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A 20-year-old female asked:

Recently been getting random palpitations often, no chest flutters or dizziness, 30 sec ecg always normal, could it be an arrhythmia?

2 doctor answers2 doctors weighed in
Dr. Mark Zweben
Cardiology 31 years experience
Yes but not serious: Palpitations can be part of normal extra beats for anyone. If they come and go lasting short time periods like less than a minute then usually, at your age, it's not serious. Concerning symptoms with palpitations include dizziness, fainting, severe shortness of breath or chest pain. To help reduce them, avoid excess of caffeine, alcohol, stimulants in cold medications, and reduce stress.
Dr. Manjeet Singh
Cardiac Electrophysiology 10 years experience
Arrhythmia: It could be an arrhythmia and you may need a Holter monitor to investigate this further. See your PCP for further management.
Dr. Mark Zweben
Dr. Mark Zweben commented
Cardiology 31 years experience
I agree that a monitor is a very good test to evaluate the rhythm. An echocardiogram also could see any underlying heart structural problem. Also look for anything you could be taking or ingesting that could cause it eg cold medication, caffeine, alcohol. Any lack of sleep or mental stress can also cause Ezra heartbeats. Nothing can substitute for a full evaluation by your primary physician
Feb 27, 2015

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Last updated Mar 9, 2019

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