instruction: hello doctor I went to urgent care today because I had bad heart palpitations while taking a walk along with some guest discomfort I have heart palpitations quite frequently but these felt different they were a but thump behind my sternum several times in a row the ekg reading from urgent care says sinus arryhtmia I have had many eggs done before but it has never said that is this of concern
output: hello your egg is fine and sinus arrhythmia is normal phenomenon where heart range varies with respiration it may not be evident always or depends on sensitivity of machine and also it is more pronounced detectable when one is breathing heavily or rapidly so it is not a matter of worry at all next thing were you also having palpitations when egg was taken or subsided by that time because considering symptoms of palpitations and chest discomfort its important to rule out possibility of cardiac arrhythmias like psvt paroxysmal atrial fibrillation which are intermittent and egg would be absolutely normal at other time so normal egg does not rule out possibility of arrhythmia so you should either have hotter monitoring 24 hour egg monitoring but it would detect arrhythmia only if it happened during this 24 hour period or you can buy simple single lead egg devices which would help to monitor your rhythm whenever you are symptomatic so basically we need an egg rhythm during symptoms so as to reliably rule out possibility of cardiac arrhythmia in a nutshell your egg is fine and may need further steps I would also like to know why are you eliquis prednisone and thyearoid problems may cause arrhythmia like atrial fibrillation so ash should be monitored