What is the Reason for Irregular Heartbeat?

Introduction

Irregular heartbeat, also known as arrhythmia, occurs when the heart beats too fast, too slow, or with an abnormal rhythm. It can be harmless or indicate a serious medical problem. Understanding the causes and possible related conditions is crucial for proper diagnosis and treatment.

Common Causes of Irregular Heartbeat

1. Heart-Related Causes

  • Atrial fibrillation (AFib) – The most common type of arrhythmia, where the upper chambers of the heart beat irregularly.
  • Heart disease – Conditions like coronary artery disease, heart failure, and previous heart attacks can disrupt normal heart rhythms.
  • Valve disorders – Malfunctioning heart valves can lead to arrhythmias.
  • Congenital heart defects – Some people are born with heart abnormalities that affect their heart rhythm.

2. Electrolyte Imbalances

  • Low or high levels of potassium, magnesium, sodium, or calcium can interfere with the electrical signals of the heart.

3. Medications and Substances

  • Certain medications (e.g., beta-blockers, antiarrhythmics, or stimulants) can cause irregular heartbeat.
  • Excessive caffeine, alcohol, nicotine, or illegal drugs can trigger arrhythmias.

4. Hormonal Changes and Medical Conditions

  • Thyroid disorders – An overactive (hyperthyroidism) or underactive (hypothyroidism) thyroid can influence heart rhythm.
  • Diabetes and high blood pressure – These conditions increase the risk of arrhythmias.
  • Sleep apnea – Disruptions in breathing during sleep can cause irregular heartbeats.

5. Lifestyle and Environmental Factors

  • High levels of stress or anxiety can lead to palpitations.
  • Excessive physical exertion without proper training or rest.

When to See a Doctor?

An irregular heartbeat is not always dangerous, but you should seek medical attention if you experience: - Persistent, unexplained irregular heartbeats. - Dizziness, fainting, or shortness of breath. - Chest pain or discomfort.

Conclusion

Arrhythmia can have multiple causes, from harmless triggers to life-threatening conditions. Understanding the underlying reason is crucial for proper treatment. If you experience persistent or worrisome symptoms, consult a cardiologist immediately.

Source recommendations

1. American College of Cardiology/American Heart Association (ACC/AHA) Guidelines on the Management of Patients With Atrial Fibrillation

  1. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  2. https://www.acc.org/Latest-in-Cardiology/Articles/2023/11/29/18/58/New-ACC-AHA-Guideline-Focuses-on-Diagnosis-Management-of-AFib-gl-af
  3. https://pubmed.ncbi.nlm.nih.gov/16908781/
  4. https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2020/12/04/20/16/2020-Update-to-ACC-AHA-AF-AFL-Performance
  5. https://www.hrsonline.org/guidance/clinical-resources/2023-accahaaccphrs-guideline-diagnosis-and-management-patients-atrial-fibrillation

2. European Society of Cardiology (ESC) Guidelines for the Diagnosis and Management of 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://pubmed.ncbi.nlm.nih.gov/32860505/
  5. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193

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