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Doctor insights on: Sertraline Is Supposed To Have Few Cardiac Risks But I Get Lots Of Pvcs And Palpitations Since Starting It Is This Normal

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Sertraline is supposed to have few cardiac risks but I get lots of pvcs and palpitations since starting it. Is this normal?

Sertraline is supposed to have few cardiac risks but I get lots of pvcs and palpitations since starting it. Is this normal?

Not normal: All ssris have risk for cardiac side effects though lower risk than some other antidepressants. Celexa (citalopram) is thought to have a greater risk for conduction abnormalities, but all ssri posses some risk. The risk may be more depending on your other medical problems and medications. This should be reviewed with the health care provider who prescribes your medications. ...Read more

Dr. Lois Freisleben-Cook
1 Doctor shared a insight

Palpitation (Definition)

Palpitations are an awareness of extra heartbeats which most of us have. The sensation can be single or multiple and can sometimes last minutes. Different people may feel other symptoms along with them such as dizzy, lightheaded or short of breath. The palpitations are almost always atrial or ventricular premature beats. Usually benign but they are also ...Read more


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Can Zoloft (sertraline) increase heart palpitations? Is it dangerous? I've had pvcs for years but noticed an increase when starting Zoloft (sertraline) a week ago

Can Zoloft (sertraline) increase heart palpitations? Is it dangerous? I've had pvcs for years but noticed an increase when starting Zoloft (sertraline) a week ago

Zoloft/ palpitations: At least 1 in 100 people taking Zoloft (sertraline) will experience palpitations so you could be having more on the drug. To determine the significance of the increasing palpitations, I'd contact your doctor to examine you and see if a Holter monitor is indicated (24 hr. Continuous monitoring of one's heartbeat with a symptom log kept to correlate palpitations to actual heart rhythm when they occur). ...Read more

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Have sinus tachycardia/pvcs/sinus arrhythmia/palpitations. 23 years old. Normal ecg/echo/blood tests. What are my chances for cardiac arrest?

Have sinus tachycardia/pvcs/sinus arrhythmia/palpitations. 23 years old. Normal ecg/echo/blood tests. What are my chances for cardiac arrest?

Understand the terms: At 23, possibility of cardiac arrest is remote even with family history. SINUS TACHYCARDIA is a rapid, otherwise normal beat. SINUS ARRYTHMIA refers to the normal variation in pulse rate with the breathing cycle seen in young athletes. PVCs are extra beats generated in lower chamber for many reasons, rarely serious. PALPITATIONs are literally the awareness of your heartbeat caused by any of these. ...Read more

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I can't remember if I took my nightly dose of Zoloft (sertraline). I take 150mg at bedtime every night. I am experiencing lots of PVC's currently and am anxious.?

I can't remember if I took my nightly dose of Zoloft (sertraline). I take 150mg at bedtime every night. I am experiencing lots of PVC's currently and am anxious.?

Don't double-up: Try to find a more fool-proof method to remember your medication, but do not take another dose unless it is only a few hours late. Missing one dose should not cause a problem - you have lots in your system from earlier. Some (most) of the symptoms you felt so soon were psychologically based - it's the opposite of the placebo (nocebo). Both are quite powerful! You can take today's a bit early. ...Read more

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Sertraline can increase PVCS? My PVCS stopped after I got off sertraline. Why is this?

Sertraline can increase PVCS? My PVCS stopped after I got off sertraline. Why is this?

PVCs sertraline: Sertraline can alter the QT interval and is known as proarrhythmic, your report thus is explicable in the absence of other factors such as electrolyte imbalance, occult structural heart disease etc; persistent symptoms and thus require further evaluation and if sertraline or other SSRI agents are prescribed an ECG would be appropriate at baseline and on therapy. ...Read more

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I was diagnosed w anxiety and prescribed Zoloft (sertraline) but still having resting hr of approx 90 and pacs and pvcs on holter with no other issues.?

I was diagnosed w anxiety and prescribed Zoloft (sertraline) but still having resting hr of approx 90 and pacs and pvcs on holter with no other issues.?

Anxiety: Sorry but there isn't enough information about you to advise you other than to consult your Doctor who prescribed your zoloft (sertraline). You may be ok or you may need adjustment of your treatment, these judgments can't be made properly without lots more information and seeing the patient. ...Read more

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What are my chances of having a sudden cardiac arrest death? Normal echo. But have lots of couplets, pvcs and sinus pauses.

What are my chances of having a sudden cardiac arrest death? Normal echo. But have lots of couplets, pvcs and sinus pauses.

