Abdominal pulsation
Hello Doctor: A year ago, I underwent a 24-hour Holter monitor, which recorded approximately 1000 irregular heartbeats.
Over the past two months, I have noticed an increase in the frequency of these irregular beats, and I have discovered a pulsation slightly to the left of my navel when lying flat, coinciding with the irregular heartbeats.
My BMI has consistently remained at 20, and I have not previously felt abdominal pulsations, which have only recently appeared.
Could this be related to premature ventricular contractions? Thank you for taking the time to respond.
Miss Yang, 20~29 year old female. Ask Date: 2019/09/19
Dr. He Dongjin reply Cardiology
Hello, abdominal pulsations may be related to premature ventricular contractions.
If there are no other issues, it is advisable to monitor the situation.
Changhua Hospital cares about you.
Reply Date: 2019/09/19
More Info
Understanding abdominal pulsations can be quite concerning, especially when they coincide with irregular heartbeats such as premature ventricular contractions (PVCs). It’s important to clarify that while both phenomena may seem related, they originate from different physiological processes.
Firstly, let’s discuss the nature of PVCs. PVCs are extra heartbeats that originate in the ventricles, which can disrupt the regular heart rhythm. They are often benign, especially in individuals without underlying heart disease, but they can cause palpitations or a sensation of fluttering in the chest. The frequency of PVCs can vary from person to person, and factors such as stress, caffeine intake, and electrolyte imbalances can exacerbate them.
Now, regarding the abdominal pulsations you are experiencing, particularly in the area above your navel, it’s essential to understand that what you are feeling could be related to several factors. The abdominal aorta, which is a major blood vessel that supplies blood to the lower body, runs down the abdomen and can sometimes be palpated, especially in lean individuals. This pulsation can be more noticeable when lying down, as the abdominal muscles are relaxed, allowing for better palpation of the vessel.
In your case, the timing of the increased awareness of these pulsations coinciding with the increase in PVCs could be coincidental. However, it’s also possible that heightened anxiety or awareness of your heart rhythm could make you more attuned to other bodily sensations, including those in your abdomen.
It’s also worth noting that if you have recently gained or lost weight, or if your body composition has changed, this could affect how easily you can feel the pulsations in your abdomen. Additionally, if you have been more active or have engaged in exercises that involve core engagement, this could also lead to increased awareness of abdominal sensations.
Given your history of PVCs and the recent increase in their frequency, it would be prudent to consult with a healthcare provider. They may recommend further evaluation, such as a repeat Holter monitor or echocardiogram, to assess your heart's function and rule out any underlying conditions. It’s also advisable to discuss your abdominal symptoms, as they may warrant an ultrasound or other imaging studies to ensure there are no vascular abnormalities or other concerns.
In summary, while abdominal pulsations can be alarming, they are often benign and can be attributed to normal anatomical structures or changes in body composition. However, given your history of PVCs and the recent changes you’ve noticed, it’s essential to seek medical advice to ensure that both your cardiac and abdominal symptoms are appropriately evaluated. Regular follow-ups and monitoring can help manage any concerns and provide peace of mind.
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