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Excitable cells

(jenevoldsen.com)
304 points johannes_ne | 1 comments | | HN request time: 0.2s | source
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eknkc ◴[] No.43547077[source]
I have frequent ectopic beats that I feel as a flutter / heavy beat on my chest. The doc says it won't kill me but it is extremely uncomfortable at times. This has been a great material to learn about the inner workings of heart cells.

BTW Here's an ECG from my Apple Watch showing 3 such beats (you can't miss them): https://link.ekin.dev/l1Vc3Gdf

If you happen to have these, just get checked out by a cardiologist. They are almost always benign but the frequency / daily amount are reasons for concern.

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elric ◴[] No.43547971[source]
Many (most?) people get ectopic beats, but the threshold for noticing them seems to differ. Being stressed/anxious makes them more noticeable. There's a self-reinforcing feedback loop: the more you notice them & worry about them, the easier you will notice them ...

The thing about arrhythmias is that they can only cause damage while they're happening, but ectopics are only a problem for a single beat, which is not going to impact your oxygenation or blood pressure or anything else. Even a bunch of them every day won't cause any damage.

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1. eknkc ◴[] No.43549652[source]
Apparently everyone gets them but the burden (% of beats being screwed up) is important. A high burden for prolonged periods means damage accumulation.

I had 2 24 hour monitors and one caught 700 eptopic beats in a day. Another couple months later, 15.000 in a day. The second one was a concern for the cardiologist. She ordered a couple more tests, started beta blockers asked for diet changes.

I still have a high burden as I can feel them but whatever..