Probably very low: But a lot depends on family history of sudden death and any more malignant arrythmias.
You may want to have an event monitor placed and get an excercise treadmill test even though you are still youmg this is to look at any excercise induced arrythmias you may develop.
Many young people have arrythmias that resolve as you get older. ...Read more

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I'm 23 and my blood pressure was 107 over 37 lastnight after checking due to palpitations, my concern because I'm on zoloft (sertraline). Is that a normal bp?

I'm 23 and my blood pressure was 107 over 37 lastnight after checking due to palpitations, my concern because I'm on zoloft (sertraline). Is that a normal bp?

NOT REALLY: No the systolic of 107 is great. The diastolic of 37 is extremely low and needs to be rechecked. See your doctor and make sure that you are not dehydrated to have such a low pressure. Not sure what BP device you used but perhaps it is inaccurate. ...Read more

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I am having heat palpitations dizziness nausea and feel out of sorts. I get tummy aches as well I am 23 year old. Recently stopped sertraline?

I am having heat palpitations dizziness nausea and feel out of sorts. I get tummy aches as well I am 23 year old. Recently stopped sertraline?

Depends: If you were taking a high dose of sertraline and stopped it suddenly, symptoms such as you describe are quite likely. But if you tapered the sertraline appropriately, your symptoms are likely due to another cause, and I'd have them checked out if they persist. ...Read more

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Cardiac EP confirmed I have Pvc’s. I seem to get them while I eat and right after I eat for about an hour. Why could that be?

Cardiac EP confirmed I have Pvc’s. I seem to get them while I eat and right after I eat for about an hour. Why could that be?

PVC's: When the stomach is somewhat distended or stimulated by a meal, cardiac arrhythmias like extrasystoles or premature complexes, atrial or ventricular, are not uncommon. Stimulation of the vagus nerve probably plays a role by changing your underlying heart rate making extrasystoles more apt to occur. Your EP cardiologist can better answer your question. ...Read more

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40. Male. Exercise often. PVCs (on/off) for 20 yrs. Occasionally when on treadmill I get jarring, very brief (1 sec) center chest pain. Cardiac?

40. Male. Exercise often. PVCs (on/off) for 20 yrs. Occasionally when on treadmill I get jarring, very brief (1 sec) center chest pain. Cardiac?

Tough to say: Any chest pain with exertion should be further evaluated by a cardiologist. You may be "giving yourself a stress test" so to speak, but get a real Stress test on the Cardiologist's treadmill while strapped up to a heart monitor to rule out any cardiac issues. Best wishes. ...Read more

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My 24h ecg showed episodes of high take off, what is this? Is it normal? Does it cause pvcs? Echo normal, normal ecg Normal, cardiac mri normal

My 24h ecg showed episodes of high take off, what is this? Is it normal? Does it cause pvcs? Echo normal, normal ecg Normal, cardiac mri normal

What you have is: ..."benign early depolarization." Benign is the operative word here b/c there's no impact on your cardiac health. It's considered a normal variation (like red hair & freckles). It means that your heart's electrical system resets itself after each beat more quickly that average. This causes corresponding changes in the EKG. No worries here! Dr. Anne ...Read more

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I was diagnosed w/ wenckebach due to high vagal tone and occasional pvcs. Should this be a concern? I have had a normal cardiac workup.

I was diagnosed w/ wenckebach due to high vagal tone and occasional pvcs. Should this be a concern? I have had a normal cardiac workup.

Depends on symptoms: Wenckebach without symptoms is common and may be due to high vagal tone. If you have seen cardiology, had a normal echo and no symptoms you should not worry. ...Read more

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Palpitation for years. 24hr holter fine. Still get pvc's., skipped beat followed by long pause, feeling no pain, but discomfit after. Is this common?

Palpitation for years. 24hr holter fine. Still get pvc's., skipped beat followed by long pause, feeling no pain, but discomfit after. Is this common?

Symptomatic PVC's?: Should also get an echo if already have not. Thus i'll help tell us I there is any structural heart disease to explain your problem. If the holter was abnormal or inconclusivene, can try an even monitor which your doctor can arrange for you. Can also treat symptomatically with medications (eg beta blocker) or see an ep specialist for definitive treatment. ...Read more

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Do all palpitations show up on a ekg? Besides pvcs and pacs are normal palpitations an arrhythmia?

Bumps In The Night: An EKG takes only one minute so you're "lucky" (I guess) to find any. If the doctor is really concerned he'll put you on a constant monitor (that you carry around with you) for from 2 to 14 or so days. He'll also ask you to keep a record of any symptoms you feel during that time. Ordinarily it's not worrisome to have a few PVCs or PACs a day unless you have bad symptoms or they fit certain patterns ...Read more

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Normal recent ekg and echo but hosp cardiac monitor showed an episode of nonsustained vtac or 6 pvcs. Felt nothing but worried.

