What exactly is an arrhythmia?

The word arrhythmia comes from two greek words. The first is ‘a-’ which means absence or loss and the second is ‘rhythmos’ which means rhythm. So arrhythmia literally means absence or loss of rhythm. A cardiac arrhythmia therefore means loss of cardiac rhythm. It is however used in medical practice as a description for disturbance rather than absence of heart rhythm. In that sense the term dysrhythmia is preferable because it does literally translate as a disturbance in normal rhythm which is exactly what it is meant to describe.
The heart is a pump and its role is to work as efficiently as possible to try and get oxygen rich blood round to all the vital organs of the body. It works most efficiently by beating in a regular rhythm and at a certain speed. Any unsolicited disturbance of the rate or rhythm can be termed a dysrhythmia and result in the heart beating less efficiently only for the duration of the dysrhythmia. Sometimes the inefficiency may be so trivial or short-lived that the patient feels no symptoms at all. Sometimes the inefficiency can be so significant or sustained that the patient feels symptoms or can even be incapacitated. It is important that the term dysrhythmia is never enough as a complete diagnosis. Dysrhythmia is an umbrella term for any kind of electrical disturbance rather than pinpointing the exact diagnosis.
In terms of symptoms, the most common symptom of a dysrhythmia is heart palpitation. A heart palpitation is an awareness of the heart beating in a way that feels abnormal to the patient. This may feel as an unusually fast heart beat or an unusually slow heart beat or a skipping, banging, racing or fluttering sensation in the chest. It is important to know that not all dysrhythmias cause palpitations and neither are all palpitations due to a dysrhythmia. Palpitations are a symptom that the patient experiences and a dysrhythmia is a diagnosis usually made on an ECG recording of the heart.
Depending on how inefficient the heart becomes during the dysrhythmia, other symptoms may also become manifest. These include breathlessness, chest pain, dizziness or even blackouts.
The diagnosis of a dysrhythmia is made by recording an ECG during the dysrhythmia. As dysrhythmias are often paroxysmal, meaning that they can come and go, an ECG done in the absence of the dysrhythmia may be normal and therefore mislead the patient into thinking that there is no dysrhythmia present. This is why the most reliable way to diagnose a dysrhythmia is to do an ECG during the symptoms. In those patients who are asymptomatic, the only way to pick up a dysrhythmia is to do prolonged and continuous ECG monitoring. Perhaps the most useful monitor in this regard is a REVEAL device which is a small cigarette lighter sized device which can be easily inserted under the skin and can monitor the heart for any rhythm disturbances for up to two years.
Definitive treatment of a dysrhythmia is only possible after it has been caught on an ECG. The good news is that catching it on an ECG will allow the doctor to characterise it further and give it a name. This is very important because different heart rhythm disturbances can disturb the heart efficiency in different ways and therefore pose different risks to the patient.
In particular, sustained dysrhythmias which go on persistently for minutes or several hours are more likely to cause symptoms or even harm compared to transient dysrhythmias. Secondly, dysrhythmias which are accompanied with the heart going excessively fast or excessively slow are again more likely to be more serious. Finally dysrhythmias which originate in the ventricles of the heart are more likely to be more inefficient and thereby more dangerous than those that arise from the atria or from above the ventricles.
There are two other important points to note. Dysrhythmias are more likely in patients who are older and sicker with a larger burden of comorbidities such as diabetes, high blood pressure, sleep apnoea and vascular disease. Dysrhythmias are also more likely to be less benign in such patients compared to patients who are young and otherwise completely well.
The second point is that if the heart is damaged for some reason then it is already inefficient and irritable. Therefore damaged hearts are more likely to be prone to dysrhtyhmias and are likely to tolerate sustained dysrhythmias poorly and this is why everyone with a sustained dysrhythmia should have an echocardiogram and ideally some evaluation of the heart arteries which supply blood to the heart. If we know that the heart as a pump is strong and the blood supply to the pump at times of stress is good then the heart will cope with even very fast heart rhythm disturbances. The patient may still feel unwell with them but the heart will cope well enough to give the patient enough time to go to a hospital to get it treated.

[@peggymicsky8607]

Arrhythmia is what happens to my heart when I look at you. You look fabulous in this white shirt. You look fabulous in any colour shirt! Simply gorgeous. And a very smart, well spoken Cardiologist with tons of personality and talent.

[@DollarsScents]

Easy killer 😂

[@garybuck7684]

I was diagnosed with AF and my heart valve was damaged. Ejection fraction was 16%. Thankfully with medication and changes in lifestyle my heart is almost totally healed. I have gained back my mobility after two years. There is hope for recovery. Thanks for your efforts, you helped answer questions that I didn't know how to even ask.

[@gillywilly63]

Thank you for the video. Please do not feel pressured to post more regularly. You too should have a work-life balance for your own wellbeing. I appreciate all that you give and am extremely grateful for it. Take care and think of yourself too.

