Irregular Heartbeats: Is Your Cervical Spine Affecting Your Heart? - Cardiology

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Irregular heartbeat?


Hello doctor, my heart rate is about 60 beats per minute at rest, but I experience two to three episodes of faster beats each minute, lasting for two to three beats each time.
Additionally, I sometimes can feel my heartbeat.
Does this count as arrhythmia? I had an exercise electrocardiogram last year, which was normal, but my blood pressure is still high despite medication, remaining around 140/90.
I also have cervical spondylosis, and I would like to know if my heart condition and hypertension could be influenced by my cervical spondylosis.
Thank you.

Mr. Wang, 40~49 year old female. Ask Date: 2020/11/11

Dr. Wu Xueming reply Cardiology


Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages.
It is advisable to adjust your lifestyle and engage in regular exercise.
However, if symptoms persist, it is recommended to visit a hospital for an electrocardiogram (ECG) examination.
Cervical spine disorders are not related to heart diseases.

Reply Date: 2020/11/11

More Info


Hello! Thank you for your detailed inquiry regarding your health concerns. Based on the symptoms you've described, it seems that you are experiencing a combination of irregular heartbeats, high blood pressure, and cervical spine issues. Let's break down these concerns and explore their potential interconnections.

Firstly, the sensation of your heart beating irregularly, especially if you notice a few rapid beats followed by a slower rhythm, can indeed be classified as palpitations. While palpitations can be benign, they may also indicate an underlying issue, particularly if they are frequent or accompanied by other symptoms such as dizziness, shortness of breath, or chest pain. Given that you have had a normal exercise electrocardiogram (EKG) in the past, it is reassuring, but it does not completely rule out the possibility of arrhythmias or other cardiac conditions.

Your blood pressure readings, which are consistently around 140/90 mmHg, indicate that you are in the hypertensive range. High blood pressure can lead to various cardiovascular complications over time, including heart disease, stroke, and kidney issues. It's important to manage hypertension effectively, as uncontrolled high blood pressure can exacerbate heart problems and may even contribute to feelings of anxiety or stress, which can further affect your heart rhythm.

Now, regarding your cervical spine condition, there is some evidence to suggest that cervical spine issues, particularly those that involve nerve compression or irritation, can influence autonomic nervous system function. The autonomic nervous system regulates involuntary bodily functions, including heart rate and blood pressure. If your cervical spine condition is affecting the nerves that communicate with your heart, it could potentially lead to irregular heartbeats or changes in blood pressure. However, this connection is not straightforward and varies from person to person.

Additionally, the stress and discomfort associated with chronic pain from cervical spine issues can lead to increased sympathetic nervous system activity, which may further elevate blood pressure and contribute to feelings of anxiety or palpitations. It is essential to address both your cervical spine condition and your hypertension to improve your overall well-being.

Here are some recommendations for managing your symptoms:
1. Consult a Specialist: It would be beneficial to see a cardiologist for a thorough evaluation of your heart health, especially since you are experiencing palpitations. They may recommend further testing, such as a Holter monitor, to assess your heart rhythm over a longer period.

2. Manage Blood Pressure: Work closely with your healthcare provider to optimize your blood pressure management. This may involve lifestyle changes such as diet, exercise, and possibly medication adjustments.

3. Physical Therapy: Consider physical therapy for your cervical spine issues. A physical therapist can provide exercises and techniques to relieve pain and improve mobility, which may help alleviate some of the stress on your nervous system.

4. Stress Management: Incorporate stress-reducing techniques into your daily routine, such as mindfulness, meditation, or yoga. These practices can help lower blood pressure and improve your overall mental health.

5. Regular Monitoring: Keep track of your blood pressure and heart rate regularly. This information can be valuable for your healthcare provider in managing your treatment plan.

In conclusion, while there may be a connection between your cervical spine condition and your heart health, it is crucial to approach each issue holistically. By addressing both your cardiovascular health and your cervical spine problems, you can work towards achieving better overall health. Please consult with your healthcare providers for personalized advice and treatment options. Take care!

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