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Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Cardiology
Satisfied Customers: 55792
Experience:  Cardiology Expert
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I have been getting alot of ectopic beats lately, mostly when

Customer Question

I have been getting alot of ectopic beats lately, mostly when getting up from a sitting position my heart rate will jump from about 62 bpm to 130 bpm then i will get a run of 5 or 6 ectopics then if i cough they go and heart rate drops straight away back to 60/70 bpm. I am on a low calorie diet around 700/800 kals a day and walk 6 miles a day . Resting heart rate usually between 57-68 bpm. Could i have low potassium levels? I have managed to record these ectopics on my alivecor monitor for iphone.
Submitted: 3 years ago.
Category: Cardiology
Expert:  Dr. Phil, MD replied 3 years ago.

Dr. Phil, MD :

Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.

Dr. Phil, MD :

please enter chat

JACUSTOMER-v3nlul0c- : Is there a way for me to upload my ecg i took on iphone?
Dr. Phil, MD :

I'm not sure

Dr. Phil, MD :

can you attach it here?

JACUSTOMER-v3nlul0c- : I cant see any options
Dr. Phil, MD :

Okay

Dr. Phil, MD :

I think the problem is your diet

Dr. Phil, MD :

That is a very low cal diet

Dr. Phil, MD :

dehydration, stress, alcohol, and electrolyte disturbances can trigger PVCs

Dr. Phil, MD :

you are right on

Dr. Phil, MD :

you very well could have an electrolyte problem as well

JACUSTOMER-v3nlul0c- : I have lost 29lbs in 4 weeks, last week this started though a lot of ectopics whenever standing from seated position
Dr. Phil, MD :

That is a huge weight loss

Dr. Phil, MD :

congrats but you need blood work

JACUSTOMER-v3nlul0c- : I drink 4l of water each day. I have had ectopics before pacs i think but i got all clear from cardiologist 5 years ago but these are crazy now after standing i have to cough abit to stop them.
Dr. Phil, MD :

yes you need some blood work to make sure

Dr. Phil, MD :

are you taking any supplements for weight loss

Dr. Phil, MD :

?

JACUSTOMER-v3nlul0c- : Ok i will try and see doctor tomorrow
Dr. Phil, MD :

okay

JACUSTOMER-v3nlul0c- : no no supplements , i am taking vitamin d and l lysine but have taken these for years
Dr. Phil, MD :

okay good

Dr. Phil, MD :

get some blood work to make sure your lytes are okay

Dr. Phil, MD :

I suspect this is all due to the weight loss

JACUSTOMER-v3nlul0c- : Is this something i whilst most likely have to stop? Increase calorie intake?
Dr. Phil, MD :

possibly

Dr. Phil, MD :

depends on what your blood work shows

Dr. Phil, MD :

you may need to increase calories though

Dr. Phil, MD :

800 per day is extreme

Expert:  Dr. Phil, MD replied 3 years ago.
I always recommend you see a doctor but prilosec works for this problem if it is what I suspect

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