Early Heart Contractions: Causes and Management Tips - Cardiology

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Premature contractions


Hello doctor, I am really nervous because I experienced this phenomenon before and had it checked, but at that time the doctor didn't say much, just mentioned it was okay and prescribed some medication which I didn't take often.
For the past two years, everything has been normal, but occasionally I feel uncomfortable when there is a significant temperature change.
Some doctors have said it is benign arrhythmia caused by autonomic nervous system dysfunction.
Recently, with the weather changing a lot and it being very cold in Taipei, I have also been dealing with some emotionally low situations.
As a result, this week I have been experiencing episodes every afternoon or evening where I feel my heart skipping beats, and it has been happening more frequently.
However, after a while, it returns to normal.
I'm a bit unsure if this issue is related to autonomic nervous system imbalance combined with emotions and climate changes.
Should I relax and will that help the autonomic nervous system return to normal? Thank you, and take care.

Hei, 20~29 year old female. Ask Date: 2021/01/04

Dr. He Dongjin reply Cardiology


Hello, anxiety, emotional fluctuations, and significant temperature changes can lead to autonomic nervous system dysregulation, increasing the likelihood of benign arrhythmias.
You're right; relaxing can help restore the autonomic nervous system.
There's nothing to worry about.
Changhua Hospital cares about you.

Reply Date: 2021/01/04

More Info


Understanding early heart contractions, often referred to as premature contractions or premature beats, is essential for managing your heart health effectively. These contractions can manifest as a feeling of a skipped heartbeat or an extra beat, and they can be caused by various factors, including stress, anxiety, changes in weather, and autonomic nervous system imbalances.


Causes of Early Heart Contractions
1. Autonomic Nervous System Imbalance: The autonomic nervous system regulates involuntary bodily functions, including heart rate. Stress, anxiety, and emotional disturbances can lead to an imbalance, causing the heart to beat irregularly. This is often seen in individuals experiencing heightened stress or emotional lows.

2. Environmental Factors: Changes in temperature or weather can affect heart rhythm. For instance, cold weather can lead to increased sympathetic nervous system activity, which may trigger premature contractions in susceptible individuals.

3. Caffeine and Stimulants: Consumption of caffeine, nicotine, and other stimulants can lead to increased heart rate and the occurrence of premature beats.

4. Electrolyte Imbalances: Low levels of potassium, magnesium, or calcium can disrupt the electrical signals in the heart, leading to irregular heartbeats.

5. Underlying Heart Conditions: While many premature contractions are benign, they can sometimes indicate underlying heart issues, especially if they occur frequently or are associated with other symptoms like chest pain or shortness of breath.


Management Tips
1. Monitor Your Symptoms: Keep a diary of when these contractions occur, noting any associated activities, emotional states, or environmental changes. This can help identify triggers.

2. Reduce Stress: Engage in stress-reducing activities such as yoga, meditation, or deep-breathing exercises. These practices can help calm the autonomic nervous system and may reduce the frequency of premature contractions.

3. Limit Stimulants: Reduce or eliminate caffeine and nicotine intake. Monitor your consumption of energy drinks and other stimulants that can exacerbate heart rhythm issues.

4. Stay Hydrated and Maintain Electrolyte Balance: Ensure you are drinking enough water and consuming a balanced diet rich in fruits and vegetables to maintain healthy electrolyte levels.

5. Regular Exercise: Engage in regular physical activity, which can help improve overall cardiovascular health and reduce stress. However, consult with your healthcare provider before starting any new exercise regimen, especially if you have concerns about your heart.

6. Consult Your Doctor: If the premature contractions become more frequent, are associated with other symptoms, or cause you significant anxiety, it’s important to consult with your healthcare provider. They may recommend further evaluation, such as an electrocardiogram (ECG) or Holter monitor, to assess your heart's rhythm over time.

7. Medication: In some cases, if the premature contractions are frequent and bothersome, your doctor may prescribe medication to help manage them.


Conclusion
While premature heart contractions can be alarming, they are often benign, especially in younger individuals without underlying heart disease. Your experience of increased frequency during times of emotional distress and weather changes suggests a possible link to stress and autonomic nervous system activity. By implementing stress management techniques, monitoring your lifestyle choices, and maintaining open communication with your healthcare provider, you can effectively manage these symptoms. Remember, it’s essential to listen to your body and seek medical advice if you have concerns about your heart health.

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