Normal recent ekg and echo but hosp cardiac monitor showed an episode of nonsustained vtac or 6 pvcs. Felt nothing but worried.

Cardiology: 27 year old lady with recent EKG in hospital that showed non-sustained ventricular tachycardia. You need to visit a cardiologist promptly for a full history and exam. If you had a run of ventricular tachycardia the cause may be from a heart valve problem, electrolyte abnormality, long QT int. Cardiologist may order ZIO wireless patch, blood work, electrophysiology. Feel faint, chest pain call 911 ...Read more

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I suffered from heart palpitations. Doctor said it is PVC and benign. Is it. Ekg and echo normal.

I suffered from heart palpitations. Doctor said it is PVC and benign. Is it. Ekg and echo normal.

Sounds benign: It appears you have had the appropriate tests. I suggest you limit your caffeine intact, and eat a balanced diet. If there's continued concern, you may need a cardiac stress test, which is an ekg during controlled exercise, or chemical injection. Premature ventricular contractions are "extra" beats that occur, and can be caused by caffeine, fatigue, stress, and chemical imbalance. Good luck. ...Read more

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I've had a full cardiac workup all normal. Is pvcs in both ventricle benign? Common? Is there other people that have pvcs in both ventricles?

I've had a full cardiac workup all normal. Is pvcs in both ventricle benign? Common? Is there other people that have pvcs in both ventricles?

Fairly common: Premature ventricular contractions (pvcs) are a common arrhythmia, often described as skipped beats. Pvcs may originate from different locations within either ventricle. Pvcs are usually benign & may be caused by structural damage, electrolyte imbalance, stimulants, or happen without cause. However, pvcs may also indicate serious heart problems, so you should see your doctor regularly to monitor. ...Read more

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24h ecg showed 2 pvcs and 8 supraventricular ecoptics also some st sagging at times, what is that? 24 normal echo and cardiac MRI. Got dysautonomia

24h ecg showed 2 pvcs and 8 supraventricular ecoptics also some st sagging at times, what is that? 24 normal echo and cardiac MRI. Got dysautonomia

Arrhythmia: How was your echocardiogram did they have an exercise test done. If you have the results of these tests you can consult me I am in pediatric electrophysiologist also taking care of young adults with these kind of problems. ...Read more

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No rhyme/reason resting chest pain radiates up neck intense lasting 15-30mins, cardiac work up all normal 1900 pvc's in 48hrs, no chest trauma, advice?

No rhyme/reason resting chest pain radiates up neck intense lasting 15-30mins, cardiac work up all normal 1900 pvc's in 48hrs, no chest trauma, advice?

Vasospasm: What if the muscles in the wall of an artery in heart clamps down, with resultant decreased flow of blood, then opens? In theory, workup could be negative and yet you have a problem. A medicine to relax those muscles would help. Other non cardiac causes, thereafter. But you have pvcs. ...Read more

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If an 18yr old had PVCs every few days on and off and had echocardiogram, ecg, stress ecg, cardiac MRI and 24h ECG would you say the heart is normal?

If an 18yr old had PVCs every few days on and off and had echocardiogram, ecg, stress ecg, cardiac MRI and 24h ECG would you say the heart is normal?

Tests: If an 18y/o had all those tests and they all were entirely normal, there would be little likelihood of signficant cardiac abnormality present. ...Read more

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All cardiac exams are normal. PVCs occurring all day, slow heart rate, headache & blurred vision. All labs normal except low iron & glucose.?

All cardiac exams are normal. PVCs occurring all day, slow heart rate, headache & blurred vision. All labs normal except low iron & glucose.?

Anxiety related: If your cardiac work up is normal, the extra PVC, s you seem to be having may be due to some genetic predisposition. Unless you are having symptoms due to frequently occurring PVC's, I would focus on any anxiety issues or emotional stress that may be exacerbating the problem. Relaxation Exercises would be a good idea. Feel better ...Read more

Dr. Jerome Zacks
678 Doctors shared insights

Palpitations (Definition)

Heart palpitations are a clinical finding in which a person feels his heart beating strongly, feels his heart beating fast, or both. This can occur with anxiety disorders or heart conditions including ...Read more


Dr. Heidi Fowler
1,094 Doctors shared insights

Sertraline (Definition)

Also called zoloft, (sertraline) is one of selective serotonin reuptake inhibitors, with antidepressant/anti-anxiety actions. May cause headaches, nausea & ...Read more