Understanding Heart Palpitations

A Comprehensive Guide to Causes, Symptoms, and Treatment Options

Cardiology

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Last updated: Mar 24, 2025

What Are Heart Palpitations?

Heart palpitations are sensations of your heart beating unusually - whether too fast, too slow, or irregularly. You might feel like your heart is:

  • Skipping beats
  • Fluttering
  • Pounding
  • Racing
  • Flip-flopping

Common Causes

Emotional and Lifestyle Factors

  • Stress and anxiety
  • Caffeine consumption
  • Nicotine use
  • Strenuous exercise
  • Dehydration

Medical Conditions

  • Thyroid disorders
  • Anemia
  • Low blood pressure
  • Heart rhythm disorders (arrhythmias)
  • Electrolyte imbalances

When to Seek Medical Attention

Seek immediate medical care if palpitations are accompanied by:

  • Chest pain or discomfort
  • Severe shortness of breath
  • Dizziness or fainting
  • Confusion
  • Severe anxiety

Diagnosis

Your healthcare provider may recommend:

  1. Physical examination
  2. Blood tests
  3. Electrocardiogram (ECG)
  4. Holter monitor
  5. Event recorder

Treatment Options

Lifestyle Changes

  • Stress reduction techniques
  • Limited caffeine intake
  • Regular exercise
  • Adequate sleep
  • Proper hydration

Medical Treatments

  • Beta-blockers
  • Anti-arrhythmic medications
  • Treatment of underlying conditions

Prevention Strategies

  1. Maintain a healthy diet
  2. Practice stress management
  3. Avoid triggers
  4. Stay physically active
  5. Keep regular medical check-ups

Living with Palpitations

Keep a symptom diary noting:

  • Frequency of episodes
  • Duration
  • Activities during occurrence
  • Associated symptoms

Always consult your healthcare provider for personalized medical advice.

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