Persistent Palpitations: When to Seek Medical Attention - Cardiology

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Persistent palpitations can be a concerning symptom, especially when accompanied by other sensations such as shortness of breath, chest pressure, and numbness. It is essential to understand the potential causes and when to seek medical attention.

Palpitations are often described as the feeling that your heart is racing, pounding, or fluttering. While they can be benign and related to anxiety, caffeine intake, or physical exertion, persistent palpitations warrant further investigation, especially when they are accompanied by other symptoms like those you are experiencing.


When to Seek Medical Attention
1. Duration and Frequency: If your palpitations have been ongoing for several days and are not resolving, it is advisable to seek medical attention. Continuous palpitations, especially if they occur at rest, can indicate an underlying issue that needs to be addressed.

2. Associated Symptoms: You mentioned experiencing shortness of breath, a sensation of pressure in your chest, and numbness in your hands. These symptoms can be concerning and may indicate a more serious condition, such as a cardiac issue or anxiety disorder. If you experience any of the following, you should seek immediate medical attention:
- Severe chest pain or discomfort
- Difficulty breathing or feeling faint
- Numbness or weakness in the arms or legs
- Sudden changes in vision or speech
3. Blood Pressure and Heart Rate: Your blood pressure readings of 110/80 mmHg and a heart rate of around 80 beats per minute are generally within normal limits. However, if you notice significant fluctuations in your heart rate or blood pressure, it is essential to discuss these changes with your healthcare provider.

4. Anxiety and Stress: Anxiety can significantly contribute to the sensation of palpitations. If you are under stress or experiencing anxiety, it may exacerbate your symptoms. Consider discussing your mental health with a professional, as managing anxiety can help alleviate physical symptoms.


What to Do While Waiting for Your Appointment
- Keep a Symptom Diary: Document your palpitations, including when they occur, their duration, and any associated symptoms. This information can be helpful for your healthcare provider during your evaluation.


- Limit Stimulants: Reduce or eliminate caffeine, nicotine, and other stimulants that can exacerbate palpitations.

- Practice Relaxation Techniques: Engage in deep breathing exercises, meditation, or yoga to help manage anxiety and stress, which may help reduce the frequency of palpitations.

- Stay Hydrated: Ensure you are drinking enough water, as dehydration can sometimes contribute to palpitations.

- Avoid Heavy Meals: Large meals can put pressure on your diaphragm and may exacerbate feelings of palpitations or chest discomfort.


Follow-Up Care
Since you have already scheduled an echocardiogram for April, it is crucial to keep that appointment. If your symptoms worsen or you experience new symptoms before then, do not hesitate to seek immediate medical care.
In summary, while palpitations can be benign, persistent symptoms, especially when accompanied by other concerning signs, should be evaluated by a healthcare professional. It is essential to prioritize your health and seek the necessary medical attention to rule out any serious conditions.