Heart Palpitations: When to Seek Medical Attention - Cardiology

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Discomfort in the heart?


Hello Doctor, I have been experiencing frequent palpitations (the kind where the heart beats very strongly, with a heart rate of about 75-80 during episodes, which is regular, but sometimes accompanied by mild pain).
These episodes last for more than three hours, and I also feel a bit uncomfortable in my head; it’s not dizziness, but I feel a bit lightheaded.
They often occur suddenly while lying down, and a few times I have experienced shortness of breath.
There is a family history of cardiovascular diseases.
Should I seek medical attention? Thank you!

Ms. Hu, 20~29 year old female. Ask Date: 2020/02/25

Dr. He Dongjin reply Cardiology


Hello, it sounds like you may be experiencing autonomic nervous system dysfunction.
If you are still feeling unwell, it would be advisable to visit a clinic and consider some medication.
Changhua Hospital cares about your well-being.

Reply Date: 2020/02/25

More Info


Heart palpitations can be concerning, especially when accompanied by other symptoms such as discomfort, pain, or shortness of breath. In your case, experiencing palpitations that last for over three hours, along with feelings of discomfort in your head and occasional shortness of breath, warrants careful consideration and potentially seeking medical attention.


Understanding Heart Palpitations
Palpitations are often described as a sensation that your heart is racing, pounding, or fluttering. They can occur in a variety of situations and can be triggered by stress, anxiety, caffeine, certain medications, or underlying medical conditions. While many palpitations are benign and do not indicate a serious problem, they can sometimes signal an underlying heart condition, especially if they are frequent or associated with other symptoms.


When to Seek Medical Attention
Given your symptoms, it is advisable to consult a healthcare provider for the following reasons:
1. Duration and Frequency: Palpitations that last for more than a few minutes, especially those that persist for three hours or more, should be evaluated. Frequent episodes can indicate an underlying issue that may require treatment.

2. Associated Symptoms: The presence of discomfort, pain, or shortness of breath alongside palpitations raises concern. These symptoms could indicate that your heart is not functioning optimally or that there may be an arrhythmia (irregular heartbeat) or other cardiovascular issues.

3. Family History: A family history of cardiovascular diseases increases your risk for heart conditions. Genetic predispositions can play a significant role in the development of heart disease, making it essential to discuss your family history with your doctor.

4. Underlying Conditions: If you have any pre-existing conditions such as hypertension, diabetes, or hyperlipidemia, these can contribute to cardiovascular risk and should be managed appropriately.


Recommended Actions
1. Schedule a Doctor's Appointment: It is crucial to discuss your symptoms with a healthcare provider. They may recommend tests such as an electrocardiogram (ECG), echocardiogram, or Holter monitor to assess your heart's rhythm and function.

2. Keep a Symptom Diary: Documenting when your palpitations occur, their duration, associated symptoms, and any potential triggers can provide valuable information to your healthcare provider.

3. Lifestyle Modifications: While awaiting your appointment, consider reducing caffeine intake, managing stress through relaxation techniques, and ensuring adequate hydration and nutrition.

4. Emergency Care: If you experience severe symptoms such as chest pain, fainting, or severe shortness of breath, seek emergency medical care immediately.


Conclusion
In summary, while heart palpitations can often be benign, your specific symptoms and family history suggest that it would be prudent to seek medical attention. A thorough evaluation can help determine the cause of your palpitations and guide appropriate treatment. Remember, it is always better to err on the side of caution when it comes to heart health. Your well-being is paramount, and addressing these symptoms early can lead to better outcomes.

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