[@elana81RDH]

I hope you know, Dr. Gupta, that there have been so many times in my life where my ectopics have had me frightened and I'm laying bed scared or hiding away in the bathroom in fear, and I've frantically searched up one of your videos for reassurance and your comforting words have brought me so much peace and lifted my spirits. You have been such a blessing to me and so many others. Thank you for all you have taught me about PVCs and PACs. My cardiologist tried to tell me I was ok but I think he was in a hurry and didn't have time to explain much. I understand, I work in the dental feild and I know how schedules can be. But thank you for taking the time to do these videos for people all over the world. I think very often about the analogy with your son and the dog and PVCs. I'm trying to learn to accept the ectopics as my friend. 🤗

[@dougcoleburn1579]

Glad you’re doing better.

[@abigail2795]

I've had a history of Proxymal Atrial fibrillation, going on a ketogenic diet has made a tremendous difference. Consider the food you eat could be the problem. Just throwing it out there for your consideration. My A-fib was connected to my stomach and what I ate and never new the connection for years. Carbs are very bad for are bodies and the cause of poor health and disease. I hope this helps someone.

[@binathere2574]

everyone is different I seem to do better on steamed vegetables. Red meat make me feel ill. I can eat all other fresh meat.

[@Alonsoespi]

She meant refined carbs

[@creatiffy]

My stomach seems to be affected with afib .Thanks for sharing information about carbs say that is correct

[@msnpassjan2004]

Thanks Dr. Gupta ! Always good to see you !

[@jeffreybaier5312]

Thank you for all you do. You can see many need your guidance because of the way these doctors treat them. I wish there was something I could do for you because you were there when I was going thru a hard time medically.

[@bhupinderjitparmar9244]

Thanks Dr.Gupta for taking out your precious time for making all these very educative videos. With fast food everywhere heart problem is getting more prevalent than ever. You describe every thing in such an easy manner that anybody can understand whatever you are trying to teach. Thanks from Canada for being such a wonderful doctor. Stay blessed❤

[@aishatumalam2943]

I'm so glad to share with you my experience on how I got rid of my Vertigo with dr imen herbal medicine on KZbin channel. No more chemo. am completely free. Thanks Doc

[@danhauck2347]

Thank you

[@ushakanal3313]

Very useful and understandable in simple terms. Thank you Doctor🙏

[@green4black]

Thank you doctor. Your videos have been a helpful supplement to visits with my cardiologist.

[@maria4karma]

Sure appreciate all you do and thank you for your understandable explanations.

[@touniekeopraseuth4364]

Thank you so much for your time and patience for making such educational video for all of us to learn this valuable information. Most cardiologists would not have time to explain in detail for the patients the same way as you do. May you and your family be always blessed. Thank you and you are truly appreciated.

[@aishatumalam2943]

I'm so glad to share with you my experience on how I got rid of my Vertigo with dr imen herbal medicine on KZbin channel. No more chemo. am completely free. Thanks Doc

[@fifofififo]

Thank you kind sir. You are such a good human being. God gave u a beautiful heart. May you live long in abundance. 🙏

[@LJ-100]

Thank you for your time in making these very helpful videos, I have learned a lot from you. Following blackouts and extreme dizzy spells I was fitted with a Reveal LINQ loop recorder, diagnosed with AVNRT SVT and had a catheter ablation in early 2020 at NHS Bournemouth hospital. Wonderful team there! Symptom-free since then apart from occasional palpitations. Incredible technology! Thanks again 🙏

[@qiuhao4212]

Can I know at what age did you undergo ablation? And qn for the kind doctor: what are the risks of ablation ? My doctor told me that SVT is "not life threatening", its just "irritating". So then why the need for treatment ? Thank you

[@CYndibabI]

⁠@@qiuhao4212I had ablation for MY atrial fibrillation (afib) the ablation literally ruined MY life 👈🏻 MY heart ♥️ is WORST than it WAS before ablation 👈🏻 I DO NOT recommend ablation 👈🏻 there’s NO cure ablation isn’t a cure either 👈🏻 YOU might get lucky 🍀 for ablation to work for sometime but it always comes back 👆🏻I feel SO bad for anyone who suffers with a heart ♥️ condition 🌹

[@fhkazm]

Thanks Dr. Gupta. I've lived with skipped heartbeats all my life. They can still be unnerving when they happen. Your video was reassuring. Best wishes !

[@kathleenfubler431]

Thank you! As always you are Mist informative and helpful.

[@verobullock5819]

Thank you Doctor G, the information is very much useful. 💕

[@sandrawheeler1521]

Thank you so very much Dr Gupta for making these incredibly informative video's. Really helpfull. I had my first bought of pounding palpatations this evening. Lots of irregular missed beats. Fast strong then weak pulse, between the missed beats.Bit dizzy at times. Low bp. I knew to go straight to your you tube channel.( you have helped my husband before) So glad i found your channel. I Will be seeing my GP after the weekend. Being careful i have taken some soluable aspirin...Thank You again. You are one very special Consultant. Really appreciate you giving up your time to make these vids. ❤

[@MurrayPaws]

Thank you for your knowledge and time.

[@marinaephremis7906]

you are simply the best Dr ....thank you.......Sending love light strength and blessings....

