both have given me different opinions and prescriptions. I have been told that I have an irregular heartbeat and a high heart rate. The 24-hour Holter test concluded that I have ventricular extrasystoles, 1000/24 hours, but the day after and today, I felt more palpitations. The doctor also said I have sinus tachycardia. The walking, running, and stress tests came back fine, as did the majority of my EKG and ECG results. The first doctor said I needed to take Flecainide and will likely need a catheter ablation soon. The second doctor said it was due to stress and prescribed me Bisoprolol. I am unsure which one is correct. I am currently taking birth control pills.

Answered by Dr. Isaac Gana

Hello,

Welcome to icliniq.com.

I understand your concern, but there is no need to worry. What you are experiencing is palpitations, which are often caused by benign factors. I advise you to continue with Bisoprolol and also ensure you get six to seven hours of sleep each night. Avoid smoking, alcohol, or coffee if you consume them, as these can worsen the condition. Lastly, make sure to do cardio exercises at least three times a week. You will be fine.

I hope this helps you.

Thank you.

Answered byDr. Isaac Gana

Medically reviewed byDr. K. Shobana

Published At November 20, 2019
Reviewed AtMarch 21, 2025

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