There are a lot of different causes of palpitations. The most important thing is to find the true cause, which is usually done with a heart monitor. Aspirin does nothing for symptoms of arrhythmias.
If this happened to you a single time, I would not be worried about it. If it happens often, I think you should see a cardiologist and obtain a monitor to establish whether a heart rhythm problem is the cause of the symptoms.
The normal heart rate is usually stated between 60 - 100 / min, but there is a great deal of individual varation. More important than the heart rate is the way that you are feeling - if you are feeling well and have good exercise tolerance, 45 / min is not too low.
Palpitations (the sensation of awareness of your heart beat) is a very frequent human experience. The cause can be many different things, including heart arrhythmias, events unrelated to the heart, and anxiety. If this problem is sufficiently bothersome, you should see a cardiologist to get a monitor, which would diagnose the specific rhythm that is causing your symptoms.
Many findings on the ECG are not very precise, and left atrial abnormality is one such finding. The correlation of ECG findings and actual left atrial enlargement (as measured by echocardiogram or other imaging studies) is not very good. The most important thing that you could do is to make sure that your blood pressure is well treated.
I think that you are an excellent candidate for ablation, particularly with the considerations that you bring up (problems with antiarrhythmic medications during childbearing years, side effects, and long term consequences of atrial fibrillation). Most investigators feel that atrial fibrillation is an independent risk factor for the development of heart failure; however, this is hard to be certain about, as many conditions predispose to both problems
It sounds as though many of these symptoms could be due to a heart rhythm abnormality. It would be important for you to be evaluated by a cardiologist to look for solutions to this problem
It is not typical for people to have atrial flutter in infancy. I hope that you are in contact with a pediatric cardiologist. It would be important to address these questions with such a person
I am happy that you have decided to quit smoking. This is the most important thing you can do to stay healthy. I think that it is also very hard, and it seems like your symptoms (which are mostly due to anxiety) are part of the difficulty of quitting. Keep up the good work!
Dr. Andrea Natale
Dr. Andrea Natale is a board certified electrophysiology expert and practices at executive medical director of the Texas Cardiac Arrhythmia Institute at St. David's Medical Center in Austin, Texas. Dr. Natale also is the Senior Medical Director at Pacific Atrial Fib and Arrhythmia Center in San Francisco. He visits MetroHealth in Cleveland, and Akron General, Ohio. He has pioneered a new circumferential ultrasound vein-ablation system to correct atrial fibrillation and performed the procedure on the world's first five patients. For further details Please visit :Link
Dr. Dhanunjaya Lakkireddy
Dr. Dhanunjaya Lakkireddy, MD, F.A.C.C, FHRS. is a board certified electrophysiology expert and practices at Mid-America Cardiology and The University of Kansas Hospital Clinics in Kansas City, KS, USA. He has several distinctions in clinical and research career to his credit and serves as an associate editor for Journal of Atrial Fibrillation.For further details Please visit :Link
Dr. Dhanunjay Lakkireddy, MD, F.A.C.C, FHRS, The Kansas City Heart Rhythm Institute (KCHRI), KS, USA.
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