What Are Palpitations?

Introduction

Palpitations are sensations of a fast, fluttering, or irregular heartbeat. Many people describe them as a pounding, racing, or skipping feeling in their chest. They can be alarming, but in most cases, they are harmless. However, sometimes they may signal an underlying heart condition.

Causes of Palpitations

Palpitations can be caused by various factors, including:

1. Lifestyle Factors:

  • Caffeine (coffee, tea, energy drinks)
  • Alcohol and nicotine (smoking)
  • Stress and anxiety
  • Lack of sleep
  • Strenuous exercise

2. Medical Conditions:

  • Arrhythmias (irregular heartbeats)
  • Thyroid issues (hyperthyroidism)
  • Anemia (low red blood cell count)
  • Heart diseases (coronary artery disease, heart failure)

3. Medications and Substances:

  • Certain decongestants and asthma inhalers
  • Some blood pressure medications
  • Herbal supplements or illegal drugs (cocaine, amphetamines)

When to See a Doctor

Although palpitations are often harmless, consult a doctor if you experience:

  • Chest pain or discomfort
  • Dizziness or fainting
  • Shortness of breath
  • A rapid heart rate for prolonged periods

Diagnosis and Treatment

A doctor may recommend tests such as:

  • Electrocardiogram (ECG/EKG)
  • Holter monitoring (24-hour ECG)
  • Blood tests (to check for anemia, thyroid, or electrolyte imbalances)

Treatment Depends on the Cause:

  • Avoid triggers (caffeine, alcohol, stress)
  • Treatment for underlying conditions (e.g., thyroid disease, arrhythmias)
  • Medications (beta-blockers, antiarrhythmics in severe cases)

Conclusion

Palpitations are common and often not dangerous. However, they can sometimes indicate a more serious issue. Pay attention to associated symptoms and consult a healthcare professional if they persist or worsen.

Source recommendations

1. American Heart Association Guidelines

  1. https://professional.heart.org/en/guidelines-and-statements
  2. https://www.heart.org/
  3. https://professional.heart.org/en/guidelines-statements
  4. https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines
  5. https://atlas.heart.org/

2. European Society of Cardiology Guidelines on Arrhythmias

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Ventricular-Arrhythmias-and-the-Prevention-of-Sudden-Cardiac-Death
  2. https://academic.oup.com/eurheartj/article/43/40/3997/6675633
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Supraventricular-Tachycardia
  4. https://pubmed.ncbi.nlm.nih.gov/36017572/
  5. https://www.ahajournals.org/doi/10.1161/01.cir.0000091380.04100.84

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