What causes frequent heart flutters, fatigue and dizziness?
Patient: I am a 40 year old female, 5ft 2" and was about 150 lbs but i lost weight and haven't weighted myself after the weight loss.  I have had throughout my life heart flutters or palpatations. Somestimes i cough when when it happens. For the past three weeks or so i have been having them regularly and almost all the time and i cough everytime it happens.  I believe i got fatigued twice this week.  I had to rest in order to continue what i was doing.  Also I have done about three ecg's and the result was always nothing is wrong. I also eperienced a sort of dizzyness or unbalance  like my brain or head just shifted from one side to the next.  This is different to the dizzyness which I suffer and  doctors  medicate me with a b- complex with iron tablet and stemicil or stugeron forte for the dizzyness. Doctor: Hello, This can be arrhythmia like psvt or atrial fibrillation, where your heart rate suddenly goes up and bp falls. These are episodic so ecg if done during the episode will be abnormal otherwise normal.  You will need evaluation like thyroid test and holter monitoring. You should also get one hemoglobin levels done. So visit nearby cardiologist for these investigation. Also, to abort such episodes you should try to cough hard. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiological studies after confirming the diagnosis on holter or ecg which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sagar Makode