The sensation of a skipped heartbeat or an extra heartbeat?
Since middle school, I have occasionally felt my heart skip a beat or beat irregularly, but the frequency was low.
Recently, however, the frequency has increased from once every six months to once a week.
On January 3, 2021, I felt my heart skipping beats throughout the entire day, approximately every half hour, and this continued all day.
During a company health check, I was diagnosed with anemia (hemoglobin level of 8.7) and tachycardia (I remember my pulse was 107 beats per minute).
I have been taking iron supplements for the anemia for the past three months.
The healthcare provider mentioned that the tachycardia is not a significant issue, so no treatment was given.
Could the skipped beats be related to the anemia or tachycardia, or could there be other causes? Should I see a doctor for further evaluation? If so, which specialist should I consult?
Xie Abao, 20~29 year old female. Ask Date: 2021/01/03
Dr. He Dongjin reply Cardiology
Hello, the issue of missed heartbeats is not necessarily related to anemia.
A rapid pulse is more closely associated with anemia.
The missed heartbeats may indicate some arrhythmia, so it would be advisable to have a cardiac examination.
Changhua Hospital cares about your health.
Reply Date: 2021/01/03
More Info
Irregular heartbeats, also known as arrhythmias, can be concerning, especially when they become more frequent or intense. Based on your description, it sounds like you have been experiencing episodes of skipped heartbeats or palpitations since middle school, but the frequency has increased recently. Given your history of anemia and a rapid pulse, it is essential to understand the potential causes and when to seek medical help.
Causes of Irregular Heartbeats
1. Anemia: Your reported hemoglobin level of 8.7 indicates significant anemia, which can lead to various symptoms, including fatigue, weakness, and palpitations. Anemia reduces the oxygen-carrying capacity of your blood, which can cause your heart to work harder to supply oxygen to your body, potentially leading to irregular heartbeats.
2. Rapid Heart Rate (Tachycardia): A resting heart rate of 107 beats per minute is considered tachycardia. This condition can be caused by various factors, including anxiety, stress, dehydration, or underlying heart conditions. When the heart beats too quickly, it may not fill adequately between beats, leading to sensations of skipped beats or palpitations.
3. Electrolyte Imbalances: Low levels of potassium, magnesium, or calcium can disrupt the electrical signals in the heart, leading to arrhythmias. If your diet is lacking in these essential minerals, it could contribute to your symptoms.
4. Caffeine and Stimulants: Consumption of caffeine, nicotine, or other stimulants can increase heart rate and lead to palpitations. If you consume these substances, consider reducing your intake to see if your symptoms improve.
5. Stress and Anxiety: Emotional stress and anxiety can trigger or exacerbate irregular heartbeats. If you are experiencing significant stress, it may be worthwhile to explore stress-reduction techniques such as mindfulness, yoga, or counseling.
6. Underlying Heart Conditions: While less common in younger individuals, certain heart conditions can lead to arrhythmias. These may include structural heart issues or inherited conditions affecting the heart's electrical system.
When to Seek Help
You should definitely consider seeing a healthcare provider, especially since your symptoms have increased in frequency and intensity. It is advisable to consult a cardiologist, as they specialize in heart-related issues and can perform the necessary tests to determine the cause of your irregular heartbeats.
Recommended Tests
1. Electrocardiogram (ECG): This test records the electrical activity of your heart and can help identify any arrhythmias or other heart issues.
2. Holter Monitor: This portable device records your heart's rhythm over 24-48 hours, allowing your doctor to capture any irregularities that may not occur during a standard ECG.
3. Echocardiogram: An ultrasound of the heart can help assess its structure and function, identifying any potential abnormalities.
4. Blood Tests: These can check for anemia, electrolyte levels, and thyroid function, which can all impact heart rhythm.
Conclusion
In summary, your irregular heartbeats could be related to your anemia and rapid heart rate, but other factors may also be at play. It is essential to seek medical advice to rule out any serious underlying conditions and to receive appropriate treatment for your anemia and any other contributing factors. A cardiologist will be able to provide a comprehensive evaluation and guide you on the best course of action. In the meantime, focus on maintaining a balanced diet, managing stress, and avoiding stimulants to help mitigate your symptoms.
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