A member asked:

Many palpitations everyday, ekg. holter monitors, 30 day event monitor, all normal but they all do show many palpitations but no arrhythmia. why?

2 doctors weighed in across 2 answers
Dr. John Garner answered

Specializes in Cardiology

No such thing: Palpitations are a symptom you feel, and cannot be recorded by any machine. The event monitors and holters would record extra heartbeats called pacs or pvcs, both of which are a type of nonsustained arrhythmia, but which can certainly lead to palpitations. You need to check in with a cardiologist or electrophysiologist who can help you correlate your symptoms with your heart rhythms.

Answered 4/28/2020

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Thanks for asking!: Normally contractions of the heart are initiated by a special collection of cells called the sinus node. However, virtually every cell in the heart has the ability to start a contraction. Some people have cells in the heart that initiate a contraction instead of waiting for the signal to come from the usual place (the sinus node). This creates an extra beat, experienced as a palpitation.

Answered 9/22/2013

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