Irregular Heartbeats: Causes and Concerns for Your Health - Cardiology

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Arrhythmia


Hi, I recently noticed that when measuring my blood pressure, the monitor displayed an irregular pulse waveform (which I haven't seen before).
During these episodes, my heart rate increases to around 80-90 beats per minute.
When I manually check my pulse, I also find that it is irregular, sometimes missing beats.
Additionally, I frequently experience severe bloating in my stomach, and I'm unsure if this could be affecting my condition.

Cyrus, 40~49 year old female. Ask Date: 2020/07/29

Dr. Wu Xueming reply Cardiology


If there are irregular heartbeats or arrhythmias, it is recommended to go to the hospital for an electrocardiogram (ECG) examination.

Reply Date: 2020/07/29

More Info


Irregular heartbeats, also known as arrhythmias, can be a source of concern for many individuals, especially when they are accompanied by symptoms such as palpitations, shortness of breath, or chest discomfort. Understanding the potential causes and implications of these irregularities is crucial for managing your health effectively.

Firstly, it’s important to recognize that irregular heartbeats can stem from a variety of factors. Common causes include:
1. Electrolyte Imbalances: The heart relies on a delicate balance of electrolytes, such as potassium, sodium, calcium, and magnesium, to maintain a regular rhythm. An imbalance can lead to arrhythmias.

2. Stimulants: Caffeine, nicotine, and certain medications can stimulate the heart and lead to irregular rhythms. If you consume a lot of caffeinated beverages or smoke, consider reducing these to see if your symptoms improve.

3. Stress and Anxiety: Emotional stress can trigger the release of adrenaline, which may cause the heart to beat faster or irregularly. If you have a history of anxiety or panic attacks, this could be a contributing factor.

4. Gastrointestinal Issues: Conditions such as gastroesophageal reflux disease (GERD) or severe bloating can irritate the diaphragm and vagus nerve, potentially leading to palpitations or irregular heartbeats. Since you mentioned experiencing significant bloating, this could indeed be influencing your heart rhythm.

5. Underlying Heart Conditions: While you may be young and without chronic diseases, it’s still important to rule out any structural heart issues or conditions such as mitral valve prolapse or other valvular heart diseases, which can sometimes present with irregular heartbeats.

6. Dehydration: Insufficient fluid intake can lead to decreased blood volume and electrolyte imbalances, which may cause the heart to beat irregularly.

Given your observations of irregular pulse and the sensation of skipped beats, it would be prudent to consult a healthcare professional. They may recommend an electrocardiogram (ECG) to assess your heart's electrical activity and determine if there are any significant abnormalities. Additionally, a Holter monitor, which records your heart's rhythm over 24-48 hours, could provide valuable insights into the frequency and nature of your irregular heartbeats.

In the meantime, consider the following lifestyle modifications:
- Stay Hydrated: Ensure you are drinking enough fluids throughout the day.

- Limit Stimulants: Reduce your intake of caffeine and nicotine.

- Manage Stress: Engage in relaxation techniques such as deep breathing, yoga, or meditation.

- Monitor Your Diet: Pay attention to foods that may exacerbate bloating and gastrointestinal discomfort, as these can indirectly affect your heart rhythm.

Lastly, it’s essential to maintain regular follow-ups with your healthcare provider, especially if your symptoms persist or worsen. Early detection and management of any underlying issues can significantly improve your overall health and well-being. Remember, while many cases of irregular heartbeats are benign, it’s always better to err on the side of caution and seek professional advice.

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