[@diogenes9524]

Thank you Dr Gupta. Most informative and clear.

[@suerew9490]

Thanku Dr Gupta for ur time .i understand it better now 🦋

[@C.I366]

Yes doctors don't explain these fully .GOD bless him. He is amazing, also yes, beautiful presentation skills

[@loveoutdoorsstuckindoors8837]

I continue to have palpitations to this day which the NHS up here refuse to consider as anything but mental issues because of my history with depression. never mind the fact there is evidence of Cervical Stenosis and certain trigger events that cause the palpitations. It is helpful for Dr's like Dr Gupta who explain how these things are caused and can be treated because frankly, you can't rely on nhs doctors any more, who simply just want to prescribe, not anaylse.

[@jeffreybaier5312]

He does video, phone appointments. Go to his website and arrange one. If need be fly to England and have an appointment. I was a victim of malpractice and have watched his videos for years to get over the psychological damage. Wishing you the best.

[@loveoutdoorsstuckindoors8837]

@@jeffreybaier5312 Thank you for the reply. I have already had a very informative video consultation with Dr Gupta, which the main takeaway was to take Magnesium Citrate supplements to fix spasms sort of sensations I was having. These's have all but gone now. I have been seriously considering a malpractice suit against the nhs up north and have considered re-registering with my old doctors down in gloucs who was awesome at this stuff. I probably should arrange a follow up with Dr Gupta once I have paid privately for some scans to be done.

[@jeffreybaier5312]

@@loveoutdoorsstuckindoors8837 if need be find a good lawyer but understand it will take a very long time. I take it, you're in England, I'm in Atlanta Georgia USA and to collect on malpractice you almost have to die or have permanent damage. Luckily I came through ok. Don't put any money up front to a lawyer and it's best to get a referral. I would continue your care with York Cardiology. You are so blessed to have him

[@tyronehernandez9962]

@@loveoutdoorsstuckindoors8837 did the Magnesium help with your symptoms? Start today taking them myself.

[@loveoutdoorsstuckindoors8837]

@@tyronehernandez9962 It helped with some of the symptoms including the spasms, still get palpitations which I believe is linked to something else. But yes, taking a Magnesium Citrate, Potassium Citrate and Calcium Citrate Supplement did help, along with taking sea salt water. Basically all your essential electrolytes which on a "Standard" UK diet can lead you to being deficit. Consult your doctor.

[@catherineadair5677]

Thanks another great informative explanation, thank you.

[@ZZZZ-mkv]

Thank you Dr. Gupta. Your videos on ectopic beats have been very helpful for me. I've suffered with PACs for about 3 years now, but have found a great deal of relief using the following: D-Ribose, L-Carninitine, CoQ10, and Magnesium. But the biggest improvement in my symptoms occurred when I started taking a B-Vitamin complex. I did not realize that coffee, tea, alcohol, and chocolate (all of my favorite things) can deplete B vitamins very rapidly. I've discovered a B1 deficiency can mimic a lot of health issues.

[@ranjanarawat8285]

Thank you doctor ❤as always so informative

[@marissagalarosaborja4508]

Thank you very much!!! Very informative

[@mollydatta1016]

Thanks for always helping us with ur valuable knowledge. Suffering from tachycardia for 40yrs followed by plenty of medication it was from ur videos that I learnt magnesium lessens palpitations of the heart.Now keep telling everyone about ur channel and how just a few peanuts help me to conquer my arrithymia. Thank you .regards from India.

[@noordervaish4226]

Molly I also have tacycardia since 26 years but mostly after eating but often spontaneously too. But I get palpitations irregular heartbeats thuds flipping skips thumps, do you get these too?

[@mollydatta1016]

@@noordervaish4226 yes I have tachycardia from the age of 20,now I m 64 yrs. These panic attacks comes and goes suddenly. Beta blockers, antidepressants couldnot control it.After finding Dr Gupta's channel or videos I take a few peanuts regularly as a source of magnesium and found relief. A miracle happened. 🙏

[@noordervaish4226]

@@mollydatta1016 you are lucky that you only get tachycardia. We have pvcs pacs palpitations and so many like that.

[@mollydatta1016]

@@noordervaish4226 mine is supraventricular tachycardia

[@Tulips77755]

@@mollydatta1016 do you mean you eat a few peanuts daily to manage your tachycardia? My heart beat is always high. Resting 80-90. Sometimes I feel my heart beat. This givrs me anxiety and effects my quality of life. Can you please share what you do exactly?

[@teresa3070]

Thank you. You have a kind heart

[@vinorob]

I had the reveal transmitter fitted recently. It was never fully explained to me what it was about, other than to have me record any incidents. Thank you for making it clearer for me.

[@ruth2328]

Thank you Dr🙏🌺 you are the best 🤩

[@gloriatate9553]

I have a history of A-fib. I had a catheter ablation back in 2010 to restore my heart rhythm back to normal it helped tremendously. I had recently developed Atrial flutter from too much caffeine and stress. I am scheduled for another catheter ablation on October 6. I am confident that everything will be ok.

