Palpitations: Definition and Explanation

Introduction

Palpitations are the sensation of an abnormal or rapid heartbeat. Patients often describe them as a feeling of the heart "racing," "fluttering," or "skipping beats." While they can be alarming, palpitations are not always a sign of a serious heart condition.

Common Causes of Palpitations

Palpitations can be caused by various factors, including: - Physiological Causes : Stress, anxiety, intense emotions, caffeine, nicotine, exercise, or fever. - Cardiac Causes : Arrhythmias (e.g., atrial fibrillation, supraventricular tachycardia), heart failure, or valvular disorders. - Metabolic & Hormonal Causes : Anemia, hyperthyroidism, electrolyte imbalances, or hormonal changes (e.g., menopause, pregnancy). - Medication-Related Causes : Some asthma inhalers, decongestants, or weight loss pills.

When to See a Doctor?

Seek medical attention if palpitations are accompanied by: - Dizziness or fainting - Shortness of breath - Chest pain or discomfort - A history of heart disease

Diagnosis and Treatment

A doctor may recommend ECG, Holter monitoring, or echocardiography to assess heart function. Treatment depends on the underlying cause and may involve lifestyle changes, medication, or specific interventions.

Conclusion

Palpitations are common and usually harmless, but they can indicate serious conditions. A healthcare provider can help determine if further investigations or treatment are necessary.

Source recommendations

1. European Society of Cardiology Guidelines on Diagnosis and Management of Supraventricular Arrhythmias

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Supraventricular-Tachycardia
  2. https://www.ahajournals.org/doi/10.1161/cir.0000000000000311
  3. https://pubmed.ncbi.nlm.nih.gov/31504425/
  4. https://academic.oup.com/eurheartj/article/39/21/1883/4939241
  5. https://www.aafp.org/pubs/afp/issues/2010/1015/p942.html

2. American Heart Association Guidelines on Arrhythmias and Palpitations

  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://www.ahajournals.org/doi/10.1161/CIR.0000000000000549
  5. https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia

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