A member asked:

Had an echo for palpitations and murmur that was normal with an av excursion of 2.8cm & ef of 70%. what else can i do to address these symptoms?

4 doctors weighed in across 2 answers

Palpitations: I believe echo did not reveal mitral valve prolapse since no mention was made of it. Get thyroid function tests. Avoid stimulants suh as coffe, caffein containing tea Pseudoephedrine which is contained in many over the counter cold and "flu" remedies. Please be aware that many over the counter supplements and energy drinks are laden with caffein.. Finally, consider evaluation for anxiety.

Answered 10/4/2016

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Get the right test: Generally speaking, getting an echo for palpitations is kind of useless over-testing which does not address the symptom. Palpitations suggest a rhythm problem and the rhythm should try and be captured during the symptom, either with a 24 hour holter monitor or a 30-day event monitor depending upon the frequency and duration of the symptoms.

Answered 7/9/2013

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