Rapid Heartbeat and Missed Beats: When to Seek Help - Cardiology

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Tachycardia and missed heartbeats?


Hello, I have been experiencing skipped heartbeats for about a month now.
Initially, it occurred approximately once a month, but in the past few days, it has escalated to five times a day.
Each episode leaves me feeling dizzy and weak.
Based on a friend's suggestion, I started monitoring my heart rate daily, and I found that it often exceeds 100 bpm.
Today, I measured it nine times, and each time it was over 112 bpm.
Previously, my heart rate was between 60-86 bpm and typically did not exceed 86 except after exercise.
Since the onset of the skipped beats, I frequently feel anxious for no reason, and my heart rate has even reached 140 bpm.
My hands and feet often experience numbness, usually on the left side, and sometimes I feel pain with each heartbeat.
The numbness generally lasts for about half an hour, resembling the sensation of receiving an injection.
Could this situation indicate heart disease? If I do not seek medical attention, could it pose a risk to my life?

Ying, 10~19 year old female. Ask Date: 2017/12/27

Dr. He Dongjin reply Cardiology


Hello, you may be experiencing symptoms due to autonomic nervous system dysfunction.
If you continue to feel unwell and are concerned, it is advisable to visit a cardiology clinic for further evaluation.
The likelihood of heart disease is low, and not seeking medical attention should not pose a life-threatening risk.
Please do not worry.
Changhua Hospital cares about your well-being.

Reply Date: 2017/12/27

More Info


It sounds like you are experiencing some concerning symptoms related to your heart, including missed beats, rapid heartbeat, dizziness, and numbness in your limbs. These symptoms can be quite alarming, and it's important to take them seriously.
Firstly, let's break down what you are experiencing. A rapid heartbeat, or tachycardia, is defined as a heart rate exceeding 100 beats per minute (bpm) when at rest. Your previous resting heart rate of 60-86 bpm is considered normal, and the increase to over 100 bpm, especially reaching 140 bpm, is significant. The fact that you are also experiencing missed beats, known as palpitations, can indicate that your heart is not beating in a regular rhythm. This can sometimes be benign, but it can also be a sign of underlying heart conditions, especially if it is accompanied by symptoms like dizziness and weakness.

The dizziness and weakness you are experiencing could be related to the rapid heartbeat and missed beats. When your heart is not pumping effectively, it can lead to decreased blood flow to the brain, causing dizziness. The numbness in your limbs, particularly on the left side, is also concerning. While it could be related to anxiety or hyperventilation, it can also be a sign of more serious conditions, including issues with blood circulation or nerve compression.

Given the combination of these symptoms, it is crucial that you seek medical attention as soon as possible. A healthcare professional can perform a thorough evaluation, which may include a physical examination, an electrocardiogram (ECG), and possibly other tests such as a Holter monitor to track your heart's activity over a period of time. These tests can help determine if there is an underlying heart condition, such as arrhythmia, that needs to be addressed.

It is also important to consider your mental and emotional state. You mentioned feeling anxious and having a sense of panic, which can exacerbate physical symptoms. Anxiety can lead to increased heart rate and feelings of dizziness, creating a cycle that can be difficult to break. However, this does not negate the need to investigate the physical symptoms you are experiencing.

In terms of potential risks, while not all cases of rapid heartbeat and missed beats indicate a life-threatening condition, they can lead to serious complications if left untreated. Conditions such as atrial fibrillation, which can lead to stroke, or other forms of heart disease can be serious. Therefore, it is better to err on the side of caution and consult with a healthcare provider.

In summary, your symptoms warrant immediate medical evaluation. Do not hesitate to seek help, as early intervention can be crucial in managing any potential heart issues. Remember, your health is paramount, and addressing these symptoms sooner rather than later can help ensure your well-being.

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