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I am experiencing bad palpitation, fatigue, got tired easily

By Anonymous October 5, 2009 - 5:47pm
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I am 54 years 4 months now. My period stopped for 2 months but resume on a monthly basis (4 months now)after Doctor put me on HRT. I went for Angiogram(no blockage) in 2001 and since then on Highblood pressure medication (currently on boderline). My palpitation problem is something of an on an off but not really that serious until last year in July 2008 when i fainted for severe palpitation, fatigue but i blamed it for over stress because i was very busy with the moving into a new house. Went to see my usual doctor and was given palpitation tablet (propranolol 40mg). Now my situation is getting worst, seems i am having this problem very frequently and really hampered my movement due to getting tired easily and the irregular beating of my heart really is a discomfort(not much of chest pain). I am a very active person and never like to sit doing nothing. I drink instant coffee (1 cup daily but not a routine stuff sometime 2 days one cup depending on my mood). I dont smoke or consume alcohol. My mother is a stroke patient (still surviving), and my auntie (mum sister) has a heart peroblem.

Everytime i fall sick, such as flu, fever my palpitation gets worst. Two days ago i ate someting that caused some kind of food posioning and my palpitation really got very bad that i only lie in bad too tired to move around.
Please help....

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HERWriter Guide

Dr. Aklog -
Thank you for your timely and important response to this question. We certainly hope that this situation is not serious, but it is important that it be evaluated to be sure. Thank you for providing expert advice.
Pat Elliott

October 7, 2009 - 6:01pm

Dear Anon,

Sorry you are not feeling well. Although palpitations can be benign in many patients, it is very critical to make sure that there is not a more serious problem going on. We get concerned about palpitations when the heart beats very fast (>100), the episodes last for more than a few seconds or are associated with other symptoms especially light headness/passing out and chest discomfort. These can indicate a serious arrythmis such as atrial fibrillation, other types of SVT ("supraventricular tachycardia") or even potentially life-threatening "ventricular" arrythmias.

You describes several things which make it CRITICAL that you get a proper evaluation for your palpitations. You should see a heart specialist. The challenge in evaluating palpitations is that the symptoms can be intermittent and it can be difficult to catch them and identify whether they are associated with an abnormal rhythm. A traditional test is a Holter monitor which usually records your heart rhythm for 48-72 hours. This may not be long enough if the symptoms are erratic. We have been using a system called a "30-day event monitor". It is a pretty neat system that the patient wears for a full month and transmitts literally every heart beat during that time through a special smartphone. If the patient developes symptoms, she can enter it on the smartphone and it sends that information as well. If there is a serious arrythmia we are notified right away, otherwise we get weekly and a monthly report.

Please make sure you get this evaluated. Hopefully it will turn out to be nothing serious but you need to make sure.

Dr. Aklog

October 7, 2009 - 12:20pm
(reply to Dr. Lishan Aklog)

Dr. Aklog
Thank you so very much for a very informative and very useful advice. I had set an appointment with a heart specialist on 13th October, 2009 for evaluation.

October 8, 2009 - 6:05am
Expert (reply to Aggie)

That's great. Good luck and feel free to post again with any questions.

October 8, 2009 - 10:37am
HERWriter Guide

Dear Anon -
Thanks for writing and sharing your concerns. You seem to be saying that you've experienced heart palpitations for quite some time, have sought medical treatment in the past, and that the palpitations are getting worse.

Heart palpitations are common in women, and are caused by many reasons. You may find the following article helpful in better understanding the causes:


You may want to consider seeking medical advice again since the symptoms appear to be getting worse and to be increasing in frequency. There are also some signs you need to be aware of that would indicate that seeking treatment can't wait. If for any reason you experience abnormal heart beats along with chest pain, dizziness, light-headed, pain in your arm or jaw, the sensation of blacking out – please call 911. Do not wait to see if it passes.

Please keep us posted on your progress in dealing with this, and we wish you the best in finding support that will ease your concerns and your pain.

Take good care,
Pat Elliott

October 6, 2009 - 5:44pm
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