[@murarirajagopalan3771]

Everything will be OK; God Bless

[@gloriatate9553]

@@murarirajagopalan3771 thanks Murari I have been living with heart arrhythmia condition for 15 years. It started on me when I was 38 years old. I am now 53. My siblings and I our beloved mother had A-fib the Lord good.

[@justjules6975]

Praying for a great surgery for you! I have Afib and have never felt a moments peace since the diagnosis. I’m currently on a heart monitor after being hospitalized 3 days. My heart went into something that made me lightheaded. Tests showed a troponin increase and then drop off. EKG and echo were normal. I have been on this monitor 2 weeks and my heart has been extremely active. It’s so unnerving! I’m so sorry I didn’t mean to make it abt me I just don’t know anyone with Afib that maybe understands🥺 Xx♥️🙏

[@gloriatate9553]

@@justjules6975 I understand because the heart pounding/ racing keeps me up at night. I drink plenty of water and taking bets blockers to control it. The catheter ablation will help more. I will be praying for you.

[@justjules6975]

@@gloriatate9553 Thank you love! Let us know how you are xx♥️🙏 Try coconut water too! I get faster relief with it although my cardiologist denies it.

[@wrens5825]

Very clear thank you

[@stevelanghorn1407]

Excellent, as ever!

[@joyceelmer131]

I take 25 mg of Metoprolol Tartrate 2 times a day if needed. It’s been very effective. I don’t always need it. Thanks for this video. ❤

[@binathere2574]

I do the same.

[@stephenjones6902]

Great info many thanks

[@lisamohammed8075]

Thanks for sharing 🙏

[@sassysashy9577]

Great info , thank you

[@juanafernandez5267]

Thanks Dr 😊,

[@christianheller551]

Excellent video. I had a heart attack 3 years ago. 3 stents were places, and last year another 3 stents were placed in my heart. Yes, ECG monitoring can show much. However when one is connected 15 seconds to the ECG (in my case every time), not much can be learned about the function of my heart. Thank you Sir for your informative video(s). Best wishes.

[@mjass]

Happy NAVRATRI Dr. Saab

[@tattvavidya]

Thank you Drji 💥

[@perrins57]

I bought a Kardia to monitor at home whenever I felt a "flutter". Not that expensive and pick up most dysrhythmias. Gave me great peace of mind.

[@POSS99]

Kardiamobile is junk. It gave me nothing but anxiety and panic attacks because of false readings.

[@becksbitofblue]

Love you thank you

[@GardeningonEmpty]

No Thank you for caring enough to post. And as science changes so does information. Bless you.

[@chucalissa9231]

You look healthy doc 👍🏼🌻

[@yorkymc]

Dear Dr thank you for your video and ime very glad to see you looking so well ,now me i felt that u were talking about me and my situation ime 74 and understand all u said as this is me ha ha ha,now i have some understanding of whats going on in my body everything u said this is me and what i had done anyway God Bless u and keep u safe and well .can u come to Ireland i have a spare room lol.

[@JulieMeikle]

I love your videos and how kind you are to share you knowledge. I know you can’t diagnose here but can I ask you if you think I need to push for more information. Doctors don’t seem to be interested in my symptoms. I have been having chest pains since the spring on and off. Shortness of breath, feeling faint. I went to the hospitals Sept 2nd. The ECG report came back on Sept 23rd with RBBB, LAFB, & HRV. I was so sick when I took myself to the ER. I did have a monitor on spring of 2021 for the same reason. They said I have tachycardia but didn’t know why. I know it’s a long shot asking but if anyone with knowledge here can help, I would appreciate it.

[@pierre2458]

You're the best

[@irenenavarrette1918]

Thank you so much! I going to have to get a notebook.

[@stevieneilson2451]

Great video as usual you have helped me no end over the past few years. I have noticed that my Paroxysmal afib has come back after the covid jabs is this a regular occurrence as the doctors say they just don't know.??

[@Missybmama]

Would you be able to do a video on the difference between atrial tachycardia and afib? I was recently diagnosed with atrial tachycardia and my cardiologist says it is harmless but it feels like a flutter and causes me so much anxiety -thank you so much for all do, i truly can feel that you care about others☺️

[@poohbear2441]

I wonder if that is what I have atrial tachycardia. I did ecg its normal and i have normal blood pressure. I get irregular heartbeats its more like flattering that last 30 mins to 2 hrs:/ recently it feels worse I think its because of anxiety kicks in. I normally have it once or twice a year. I noticed I get it when I am mentally and physical exhausted. I hope you can give me advice 😢 How often do you get it and what is your pulse?? What kind of test did doctor do to figure out your condition??

[@grahammarsden1565]

Thank you Dr Gupta for another informative video. I have a Kardia 2 wire ECG device from Alivecor which connects to an app on my phone. With one of these devices it is very easy for a patient to record an ECG at the time of a dis-arrhythmia event without having to visit a health professional. The resulting ECG can be sent by PDF file for further study. Are these types of devices and this device in particular valuable for accurate assessment of hearth problems ? I would also value your advice of the use of these devices. Thanks

[@justjules6975]

I was just hospitalized 2 weeks ago for heart monitoring. I already had Afib but had an event that made me feel faint. The cardiologist suggested I get one of these!

