Palpitations: Medical Definition and Explanation

Introduction

Palpitations are a common symptom described as an abnormal awareness of the heartbeat. Patients may report sensations such as rapid, irregular, or forceful heartbeats.

Causes of Palpitations

Palpitations can be benign or indicative of a more serious cardiac condition. Common causes include:

  1. Cardiac Causes:

    • Arrhythmias (e.g., atrial fibrillation, ventricular tachycardia)
    • Structural heart disease (e.g., valvular disorders, cardiomyopathies)
    • Electrical disturbances (e.g., Wolff-Parkinson-White syndrome)
  2. Non-Cardiac Causes:

    • Anxiety and panic disorders
    • Hyperthyroidism
    • Anemia
    • Stimulants such as caffeine, alcohol, or medications

Diagnosis of Palpitations

To determine the underlying cause, a physician may use: - Patient history and physical examination - Electrocardiogram (ECG) to detect arrhythmias - Holter monitoring for extended heart rhythm analysis - Blood tests to rule out thyroid dysfunction or anemia

Management and Treatment of Palpitations

Treatment varies based on the cause: - Lifestyle modifications: Avoiding caffeine, alcohol, and stress - Medical therapy: Beta-blockers or antiarrhythmic drugs if necessary - Procedures: Catheter ablation for specific arrhythmias

If palpitations are frequent, prolonged, or associated with symptoms such as dizziness or chest pain, immediate medical evaluation is required.

Conclusion

Palpitations can be benign or indicative of an underlying health issue. Proper evaluation and lifestyle adjustments are essential for effective management.

Source recommendations

1. American Heart Association Guidelines on Arrhythmias

  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://pubmed.ncbi.nlm.nih.gov/29084733/

2. European Society of Cardiology Guidelines on Supraventricular Tachycardia

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Supraventricular-Tachycardia
  2. https://academic.oup.com/eurheartj/article/41/5/655/5556821
  3. https://pubmed.ncbi.nlm.nih.gov/31504425/
  4. https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2019/09/10/12/36/2019-ESC-Guidelines-for-Supraventricular-Tachycardia
  5. https://www.ahajournals.org/doi/10.1161/cir.0000000000000311

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