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Sudden palpitations since youth and extrasystoles.

Dear medical team,

I am 34 years old, 184 cm tall, and weigh 105 kg. Since the age of 19, I have been suffering from paroxysmal tachycardia with sudden onset. I can usually stop these tachycardias more or less well with the Valsalva maneuver. Sometimes it only lasts for 10 minutes and sometimes several hours. I actually tolerate this heart racing very well, but of course it does mentally burden me if it lasts longer. I have already been to a cardiologist and he found nothing. It occurs on average 2 times a year. In order to catch such an "episode," I bought an Apple Watch with ECG function and recorded the last 2 attacks. Please take a look at the ECG recording attached (I know it can't replace a visit to the cardiologist). I would be grateful if you could tell me what it is likely to be. By the way, my mother also has it. Additionally, I would also be grateful if you could give me tips on how to reduce these attacks. I have noticed that it usually occurs after alcohol consumption or during stressful times when I worry a lot. Thank you very much.

Dr. med. Frauke Gehring

Good morning,

Unfortunately, you did not attach the attachment, please do so.

If it is pure supraventricular tachycardias, they are absolutely harmless, but of course annoying. Cardiologically, nothing is found.
The best course of action would be to avoid stress and alcohol as much as possible. If the pulse rate is around 160 during the attacks, and if they become more frequent, an ablation should be considered.

Best regards, Dr. Gehring

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Experte für Internal medicine

Dr. med. Frauke Gehring

Dr. med. Frauke Gehring

Arnsberg

Staatsexamen 1984 in Kiel, seit 1992 in eigener Praxis niedergelassen. Onlineberatung seit 2001 bei Almeda, Focus (als ärztliche Leiterin), Onmeda, Bild der Frau. Moderatorin, Dozentin für medizinische Themen.

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