When to See a Doctor for Palpitations: Your Heart Health

When should you see a doctor for palpitations?

Hello Doctor, for the past month, whenever I sit in a chair, I experience a sudden pause in my heartbeat, followed by a few strong beats, like thump, thump...
thump-thump-thump! The last few beats are so strong that they shake my entire body.
Additionally, when my heart is beating very hard, I feel a momentary sense of disorientation.
Whenever I feel unwell, I quickly lie down in bed.
I have also experienced dizziness, which has made me hesitant to go out, and as a result, I have not been able to work for a year.
I am afraid of fainting, so I only stay at home.
I wonder if staying at home for too long and not exercising has contributed to this; even a slight movement (like going from the living room to the kitchen) makes my heart race.
What kind of specialist should I see? What tests should I undergo? Thank you, Doctor, for taking the time to respond; I truly appreciate it.
🙇‍♀️🙇‍♀️

Zhonghe Ren, 30~39 year old female. Ask Date: 2021/01/02

Dr. He Dongjin reply Cardiology

Hello, let's start with a cardiology examination.
We pray for your peace and well-being.
Changhua Hospital cares about you.

Reply Date: 2021/01/02

More Info

When experiencing palpitations, especially those accompanied by symptoms such as dizziness, faintness, or a feeling of the heart "skipping" beats, it is crucial to seek medical attention. Your description of the heart pounding and the sensation of your heart "stopping" or "skipping" beats, along with the accompanying feelings of lightheadedness and the need to lie down, suggests that you may be experiencing significant cardiac symptoms that warrant further evaluation.

When to See a Doctor for Palpitations
1. Frequency and Duration: If your palpitations are frequent, last for an extended period, or are associated with other concerning symptoms (like chest pain, shortness of breath, or fainting), it is essential to consult a healthcare provider.
2. Associated Symptoms: The presence of dizziness, fainting, or a feeling of impending doom alongside palpitations is particularly concerning. These symptoms could indicate a more serious underlying condition, such as arrhythmias or other heart-related issues.

3. Impact on Daily Life: If your symptoms are affecting your ability to work or perform daily activities, as you mentioned, it is vital to seek help. Anxiety about your health can exacerbate symptoms, leading to a cycle of fear and avoidance that can further impact your quality of life.

Which Specialist to See
Given your symptoms, you should consider seeing a cardiologist. A cardiologist specializes in diagnosing and treating heart conditions and can perform the necessary tests to evaluate your heart health.

Recommended Tests
1. Electrocardiogram (ECG): This test records the electrical activity of your heart and can help identify any irregularities in heart rhythm.

2. Holter Monitor: If your palpitations are intermittent, a Holter monitor may be recommended. This portable device records your heart's activity for 24-48 hours, allowing your doctor to see how your heart behaves during your normal daily activities.

3. Echocardiogram: An ultrasound of the heart can help visualize the heart's structure and function, identifying any potential issues with the heart valves or chambers.

4. Exercise Stress Test: This test evaluates how your heart performs under physical stress and can help identify any exercise-induced arrhythmias.

5. Blood Tests: These can check for underlying conditions such as thyroid dysfunction or electrolyte imbalances that could contribute to palpitations.

Additional Considerations
- Lifestyle Modifications: If you have been sedentary due to your symptoms, it may be beneficial to gradually reintroduce physical activity, as long as it is done safely and under medical guidance. Regular exercise can improve cardiovascular health and reduce anxiety.

- Mental Health: Anxiety and stress can significantly impact heart health and may exacerbate palpitations. Consider discussing your mental health with a healthcare provider, as they may recommend counseling or stress management techniques.

- Follow-Up: After your initial evaluation, ensure you have a follow-up plan in place. Continuous monitoring of your symptoms and any changes in your condition is essential for effective management.

In summary, your symptoms warrant a thorough evaluation by a cardiologist. Be proactive in discussing your concerns and the impact these symptoms have on your life. Effective communication with your healthcare provider will help ensure you receive the appropriate care and support for your heart health.

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