Erratic Heartbeat Causes

Introduction

An erratic heartbeat, also known as an arrhythmia, refers to irregular heart rhythms that can be too fast, too slow, or erratic. It can be a harmless condition or a sign of serious heart problems.

Common Causes of Erratic Heartbeat

1. Heart Conditions

  • Atrial fibrillation (AFib): The most common type of irregular heartbeat, often associated with stroke risk.
  • Bradycardia: A slow heart rate, which may be due to aging or an electrical issue in the heart.
  • Tachycardia: A fast heart rate, which can be caused by stress, exercise, or health conditions.
  • Heart failure: Weak heart muscles can lead to abnormal rhythms.
  • Coronary artery disease (CAD): Blocked heart arteries affect electrical impulses in the heart.

2. Imbalance of Electrolytes

  • Essential minerals like potassium, calcium, and magnesium help regulate heart rhythms. Low or high levels can lead to arrhythmias.

3. Medications and Stimulants

  • Certain medications: Some blood pressure medications, decongestants, or antidepressants can affect heart rhythm.
  • Caffeine and alcohol: Overuse can trigger irregular heartbeats.
  • Nicotine and drugs: Stimulants like cocaine or amphetamines can provoke dangerous arrhythmias.

4. Hormonal Imbalances and Diseases

  • Thyroid disorders: An overactive or underactive thyroid can impact heart rate.
  • Diabetes: High blood sugar levels and diabetes-related complications can affect the heart’s conduction system.

5. Lifestyle Factors

  • Stress and anxiety: Emotional distress can contribute to palpitations.
  • Lack of sleep: Sleep apnea and chronic sleep deprivation can trigger arrhythmias.
  • Excessive physical exertion: Overtraining or sudden intense physical activity can stress the heart.

6. Aging and Genetic Factors

  • As people age, the risk of arrhythmias increases.
  • Some arrhythmias run in families, suggesting a genetic component.

When to See a Doctor?

Seek medical help if you experience: - Frequent palpitations or fluttering in the chest - Shortness of breath - Dizziness or fainting - Chest pain - Sudden fatigue

Conclusion

An erratic heartbeat can have many causes, some harmless and others needing urgent care. Lifestyle adjustments, proper hydration, and medical management can help.

Source recommendations

1. American Heart Association Guidelines on Arrhythmia

  1. https://www.heart.org/en/health-topics/arrhythmia
  2. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  3. https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia
  4. https://professional.heart.org/en/science-news/2023-acc-aha-accp-hrs-guideline-for-the-diagnosis-and-management-of-atrial-fibrillation
  5. https://www.heart.org/en/health-topics/atrial-fibrillation

2. European Society of Cardiology Guidelines on Atrial Fibrillation

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Atrial-Fibrillation
  2. https://academic.oup.com/eurheartj/article/42/5/373/5899003
  3. https://www.escardio.org/static-file/Escardio/Guidelines/Documents/ehaa612.pdf
  4. https://academic.oup.com/eurheartj/article/45/36/3314/7738779
  5. https://pubmed.ncbi.nlm.nih.gov/20802247/

3. European Society of Cardiology Guidelines on Ventricular Arrhythmias

  1. https://academic.oup.com/eurheartj/article/43/40/3997/6675633
  2. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Ventricular-Arrhythmias-and-the-Prevention-of-Sudden-Cardiac-Death
  3. https://www.ahajournals.org/doi/10.1161/CIR.0000000000000549
  4. https://pubmed.ncbi.nlm.nih.gov/36017572/
  5. https://www.sciencedirect.com/science/article/pii/S2405500X22010945

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