Arrhythmia: Symptoms, Causes, and When to Seek Help

Arrhythmia

Previously, I had an electrocardiogram done, and the doctor prescribed me a small pink pill labeled for arrhythmia.
However, it hasn't helped; I often experience several irregular heartbeats when exhaling, and the frequency of these episodes is higher at rest than during activity.
I feel vibrations in the upper abdomen near the chest area that coincide with strong heartbeats.
Each time I exhale, I experience arrhythmia, and before the irregular heartbeat occurs, I can sense a feeling similar to that before a hiccup, followed by a strong heartbeat.
What symptoms could this indicate, and which specialty should I consult? Additionally, I feel perfectly fine in the morning with no arrhythmia, but after some time, the arrhythmia gradually worsens until the end of the day.
I do not experience other discomforts associated with the arrhythmia, except for occasional shortness of breath.

Mr. Zhou, 10~19 year old female. Ask Date: 2021/01/07

Dr. Wu Xueming reply Cardiology

Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low.
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages.
It is advisable to adjust your lifestyle and engage in regular exercise.
However, if symptoms persist, it is still recommended to visit a hospital for an electrocardiogram (ECG) examination.

Reply Date: 2021/01/07

More Info

Understanding arrhythmia is crucial for anyone experiencing symptoms such as irregular heartbeats, palpitations, or associated discomfort. Arrhythmia refers to any change from the normal sequence of electrical impulses in the heart, which can lead to an irregular heartbeat. This can manifest in various ways, including a racing heart, skipped beats, or a feeling of the heart fluttering.

Symptoms of Arrhythmia
The symptoms you describe—such as feeling your heart racing or skipping beats, especially during exhalation—are common in individuals with arrhythmias. Other symptoms may include:
- Dizziness or lightheadedness
- Shortness of breath
- Chest pain or discomfort
- Fatigue
- Fainting or near-fainting episodes
In your case, the sensation of your heart "jumping" or "shaking" in conjunction with your breathing could suggest a type of arrhythmia known as premature ventricular contractions (PVCs) or premature atrial contractions (PACs). These are often benign but can be concerning if they occur frequently or are associated with other symptoms.

Causes of Arrhythmia
Arrhythmias can be caused by a variety of factors, including:
- Heart-related issues: Conditions such as coronary artery disease, heart valve disorders, or previous heart attacks can lead to arrhythmias.

- Electrolyte imbalances: Low levels of potassium, magnesium, or calcium can disrupt the heart's electrical system.

- Medications: Certain medications can affect heart rhythm.

- Lifestyle factors: Stress, caffeine, alcohol, and smoking can contribute to arrhythmias.

- Underlying health conditions: Conditions such as hyperthyroidism or sleep apnea can also lead to irregular heartbeats.

When to Seek Help
Given your symptoms and the fact that you have a history of arrhythmia, it is essential to consult a healthcare professional, preferably a cardiologist. You should seek immediate medical attention if you experience:
- Severe chest pain
- Shortness of breath that worsens
- Dizziness or fainting
- A rapid or irregular heartbeat that lasts for an extended period

Diagnostic Approach
A cardiologist may recommend several diagnostic tests to evaluate your condition further:
- Electrocardiogram (ECG): This test records the electrical activity of your heart and can help identify arrhythmias.

- Holter monitor: A portable device that records your heart's activity for 24 hours or longer to capture intermittent arrhythmias.

- Echocardiogram: An ultrasound of the heart to assess its structure and function.

- Stress test: To evaluate how your heart performs under physical stress.

Treatment Options
Treatment for arrhythmia depends on the underlying cause and severity of the symptoms. Options may include:
- Medications: Antiarrhythmic drugs can help control heart rhythm.

- Lifestyle changes: Reducing caffeine, managing stress, and avoiding stimulants can help.

- Procedures: In some cases, procedures like catheter ablation may be necessary to correct the arrhythmia.

Conclusion
In summary, while your symptoms may be benign, they warrant further evaluation to rule out any serious underlying conditions. It is advisable to keep a detailed record of your symptoms, including when they occur and any associated activities, and discuss this with your healthcare provider. They can help determine the best course of action based on your specific situation. Remember, it is always better to err on the side of caution when it comes to heart health.

Similar Q&A

Understanding Arrhythmia: Symptoms, Treatment, and When to Seek Help

Arrhythmia is defined as an irregular heartbeat, which can manifest as a heart that beats too fast, too slow, or in an uncoordinated manner. Treatment for arrhythmia depends on the underlying cause and severity of the condition. It can range from lifestyle changes and medication ...

Dr. Ke Zhengchang reply Internal Medicine
Hello, Xiaowen: It is common for young women to experience occasional palpitations and irregular heartbeats. However, if the symptoms persist, it is recommended to undergo a 24-hour Holter monitor and consult a cardiologist for examination and treatment (avoid coffee and tea beve...

Understanding Occasional Heart Arrhythmias: When to Seek Medical Advice

Hello Doctor, I am currently a university student living on campus. Recently, over the past few months, I have experienced occasional symptoms of arrhythmia, including: noticeable heart palpitations (I can feel my heart beating strongly), occasional tachycardia, and a feeling of ...

Dr. He Dongjin reply Cardiology
Hello, it is likely that the symptoms are caused by autonomic nervous system dysfunction. If you are concerned, it is advisable to undergo an electrocardiogram (ECG) examination at a cardiology clinic. Changhua Hospital cares about you.

Understanding Arrhythmia: Symptoms, Causes, and When to Seek Help

Hello Doctor: For the past month, I often wake up around 4 to 5 AM feeling dry mouth and a sense of heat in my body, followed by persistent burping. Then, I experience a sensation of pressure in my throat, accompanied by irregular heartbeats that pause for a moment and then accel...

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 recommended to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is advisable ...

Understanding Arrhythmia: Symptoms, Causes, and Treatment Options

Hello Doctor: I have a condition of arrhythmia, and recently my heart rate has been slower at times. Could this be related to stress? What are the symptoms and treatments for arrhythmia? Thank you.

Dr. Li Huixiong reply Internal Medicine
There are many types of arrhythmias, and not all of them require treatment! It is recommended that you consult a family medicine or cardiology physician for an evaluation to determine if treatment is necessary.