You may be observing a premature heart beat every hundred otherwise normal beats. These are usually benign atrial or ventricular premature beats. Wearing an outpatient heart monitor for 24-48 hours can document these. They can be caused by stress,caffeine or alcohol but may have no obvious cause. Concerning would be very frequent or runs of premature beats. Your MD or a cardiologist can evaluate y
Answered 12/22/2021
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Suspect the downward spike is and abnormally conducted beat and the next beat may be more intense-forcefull.
Answered 12/22/2021
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