I'm 29 and since 2018, I've been experiencing skipped or missed heartbeats, which make me feel really uneasy. In 2019, I had an ECG, an echo, and a TMT done, and they didn't find anything. Recently, I've had two more ECGs and still nothing showed up. The doctor prescribed ivabradine and some anxiety medicine. I also discovered I have hyperthyroidism. I got some relief, but the symptoms have started again, and I'm really scared and worried that something serious is going on. Can you help me figure out what's happening and where I should go to find out the exact cause?

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Dr Kareemulla Shaik

General Practitioner

MBBS
0+ Yrs

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It's understandable to feel anxious and concerned about your symptoms. Skipped or missed heartbeats, known as palpitations, can be distressing but are often benign, especially with normal ECG, echo, and TMT results. Hyperthyroidism can contribute to palpitations and should be managed effectively. Since you have already been prescribed ivabradine and an anxiety medication, it's important to continue following your doctor's advice and taking your medications as directed.

Given your ongoing symptoms and anxiety, it might be beneficial to seek a comprehensive evaluation at a specialized center, such as a tertiary care hospital with a cardiology and endocrinology department. They can conduct further tests, such as a Holter monitor to track your heart rhythms over 24-48 hours, and refine your treatment plan.

Additionally, managing anxiety through therapy, relaxation techniques, and lifestyle changes can also help alleviate your symptoms. Please consult with your healthcare provider to discuss your concerns and consider a referral to a specialist if needed.

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Answered 04/07/2025

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