[@cli7148]

thanks for your g8 explanation

[@sunshinelovenv]

When I eat good I don't have skipped beats, but when I drink fast fried food with alot of sodium my heart skipped beats

[@pleaseshare8891]

How are you now?

[@charlotteh9035]

I started experiencing PVCs back in late August, and after they didn't subside I went to see my cardiologist who prescribed Beta Blockers to lessen the force of the contractions. I asked him if this was my new normal and he said it was very likely as I had had them for a couple of months by this point. The Beta Blockers helped lessen the sensations but didn't do anything to help with the frequency, so I started researching PVCs on KZbin and came across your channel. Long story short, I started taking magnesium supplements almost a month ago (based on your recommendations) and the PVCs have practically disappeared. My question is why my cardiologist didn't suggest magnesium and put me straight on Beta Blockers? I'm British but live in the USA so echoes, blood work, ECGs and appointments are not cheap even with insurance.

[@amit.sharma220]

Which magnesium supplement u use pls help me iam also suffering from lot of thud beats...

[@sandy1234853]

@@amit.sharma220 try and find one that has magnesium diglycinate this one is least likely to give you the runs 300mg dose powder form that you mix with water 1 time in the morning and 1 time in the afternoon should help alot

[@andywarrington4738]

i get regular aryythmia attacks some lasting 12 hours , i have tried to advise my doctors of this but are not interested so i have given up on the nhs now , i have no confidence in them at all

[@binathere2574]

horrible for you. I hope you find a better doctor.

[@mary-vb7fm]

Thank you. This is my problem but I am told to ignore it. Goes on for days.

[@mimirose6798]

Hi Dr. Gupta. In Oct while at my cardiologist appointment I had and SVT where my heart rate went to 277. End of April heart rate stayed at 137 for 15 hours, admitted to hospital, told had AFlutter, then went to ER again July. Had Upper GI in August, told I have a large paraesophageal hernia. Seeing a surgeon end of this month. Read these hernias can cause SVT, Afib and arrhythmia since part of stomach can be in chest. Have you ever done a video on paraesophageal hernia? Thank you.

[@kellsmum1]

Did you get a lot of pressure pushing up under your rib cage?

[@mimirose6798]

@@kellsmum1 yes, why?

[@minivarughese5831]

Would like to hear about endocarditis please. Thank you

[@valman008]

What about athletes who develop Afib? Does this mean their hearts are damaged as well? Thank you Dr. Gupta for all you do!

[@skybirdnomad]

4:23 Lol! Smiling cheerfully on "different risks to the patient"

[@hellie_el]

thank you very much dr. gupta. can you please give us your thoughts on the role of electrolyte imbalance in the pathogenesis of dysrhythmia.

[@DWMtukwila]

I would love it if you talked more about tachycardia. I am 66 and am a serious cyclist having been a racer and coach in years past. I live in Seattle, Washington and so many people over 50 now consider cycling their preferred sport. Having taken calcium channel blockers and had a failed ablation I would love to know more about what can be done naturally.

[@CYndibabI]

YOU had an ablation to treat your tachycardia? I’m sorry it wasn’t a success 👈🏻 I have atrial fibrillation (afib) it’s a complete nightmare 👈🏻 I’ve always been against the ablation as I heard all bad things about it 👈🏻 long story short 👈🏻 I WAS talked/scared 👈🏻😱💭 into getting ablation for MY afib OCTOBER 9 2020 👈🏻 MY heart ♥️ is WORSE now than ever before ablation 👈🏻😱🚨⚠️💭 I have SO many more problems now 👈🏻 it’s completely changed MY life for the WORST 👈🏻😱 to the point of NOT being able to function 👈🏻😱⚠️🚨💭 I would like to know more about your condition 👈🏻 how was it after your ablation 👈🏻 is your heart ♥️ WORSE after ablation?

[@DWMtukwila]

@@CYndibabI what I deal with tachycardia is more of an inconvenience and somewhat of a lifestyle changer. Cycling has been my refuge from depression among other things and I always enjoyed riding with my cycling buddies but now I only ride in areas that do not have steep hills which guarantees a tachycardia incident. I did feel a bit worse for a while. I thought I had it conquered as I went almost 3 weeks with really high heart rates but not ablations, but they came back You, on the other hand have something that I believe is much more of a danger. I even remember the electrophysiologist saying "But it is not AFIB" which told me that what I have is not as bad. I do however, have quite a bit of calcium in my arteries and that, believe it or not, has something to do with decades of high intensity and long duration cardio exercise. i couldn't believe it and most people are surprised. I hope you get better.

