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  • Writer's pictureDr. Karuturi Subrahmanyam

Understanding Palpitations: What You Need to Know

Introduction


Have you ever felt your heart racing or pounding in your chest, even when you’re not exercising or feeling anxious? That sensation is called a palpitation. It can be alarming, but it’s a common experience for many people and often harmless. Let’s explore what palpitations are, why they occur, and what you can do if you experience them.


What Are Palpitations?


Palpitations are the feeling that your heart is beating irregularly. You may feel like your heart is skipping beats, fluttering, pounding, or beating too fast. Some people feel palpitations in their chest, while others may notice them in their throat or neck.


Common Causes of Palpitations


1. Stress and Anxiety: Emotional stress, anxiety, or panic attacks can trigger palpitations. When stressed, your body releases adrenaline, which can cause your heart to beat faster.

2. Caffeine and Stimulants: Consuming large amounts of caffeine, nicotine, or other stimulants can cause your heart to race.

3. Physical Activity: Intense exercise or physical exertion can lead to palpitations, especially if you are not used to strenuous activities.

4. Hormonal Changes: Hormonal fluctuations during pregnancy, menopause, or menstruation can cause palpitations in some people.

5. Medical Conditions: Certain medical conditions, such as thyroid disorders, anemia, low blood sugar, dehydration, and heart problems, can cause palpitations.

6. Medications: Some medications, including those for asthma, high blood pressure, and allergies, may have palpitations as a side effect.


When Should You Be Concerned?


Palpitations are usually harmless and resolve on their own. However, you should seek medical attention if they are accompanied by:


• Chest pain or discomfort

• Shortness of breath

• Dizziness or lightheadedness

• Fainting

• Sweating

• Severe or worsening symptoms


These could indicate a more serious condition that requires immediate medical attention.


How Are Palpitations Diagnosed?


If your doctor suspects that your palpitations may be due to an underlying heart condition, they may perform several tests, including:


• Electrocardiogram (ECG): A test that records the electrical activity of your heart.

• Holter Monitor: A portable device worn for 24-48 hours to monitor heart rhythm continuously.

• Echocardiogram: An ultrasound of the heart to check its structure and function.

• Blood Tests: To check for thyroid problems, anemia, or other conditions that might cause palpitations.


Managing and Preventing Palpitations


1. Reduce Stress: Practice relaxation techniques such as deep breathing, meditation, or yoga to help manage stress and anxiety.

2. Limit Stimulants: Cut down on caffeine, nicotine, and other stimulants that can trigger palpitations.

3. Stay Hydrated: Drink plenty of water throughout the day to prevent dehydration, which can cause palpitations.

4. Exercise Regularly: Engage in regular physical activity, but start slowly if you are not used to exercising. Always consult with your doctor before beginning a new exercise routine.

5. Monitor Your Diet: A healthy, balanced diet can help regulate your heart rhythm. Avoid excessive consumption of sugary foods or drinks.

6. Follow Your Doctor’s Advice: If you have an underlying medical condition or are taking medications, follow your doctor’s instructions closely. Never stop or change your medication without consulting your doctor.


Summary


While palpitations can be unsettling, they are often harmless and temporary. Understanding what triggers them and when to seek medical advice can help you manage this condition effectively. If you have concerns about your heart health or experience persistent or severe symptoms, consult your doctor for a proper diagnosis and treatment plan.


Remember, it’s always better to err on the side of caution when it comes to your heart. Stay informed, stay healthy, and take care of yourself!


Dr. Karuturi Subrahmanyam, MD, FRCP (London), FACP (USA)

Internal Medicine Specialist


Kify Hospital

Danavaipeta

Rajahmundry

Phone : 85000 23456

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