Suggest treatment for palpitation with Hashimoto's Thyroiditis
Patient: I was recently diagnosed with Hashimoto's Thyroiditis.  For the past 4 months though i have also had a chronic dry cough and the lymph nodes in my neck are enlarged.  Over the past couple days i have had a constant "flutter" in my heart.  At least once every 5 minutes it feels as though either my heart skips a beat or adds a beat.  I am now 30 years old. Am in pretty good shape (i'm 5' 7" and 130lbs - have run 4 marathons...)  When i was about 12 i was diagnosed with MVP, but my last echo was when i was probably 17 and they did not see the MVP as much and stopped yearly echo's.  Other noteworthy hx is that in June 2008 i had a Right Temporal lobectomy with complete rescession of my right amydalia and hipocampus due to a cavernous hemangioma) - yeah...... i'm a bit of a mutant! Doctor: Hello,Even though palpitations associated with thyroiditis are somehow common and benign a 24 holter monitor should be ordered to check for other arrhythmias such as atrial fibrillation or atrial flutter.Best regards,Dr. Fernando Batiz