[@IMheady]

I was diagnosed with slightly elevated BP after experiencing a blackout in 2017... Subsequent testing indicated a ventricular tachycardia. Have been on low dose Bisoprolol for 6 years and experienced many side effects.Temperature regulation, sexual dysfunction, uticaria from sun exposure, fatigue weakness and malaise.Doctor would not switch meds and said "live with it". Recently I had a radioactive heart test done and while on the treadmill they said my heart rate wasn't rising enough. They did the test anyway and cardiologist basically said it is inconclusive because my rate wasn't up enough. I am also on an Tamsulosin,alpha blocker, for bladder issues. He said no further testing required and told me to exercise, this is difficult to do with chronic dizziness and vertigo as well as Neuropathy in legs. Wondering if you have any advice or opinion bout my situation. I also feel my palpitations more when I lie down. Thank you Dr.Gupta.

[@serkany5905]

I would honestly change doctors first before anything else. If one beta blocker is giving you side effects, there’s always others on the market that might work better for you. No one should have to put with side effects from medication.

[@BlueLineofthesky]

As always a great video, easy to understand. Mr. Gupta, can you make a video about cardiac events that were caught by intelligent wearables, like smartwatches? I have a smartwatch and from time to time, like 6 weeks apart, I can see in my heart rate area a perfect vertical line showing a heart rate of about 180-190 beats per minute, for about 3 minutes. Starts suddenly and ends suddenly. No symptoms. I see it by accident when I checked the app. My resting heart is 58 and I did almost all possible tests and all results are OK, my cardiologist says I am fine, and even if it is a Paroximal Supraventricular tachycardia I should not worry because my heart is structurally healthy. Can such wearables do a real consistent reading in the case of PSVT? Or another related arrhythmia?

[@dardar267]

Just post whenever it is convenient. We know you are a busy guy like the rest of us.

[@dougiemcguire5627]

Thank you so much for the informative videos. Back in Feb I had a heart rate of 22. Doctors were amazed I never loss conscious, no chest pain and I was talking and joking with the er staff. Doctors said I was bouncing back and forth from a level 2 and 3 heart block. A pacemaker was implanted and two days later I was discharged. Then in May I received a call from my doctor, my heart monitor detected a "dangerous rhythm. Doctor said my heart actually quit for a few seconds and shivered. I did have a few brief seconds of dizziness however no chest pain and again no loss of consciousness. They requested I come to the hospital and they performed a heart cath. which revealed a 95% blockage in my right pulmonary artery. I'm now on a beta blocker, a b/p, blood thinner, pacemaker and one stent. I still get palpitations that scare me and I wonder if it's okay to be on the beta blocker since I suffer from COPD. I imagine it's safe I have high confidence in all my doctors however the palpitations do scare me. Thanks again Doctor for making so many informative videos.

[@bluemooninstillwaters]

Please post on hypotension, there are few doctors who speak about and fewer patients also . So lack of awareness available

[@gemgreen640]

Would you do a video or give yoyr opinion on the use of wearables such as Fitbit, Samsung and Apple watches capable of ECG. I have a sudden onset of rapid heart rate, felt awful during this then it went again. My fitibit Sense recorded on ECG showed a heart rate of 210bpm. Counting the beats in the ECG rather than the watch interpretation.

[@audreyhepburn8633]

Thank you sir for all your teachings .. could you tell me why when I take magnesium (only 170mg before bed), I feel as I’m gonna pass out at times. My blood level is at 19 and my potassium is at 4.3, with calcium and sodium within normal limits. Is being in a adrenal burnout would be a reason ? I’m told I need magnesium and vit D since they’re low but I get arrhythmias with vit D. I don’t know what to do anymore. Thank you very much Sir ..

[@nwae8812]

I had a CT angiogram 12 years ago. It showed I had ischemic heart disease. No one informed me of this. I discovered I had it when I able too access my health records.

[@binathere2574]

That's disgusting. yes I've found things in my blood work that no one has told me about as well.

[@AnonymousAlien2099]

Garlic, Arjuna, Turmeric, Black Pepper and an anti inflammatory diet everyday.

[@tonyawells570]

Im a 56 yr old woman with coronary heart disease with one stent. I recently wore holter monitor for 48 hrs with results showing 52,838 ventricle ectopic beats with 24% burden. Which none of that means a whole lot to me but is that number really high, too high? I was referred to electrocardiologist in 2 weeks and I'm unsure how to even approach that appointment with the right questions etc. For instance, could my coronary disease cause these symptoms and results? Echo was last week and was normal. Yes i feel the palpations and slight dizziness , some fatigue. Thank you for your time...PS: you explain things very well in your videos, and pretty easy on the eyes 😊

[@BeautycaReviews]

How reliable and exact are Holter monitors? After a seven day wear test I’ve been told SVT/ SVE, ectopic beats, PVCs, missed beats. So have they concluded I have ‘all of the above’ or are all these things one thing? I’m so confused. Would love any information on gastro-cardiac related topics and how these are diagnosed. Thank you.

[@k37sg9]

I hope you find relief and the answers you seek. I wish the doctors would actually explain the findings. Anyway, Dr Sanjay has a playlist about heart and stomach related topics. Check it out if you haven't.

[@isobelryan9710]

As an aside, can I ask if it is safe to have the Covid vaccination when suffering with Afib?

