I'm having these weird palpitations and transient jerks in my chest that last for a couple of seconds. They seem to happen randomly, and it's really unsettling because it feels like my heart stops during those moments. I exercise regularly and don't feel any chest pain, which is odd. My ECG, 2D ECHO, and HOLTER ECG came back normal, so now I'm left wondering. Could I have some kind of cardiac blockage? Are these jerks something I should worry about, like signs of a potential cardiac arrest or another serious heart issue? If it's none of those, what could possibly be causing these sensations?

Answered by 1 Apollo Doctors

Dr Kareemulla Shaik

General Practitioner

MBBS
0+ Yrs

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Based on your normal ECG, 2D ECHO, and HOLTER ECG reports, it's unlikely that you have cardiac blockage or are at risk of cardiac arrest; the transient jerks and palpitations could be caused by benign conditions such as premature atrial contractions (PACs), premature ventricular contractions (PVCs), anxiety, stress, caffeine, or dehydration; to better understand the cause, consider consulting a cardiologist for further evaluation,

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Answered 04/07/2025

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I've been going through my routine check-up results, and my ECG report mentions sinus tachycardia with some changes in the ST-T section. I'm a 29-year-old guy, and aside from some allergy issues, I don't have any chronic health problems. Should I be worried about these results? Is it considered normal, or is it something I need to look deeper into?

Sinus tachycardia is a normal increase in heart rate that is often a response to exercise, stress, or illness. In your case, since you have mentioned that you have no known chronic diseases other than allergy problems, it is important to consider other factors that may be causing the sinus tachycardia. The changes in the ST-T segment could be indicative of various conditions, such as myocardial ischemia or electrolyte imbalances. I recommend consulting with a cardiologist for further evaluation and management. In the meantime, you can take a low dose of beta-blockers such as Metoprolol 25mg once daily to help control your heart rate. Additionally, monitoring your electrolyte levels and ensuring proper hydration may also be beneficial.

Answered by 1 Apollo Doctors