Experiencing Palpitations: When to Seek Cardiovascular Care - Cardiology

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I have never experienced palpitations before, but they have been occurring frequently lately?


I have mitral valve prolapse and experienced hyperventilation symptoms a year ago.
I went to the hospital for treatment, and tests on my kidneys, heart, and chest showed no issues.
One day, after drinking coffee until the evening, I had an episode and thought it was due to the coffee, so I stopped drinking it.
However, I continued to consume other types of tea.
Recently, I had another sudden episode, and the hospital couldn't find any symptoms during the examination.
Now, even drinking tea causes palpitations and leads to shortness of breath.
I would like to know which specialist I should consult regarding this issue.

Chen, 20~29 year old female. Ask Date: 2016/07/20

Dr. He Dongjin reply Cardiology


Hello, both mitral valve prolapse and autonomic nervous system disorders should avoid stimulants.
If symptoms persist, please visit a cardiology clinic for medication.
Changhua Hospital cares about you.

Reply Date: 2016/07/20

More Info


Experiencing palpitations can be concerning, especially for individuals with a history of heart conditions such as mitral valve prolapse. Given your previous experiences with hyperventilation and the recent onset of palpitations after consuming caffeinated beverages, it’s essential to approach this situation with caution and seek appropriate cardiovascular care.


Understanding Palpitations
Palpitations are often described as the sensation of a racing, fluttering, or pounding heart. They can occur due to various reasons, including anxiety, caffeine intake, certain medications, or underlying heart conditions. In your case, the connection between caffeine consumption and the onset of palpitations suggests that stimulants may be a trigger for you. However, since you have also experienced palpitations with tea, it’s crucial to consider other factors that may contribute to your symptoms.


When to Seek Cardiovascular Care
1. Frequency and Duration: If your palpitations are becoming more frequent or last longer than a few seconds, it’s advisable to seek medical attention. Episodes that last longer than a few minutes or are associated with other symptoms such as chest pain, shortness of breath, or dizziness warrant immediate evaluation.

2. Associated Symptoms: The presence of additional symptoms, such as difficulty breathing, chest discomfort, or fainting, should prompt you to seek care promptly. These symptoms could indicate a more serious underlying condition that requires further investigation.

3. Impact on Daily Life: If your palpitations are affecting your daily activities or causing significant anxiety, it’s essential to discuss these concerns with a healthcare provider. Quality of life is an important aspect of health, and managing symptoms effectively can improve your overall well-being.


Recommended Steps
1. Consult a Cardiologist: Given your history of mitral valve prolapse and the recent episodes of palpitations, it would be prudent to consult a cardiologist. They can perform a thorough evaluation, which may include an electrocardiogram (ECG), echocardiogram, or Holter monitor to assess your heart's rhythm and function.

2. Lifestyle Modifications: Consider reducing or eliminating caffeine and other stimulants from your diet. Keeping a diary of your symptoms, including when they occur and any associated activities or dietary choices, can help identify potential triggers.

3. Stress Management: Since anxiety and stress can exacerbate palpitations, incorporating stress-reducing techniques such as mindfulness, yoga, or deep-breathing exercises may be beneficial.

4. Medication Review: If you are taking any medications, review them with your healthcare provider to determine if any could be contributing to your symptoms. Some medications can have side effects that include palpitations.

5. Follow-Up: Regular follow-up with your healthcare provider is essential to monitor your condition and make any necessary adjustments to your treatment plan.


Conclusion
In summary, while palpitations can often be benign, your history of mitral valve prolapse and the recent changes in your symptoms suggest that a thorough evaluation by a cardiologist is warranted. By addressing your concerns and seeking appropriate care, you can better manage your symptoms and ensure your cardiovascular health remains a priority. Remember, it’s always better to err on the side of caution when it comes to heart health.

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