[@delftblue8801]

I had a scan and was told I had “normal thickening” of the left ventricle. I occasionally have fluttering in my heart but I have Conn’s Syndrome and potassium of about 3.8. How common is “normal thickening”?

[@lionhearttt3540]

I have thickening of the left ventricle, it's borderline though

[@f-authority6926]

I have a history of Afib- once lasting many hours with my heart in AFIB simultaneous with a heart rate of 230 in the ER prior to cardioversion. Still, when I wear a monitor, it never shows up during that time. Even with my history, I'm treated like a hypochondriac. Kinda- "See, monitor says all is good so it's in your head" nonsense. as such, I go untreated...

[@LettyK]

I have AFib and have been taking Magnesium Taurate. My condition has improved greatly. All the best...

[@binathere2574]

that's horrible. I also feel this is what happens to me, I turn up at the emergency department and finish up sitting there for hours. I feel they think I'm a hypcondriac. horrible .

[@jayangelofrancisco4450]

@@LettyK how many mg of taurate are u taking?

[@LettyK]

@@jayangelofrancisco4450 150mg twice a day. Hope this helps.

[@jayangelofrancisco4450]

@@LettyK did u ask ur doctor if u can take magnesium? Or just do it by urself?

[@faithbe3047]

Can you make video about Beta blockers for ASTHMA because I have asthma and I have to take them...

[@prathibhajay845]

Can inherited blood clot disorder occur at very young age (20's or below) ? what's the ratio of this inherited disorder in Asian population? and how changing into healthy lifestyle help this? Plz answer.

[@ht4038]

Thank you Dr. Gupta But i wan't to ask you that after having my lunch or dinner my heart beats goes to 110 then after 10-20 minutes it slows down come to 90 then 84 like this everyday. Is it normal or should i visit to cardiologist. I'm 23 y old .(no smoking, no alchol, no junk food, drinks )

[@sarahb.6475]

I am not a doctor but I would think it is because the body is busy digesting food. I believe the body temperature can rise after eating too for awhile.

[@Appalachian_Hunger]

I'm 35 and was diagnosed with an arrhythmia at 28,been on 50 mg of metoprolol and flecanide daily. When I sleep my just rate is in tht 50s according to my Samsung watch, and sometimes when I first really up and get out of bed, my heart rate can sky rocket to 132bpm. All these symptoms started within the past week. I'm also getting eectopic beats 100 plus daily, when I would only have a few daily. Most when I'm sitting down or relaxing, but a few when I am doing light walking, ie day to day normal activities. Should I be concerned at this point? Edit. It kept happening, and I ended up going to the ER and they caught 4 PVCs on tht EKG. Told me I'll be fine, though I went from rarely having these while on all this mediation, to having 100 plus a day

[@teenjules2309]

Im 52 and these started at 23 with runs of vt at 333 bpm captured on an ecg. Then the palpitations and disrthymia started. I was a bit like you and found drinking electrolyte water super helpful. I'm studying a master of lifestyle medicine before doing a phd (phew nearly finished just doing my last 2 thesis) and I am on 75 mg metoprol twice a day and 100 mg of flecainide twice a day. If the rythmns get to ratty (for no reason - sleeping, reading not doing anything not even eating) my hr may race over 140 bpm I take 5 mgs of valium - prescribed for these) it settles after 20 mins instead of staying for hours) being a qualified mental health therapist and emergency rescue medic I know mental health is a bigger for me - even if I dont feel stressed. LIFE is stressful and is asymptomatic! I had a a check over the other week my hearts apparently great so I've started yoga, cut out refined foods and taken on a Mediterranean diet. Doesn't hurt to be proactive and look after yourself :) I hope you find relief.

[@jvillanueva10jv]

Hi Justin, definitely not normal. I was on those medications as well, until I had an ablation done , that helped . But they also found that I had a hole in my heart that was considered ASD, that was causing a lot of what your experiencing for sure. I recommend you having an ablation. It has helped so much.

[@sarahb.6475]

you have Pots. postural orthostatic tachycardia syndrome. any raise in heart rate of 30 points or more from lying to standing is pots.

[@oscarmarquez6626]

Why some arritmias dissapear after getting enough potasium becausethe potasium was getting lower and lower or is another cause like genetic born with that problem?

[@richardtighe671]

I’ll a man of 73 years of age and I’ve been diagnosed with AF I am asymptomatic. I have been prescribed Apixaban and cycle regularly. If it wasn’t for my doctor testing me I’d have no idea that I had AF.

[@bbsaid218]

❤

[@bbsaid218]

I used to get palpitations, but since switching to cooking with animal fat (lard) I haven’t had any.

[@robkoering2702]

I'm hoping someone (Dr. Gupta) can help me. I've been battling slight pauses in my heart rhythm over the past few months. Throughout the day I'll check my pulse and it will go beat beat slight pause beat beat slight pause, etc. This can go on for several hours or days. I have terrible health anxiety and this has exacerbated the situation. I check my pulse 100 times a day and as soon as I do I feel a rush of nervousness in my stomach so I'm wondering if this is contributing to the rhythm disturbance. I've been to the ER 5 months ago, I've had multiple Ekg, and an echocardiogram stress test. All results normal. I recently wore a heart monitor for a week and I'm waiting on the results. I feel like I must be having a bunch of ectopics throughout the day. Any feedback would be greatly appreciated.

