Irregular Heartbeats: When to Seek Medical Attention

Arrhythmia

Hello, since I was young, my heart suddenly beats very fast, about 2 to 2.5 times per second.
Each time, I experience dizziness and blurred vision, and in severe cases, I have difficulty breathing.
The episodes are unpredictable; sometimes they occur a few days apart, and other times several months apart.
Should I see a doctor about this? Each episode is very sudden and has no specific pattern.

Xiang, 10~19 year old female. Ask Date: 2019/01/04

Dr. He Dongjin reply Cardiology

Hello, you may have arrhythmia.
It is recommended to visit a cardiology clinic for further examination.
Changhua Hospital cares about you.

Reply Date: 2019/01/04

More Info

Irregular heartbeats, also known as arrhythmias, can be concerning, especially when accompanied by symptoms such as dizziness, blurred vision, and shortness of breath. Given your description of experiencing rapid heartbeats that occur suddenly and unpredictably, it is advisable to seek medical attention.
Arrhythmias can arise from various causes, including structural heart issues, electrolyte imbalances, stress, or underlying health conditions such as hypertension or heart disease. The symptoms you describe—rapid heart rate, dizziness, and difficulty breathing—indicate that your heart may not be pumping effectively during these episodes, which can lead to inadequate blood flow to the brain and other vital organs.

When you experience these symptoms, it is crucial to consult a healthcare professional who can perform a thorough evaluation. This may include a physical examination, an electrocardiogram (ECG) to monitor your heart's electrical activity, and possibly a Holter monitor, which records your heart rhythm over 24 hours or longer. These tests can help identify the type of arrhythmia you may be experiencing and determine its frequency and duration.

In some cases, arrhythmias can be benign and may not require treatment. However, if the arrhythmia is symptomatic or poses a risk of complications, such as stroke or heart failure, your doctor may recommend treatment options. These can range from lifestyle modifications, such as reducing caffeine and alcohol intake, to medications that help regulate heart rhythm. In more severe cases, procedures like catheter ablation or the implantation of a pacemaker may be necessary.

It is also important to consider any other risk factors you may have, such as a family history of heart disease, existing health conditions (like hypertension or diabetes), or lifestyle factors (such as smoking or lack of exercise). These factors can influence your overall heart health and the likelihood of developing more serious arrhythmias.

In summary, given the symptoms you are experiencing, it is highly recommended that you seek medical attention. Early evaluation and intervention can help manage your symptoms effectively and reduce the risk of potential complications. Remember, it is always better to err on the side of caution when it comes to heart health.

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