Irregular Heartbeats: Is It Atrial Fibrillation? - Cardiology

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Irregular heartbeat


I checked my pulse and noticed that my heartbeat feels irregular, but I don't experience any discomfort in my heart.
I also don't exercise often, yet my stamina is significantly worse than that of others.
Does this count as arrhythmia?

X, 20~29 year old female. Ask Date: 2002/11/28

Dr. Zhong Yuxun reply Cardiology


Hello! If the pulse is irregular, it may indicate arrhythmia, but it may not necessarily be felt by the patient.
Confirmation should be made by a physician using a stethoscope or an electrocardiogram (ECG).
Arrhythmia is not directly related to physical fitness; there are many types of arrhythmias, some of which do not require treatment, while others may need monitoring and treatment, which should be determined by a cardiologist.
Best wishes for health from Dr.
Chung Yu-Hsuan, Director of the Cardiology Department, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2002/11/28

More Info


Understanding irregular heartbeats can be quite concerning, especially when you notice that your pulse feels irregular. Atrial fibrillation (AFib) is one of the most common types of arrhythmia, characterized by an irregular and often rapid heart rate that can lead to various complications, including stroke and heart failure. However, it's important to note that not all irregular heartbeats are AFib, and many people experience variations in their heart rhythm without any underlying heart disease.

From your description, it seems that you are feeling an irregular pulse but do not experience any discomfort or symptoms typically associated with heart problems, such as chest pain, shortness of breath, or dizziness. This is a positive sign, as many individuals with AFib may experience symptoms that can significantly impact their quality of life. However, the fact that you feel your heart rhythm is not regular warrants further investigation.

Irregular heartbeats can be caused by a variety of factors, including stress, caffeine intake, dehydration, or even certain medications. In some cases, they can also be a sign of an underlying condition, such as hyperthyroidism or heart disease. Given that you mentioned not exercising regularly and feeling that your stamina is lower than average, it might be beneficial to consider lifestyle changes that could improve your overall cardiovascular health. Regular physical activity, a balanced diet, and stress management techniques can all contribute to better heart health.

To determine whether your irregular pulse is indeed a form of arrhythmia like AFib, it is advisable to consult a healthcare professional. They may recommend an electrocardiogram (ECG) to assess your heart's rhythm and rate. An ECG can provide valuable information about the electrical activity of your heart and help identify any irregularities. If AFib is diagnosed, your doctor will discuss treatment options, which may include lifestyle changes, medications to control heart rate or rhythm, and anticoagulants to reduce the risk of stroke.

In summary, while your irregular pulse may not currently be accompanied by discomfort, it is essential to seek medical advice to rule out any serious conditions. Monitoring your heart health is crucial, especially if you notice changes in your pulse or experience new symptoms. Regular check-ups and open communication with your healthcare provider can help ensure that any potential issues are addressed promptly, allowing you to maintain a healthy and active lifestyle.

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