Patient :I'm worried about an abnormal EKG. I'm 68, female, in good health, and have a lot of anxiety. I've had skipped heart beats for over 40 years--/ sometimes very debilitating. All cardiac work ups have always been normal. Recently I had yet another bout of debilitating skipped beats and went to the GP on a state of panic -- again. All I was told was the EKG was abnormal. The strip was sent to my past cardiologist who told me the change was insignificant. He said it could be anything from my position to a misplaced electrode. He was not concerned. But I am. I'm reading on the internet about all the bad things that could be wrong. Is it really possible that this is nothing to worry about? Please let me know. I'm extremely worried! Thank you.
Thanks for the query to ATD for an opinion,
The fact that you have been suffering from anxiety since last 40 years but otherwise keeping a good health, then these missed / altered rhythm of heart if are associated with anxiety episodes only or have been regular. The EKG has shown an abnormality, so in my view A repeat EKG should be done after 3 days again to look for a similar pattern of skipped beats. There can be many causes for an arrhythmia to set in, but as you said that your blood work and tests are normal, so there is no organic cause for the same. There are a list of causes which can cause skipped beats but in your case the skipped beats have been irregular and not continuous, especially prone when anxiety is experienced.
This can be treated conservatively and if it worsens or if there is an obvious abnormality on EKG in form of ischaemic changes or worsening of arrhythmias, then you can be considered for anti -arrhythmic medications by your physician.
However, a close watch in form of regular EKG check ups has to be kept with regards to your condition. Presently there is no need to panic and it shall not lead to any heart attack, if that is the concern at your end, considering the non-serious nature of changes as commented upon by your physician after seeing the EKG.
i hope i have answered your concerns,
Wishing you good health,
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