Palpitations and Their Treatment with Medications

Introduction

Palpitations are the sensation of an irregular, rapid, or forceful heartbeat. They can be caused by a variety of factors, including stress, anxiety, caffeine, heart disease, or arrhythmias. Understanding treatment options, especially medications, is crucial for managing this condition.

Common Causes of Palpitations

  • Benign causes: Stress, caffeine, nicotine, alcohol, lack of sleep.
  • Cardiac causes: Arrhythmias (atrial fibrillation, premature ventricular contractions, supraventricular tachycardia), heart disease, heart failure.
  • Non-cardiac causes: Anemia, hyperthyroidism, fever, medications (decongestants, stimulants).

Medications Used to Treat Palpitations

1. Beta-Blockers

  • Examples: Metoprolol, Atenolol, Propranolol.
  • Mechanism: Block adrenaline effects, slow heart rate, reduce palpitations.
  • Indications: Arrhythmias, anxiety-related palpitations, high blood pressure.

2. Calcium Channel Blockers

  • Examples: Verapamil, Diltiazem.
  • Mechanism: Reduce heart muscle contraction force and slow electrical conduction.
  • Indications: Supraventricular tachycardia, atrial fibrillation.

3. Antiarrhythmic Drugs

  • Examples: Flecainide, Amiodarone, Propafenone.
  • Mechanism: Stabilize heart rhythm by modifying electrical activity.
  • Indications: Atrial fibrillation, serious arrhythmias.

4. Electrolyte Supplements

  • Examples: Magnesium, Potassium.
  • Mechanism: Essential minerals for heart rhythm stability.
  • Indications: Electrolyte imbalances causing palpitations.

When to See a Doctor?

Seek medical advice if: - Palpitations last too long (>30 minutes). - There is dizziness, fainting, chest pain, or shortness of breath. - They occur frequently or worsen over time.

Conclusion

Palpitations can be due to benign or serious conditions. Medications can help based on the underlying cause, but lifestyle modifications and addressing root causes are equally important. If palpitations persist, consult a cardiologist.

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 Tachycardias

  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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