A member asked:

I get a lot of heart thumps or skipped beats but electro is normal. is this test enough to rule out heart problem?

6 doctors weighed in across 5 answers

No: More thorough evaluation would include an outpatient 24 hour holter monitor of your Heart to look for dysrhythmia and, if present, identify the type,frequency and any correlation with symptoms. If any abnormal heart rhythm is present, an echocardiogram,exercise stress test and cardiology consultation are recommended. In the meantime, avoid caffeine,alcohol and nicotine.

Answered 5/26/2016

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Dr. Charles Talakkottur answered

Specializes in Internal Medicine

No: Consider having your doctor do holter monitoring(an ekg that you wear at home)-this is the next step. If this is unrevealing, there are other evaluations that can be done such as echocardiogram etc.

Answered 5/26/2016

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Dr. Saptarshi Bandyopadhyay answered

Specializes in Hospital-based practice

Rules out beat skip: The EKG must be taken during the time you experience the thumps and skipped beats to have a chance of being diagnostic. Most EKG are only a few seconds in duration. You need a Holter monitor or other recording device to capture the rhythm over longer periods. If the EKG is normal when you have a symptom then a skipped beat is ruled out. You can still have a 'pump' problem that may cause the thumps

Answered 9/24/2016

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Incomplete evaluatio: The next test that should be done is a 24 hour Holter monitor. Hopefully you will sense some skipped or abnormal beats while you wear the recorder and the doctor can see if it is anything to worry about. Lab work may also be advisable. Good luck!

Answered 9/16/2017

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Dr. Yun Tran answered

Specializes in Family Medicine

No: Consider a 24 or 48 hour monitor or even a 30 day event recorder.

Answered 5/26/2016

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