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Saturday, October 24th, 2020

Unusual or irregular palpitation on exertion: A cause of concern

INVC,, Delhi,, An unusual or irregular palpitation occurring on exercising, walking or climbing stairs should not be ignored, said Padma Shri & Dr. B.C. Roy National Awardee Dr. KK Aggarwal and President, Heart Care Foundation of India. Missing of beats at rest and disappearing on exertion may be a normal phenomenon, he said, but those appearing on exertion may indicate underlying blockages. Any palpitation in a patient with underlying heart disease, in the setting of acute heart attack or which are unusual, unexplained or appearing for the first time also should not be ignored. Palpitations in the presence of a low functioning heart (lower than 35%) need special investigations as these people have high chances of developing sudden cardiac arrest and death in future. Patients who have survived a cardiac arrest should undergo more intensive investigations and evaluations to prevent a subsequent event. Any person who can climb two flights of stairs, walk 2 kms without any discomfort or breathlessness usually requires no cardiac investigations.

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