Drugs for Heart Palpitations

Introduction

Heart palpitations are sensations of a rapid, fluttering, or pounding heartbeat. While often benign, they can sometimes indicate underlying heart conditions that require medical evaluation and treatment.

Common Causes of Palpitations

Palpitations can be caused by various factors, including: - Stress and Anxiety: Emotional distress can trigger palpitations. - Caffeine and Alcohol: Excessive consumption may overstimulate the heart. - Electrolyte Imbalances: Low levels of potassium, magnesium, or calcium can affect heart rhythm. - Medications: Some drugs, such as decongestants or stimulants, can cause palpitations. - Arrhythmias: Irregular heart rhythms, such as atrial fibrillation or premature ventricular contractions, may lead to palpitations.

Medications for Managing Heart Palpitations

The choice of medication depends on the underlying cause:

1. Beta-Blockers (e.g., Metoprolol, Atenolol, Propranolol)

  • Reduce heart rate and lower blood pressure.
  • Commonly used for anxiety-related palpitations or arrhythmias.

2. Calcium Channel Blockers (e.g., Verapamil, Diltiazem)

  • Help regulate heart rate and improve blood flow.
  • Useful for reducing irregular heartbeats.

3. Antiarrhythmic Drugs (e.g., Flecainide, Amiodarone, Sotalol)

  • Specifically designed to correct abnormal heart rhythms.
  • Used in cases of severe arrhythmias requiring medical management.

4. Electrolyte Supplements (e.g., Potassium, Magnesium)

  • Correct deficiencies that may contribute to palpitations.

5. Anxiolytics or Sedatives (e.g., Diazepam, Lorazepam)

  • Help manage stress-induced palpitations in non-cardiac cases.

When to Seek Medical Attention

If palpitations are associated with symptoms such as dizziness, chest pain, shortness of breath, or fainting, immediate medical evaluation is necessary.

Conclusion

Treatment for heart palpitations varies based on the cause. Identifying and addressing the underlying condition is key to effective management.

Source recommendations

1. American College of Cardiology/American Heart Association Guidelines on Supraventricular Arrhythmias

  1. https://www.ahajournals.org/doi/10.1161/cir.0000000000000311
  2. https://pubmed.ncbi.nlm.nih.gov/14557344/
  3. https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2019/09/10/12/36/2019-ESC-Guidelines-for-Supraventricular-Tachycardia
  4. https://pubmed.ncbi.nlm.nih.gov/14563598/
  5. https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2015/09/23/09/13/2015-ACC-AHA-HRS-Guideline-for-the-Management-of-Adult-Patients-With-SVT

2. European Society of Cardiology Guidelines on the Management of Atrial Fibrillation

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Atrial-Fibrillation
  2. https://academic.oup.com/eurheartj/article/45/36/3314/7738779
  3. https://www.escardio.org/static-file/Escardio/Guidelines/Documents/ehaa612.pdf
  4. https://academic.oup.com/eurheartj/article/42/5/373/5899003
  5. https://pubmed.ncbi.nlm.nih.gov/32860505/

3. European Heart Rhythm Association Practical Guide on Antiarrhythmic Therapy

  1. https://www.hrsonline.org/guidance/clinical-resources/antiarrhythmic-drugs-clinical-use-and-clinical-decision-making-consensus-document-european-heart
  2. https://esc365.escardio.org/presentation/273433
  3. https://pubmed.ncbi.nlm.nih.gov/33895845/
  4. https://academic.oup.com/europace/article-abstract/23/10/1612/6247378
  5. https://pmc.ncbi.nlm.nih.gov/articles/PMC11636576/

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