[@LordChristopher1924]

I had arrhythmia yesterday for about half the day so I’m pretty tired today

[@briansteele8970]

I have paroxysmal atrial fibrillation I'm on proprafenone. Can you still get break through episodes on this med.

[@unsunghero9481]

how to know if its anxiety attack or afib? does anxiety palpitation also have skipped beats?

[@stephenjones6902]

Do you feel that the portable. ECG's available and linked to smartphones are accurate.

[@Sonia76373]

Dr sanjay - what do you think of Dr asseem and the covid injection and wanting them to stop immediately?

[@tabascocat5102]

How do pacemakers make the original impulse ignored? Otherwise there would be continuous dysynchrony

[@DH-dh2nj]

I’ve had two cardiac ablation’s due to a fib and PVCs , my PVCs I was going in to bigeminy and staying there for hours on top of hours , went to the heart hospital twice to the ER by ambulance both times I got sent home in bigeminy, now I’m facing runs of them come and go have to wear a heart monitor here in a couple of weeks , and then another echo test , It’s just got me so scared to do anything because I’m afraid of going back into a bad rhythm or something else , why isn’t this condition considered a disability or I can draw my Social Security disability instead of keep trying to prove to I Cardiologis that I am unable to do it I’m unable to work I can’t concentrate I can’t function when your heart skipping every other beat and doing weird stuff it’s like I need to go get help or I’m going to die . Any advice to ease my mind when I’m trying to be normal and they start having these things ?

[@DMoney505]

Have you tried magnesium? L Arginine and Taurine? Make sure your electrolytes are in check. Like Dr Sanjay has mentioned magnesium really helps. It’s worth a shot. I’ve heard great success with magnesium l arginine and taurine. Hopefully you feel better soon!

[@jaxjax4813]

What is difference in 2°AV block? Please

[@funwithfrances2911]

I am confused about what a sustain and non-sustained heart rhythm is. For me I get pvc and pac. I will feel a flutter or a skipped beat for a sescon then maybe a minute later or a couple seconds later another one. Sometimes it can go on like that for a few minutes or half hour or throughout the day. I don't know if that is sustained or non sustained. I won't consistently feel one right after the other but a flutter then a normal beat then maybe a flutter again like that. Has anyone had the same experience?

[@robkoering2702]

Hi, I've had the same and it can go on for hours if not days. As soon as I check my pulse I feel a flutter or nervous rush in my stomach. I've had several ekg over the past 6 months, trip to ER which they said heart was fine, echocardiogram stress test was fine, and I recently wore a zio heart monitor for 6 days. Still waiting on the results.

[@robkoering2702]

Read my post above

[@raofahadaziz73]

Hello Sir my ALT and AST Is high . Do it affect the BP

[@damienbell3155]

I just found you on utube. From Alaska ,,,, I was just in the ER 2 weeks ago my BP was 248/186 98p. They noticed a irregular heart beat otherwise known as Afib, later as more tests were performed we managed my BP down to 116/76 72p but a procedure to rejump my heart was performed , also my left atrial is only squeezing at best 20-25 %. The Dr here at providence medical center did there best to manage my situation,,,, I was released after 5 days , waiting to get a nuclear imaging stress test on Dec 2 then on Dec 12 there going to perform another procedure where they inject radioactive isotopes or tracers. Then I jog on treadmill? It wasn’t really explained to me. Anyways I’m at a lose what’s happening. Lol.

[@tway2536]

Hope all is well

[@damienbell3155]

@@tway2536 thank you. Was told sometimes it’s just bad luck , I’m to young for this lol.

[@dannyoneill5516]

I suffer from PVCs, recently had an echo, structurally normal heart, they are just so annoying! Do I still need to be concerned?

[@dannyoneill5516]

If I get up and do abit of exercise they dissappear but I can just be watching TV and they're thumping away! I'm 31, just so scared I'll have a cardiac arrest

[@brianb7844]

@@dannyoneill5516 Danny, check out the doctors videos on pvc’s. I have had them for several years now. They will not cause you to go into cardiac arrest. I feel mine mostly when relaxing also. His videos regarding pvc’s are very reassuring.

[@blessing99999]

Had pvcs for sometimes then i consume magnesium taurate,, it solved instantly,,, then after years pvcs came back while im on strict diet and changing my sedentary lifestyle (start exercising), magnesium seems didnt help much,,, i suspect changing my diet and exercising affect deplete my vitamin, mineral, etc… and i run blood test,, yess i got vitamin D deficiency,, i consumed magnesium and vit D3 5000iu daily,, pvcs resolved instantly..

[@WillyEckaslike]

i have blood pressure 100/70 and 80bpm but my heartbeat is not a constant rhythm ...it misses beats..jumps beats speeds up .slows down..its chaotic...and yet i feel ok and swim every day and eat healthy....whats the prognosis?