Prolonged Palpitations: Causes and Concerns - Cardiology

Share to:

Palpitations have persisted for a long time?


Hello Doctor, I suddenly started feeling palpitations since last night.
I measured my heart rate with a blood pressure monitor, and it was around 70 to 90 beats per minute.
Occasionally, when I walk, it feels faster, but I don't feel any irregular heartbeat.
I don't have difficulty breathing, but I do feel a slight tightness in my chest (not severe).
I didn't go to see a doctor directly, but at night while sleeping, my legs would cramp intermittently.
This morning, my heart rate was normal, but after a while of activity, I felt palpitations again.
Also, I felt hungry this morning but couldn't eat much.
Could this be caused by excessive anxiety, or is it due to an electrolyte imbalance? (I haven't taken any medication recently, but I haven't been getting enough sleep and have been exercising less.) Thank you for your help!

RJ, 10~19 year old female. Ask Date: 2021/03/10

Dr. Wu Xueming reply Cardiology


Due to your young age and lack of chronic diseases, your risk of developing heart disease is low.
Many factors in daily life can contribute to this condition, 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: 2021/03/10

More Info


Hello! It sounds like you are experiencing some concerning symptoms, including palpitations, mild chest discomfort, and muscle cramps in your legs. Let's break down your symptoms and explore potential causes and concerns.

Palpitations, or the sensation of feeling your heart beating, can be caused by a variety of factors. In your case, the heart rate you measured (70-90 beats per minute) is within the normal range, but the sensation of palpitations can still be distressing. Common causes of palpitations include anxiety, stress, caffeine intake, dehydration, electrolyte imbalances, and lack of sleep. Given that you mentioned having insufficient sleep and reduced physical activity, these factors could certainly contribute to your symptoms.

1. Anxiety and Stress: It’s possible that anxiety is playing a role in your experience of palpitations. Anxiety can lead to heightened awareness of bodily sensations, making you more likely to notice your heart beating. If you’ve been under stress or feeling anxious lately, this could explain the palpitations and the feeling of tightness in your chest.
2. Electrolyte Imbalance: Electrolytes, such as potassium, sodium, and magnesium, are crucial for maintaining normal heart function. If your diet has been lacking in essential nutrients or if you have been dehydrated, this could lead to an imbalance that might cause palpitations or muscle cramps.
3. Sleep Deprivation: Lack of sleep can significantly affect your body’s functioning, including heart health. Sleep is essential for recovery and overall well-being. Insufficient sleep can lead to increased stress hormones, which may contribute to palpitations and feelings of anxiety.

4. Physical Activity: Regular exercise helps maintain cardiovascular health and can reduce feelings of anxiety. If you have been less active, this may also contribute to your symptoms.

5. Gastrointestinal Issues: You mentioned feeling hungry but unable to eat. Sometimes, gastrointestinal discomfort can also lead to sensations that mimic heart problems, including palpitations.
Given these considerations, it would be wise to take a few steps to address your symptoms:
- Monitor Your Symptoms: Keep track of when the palpitations occur, their duration, and any associated symptoms (like chest discomfort or shortness of breath). This information can be helpful for a healthcare provider.

- Manage Stress and Anxiety: Consider incorporating relaxation techniques such as deep breathing exercises, meditation, or yoga into your routine. These practices can help reduce anxiety and improve your overall sense of well-being.

- Stay Hydrated and Eat Well: Ensure you are drinking enough fluids and consuming a balanced diet rich in fruits, vegetables, and whole grains. This can help maintain electrolyte balance and overall health.

- Prioritize Sleep: Aim for 7-9 hours of quality sleep each night. Establishing a regular sleep schedule can help improve your sleep quality.

- Consult a Healthcare Provider: If your symptoms persist or worsen, it’s important to seek medical advice. A healthcare provider can perform a thorough evaluation, which may include a physical examination, blood tests to check for electrolyte imbalances, and possibly an ECG to assess your heart's rhythm.

In conclusion, while your symptoms may be related to anxiety, sleep deprivation, or electrolyte imbalance, it’s essential to monitor your condition and consult a healthcare professional if necessary. Taking proactive steps to manage your stress, improve your diet, and ensure adequate sleep can significantly benefit your overall health. Take care!

Similar Q&A

Understanding Heart Palpitations: Causes, Concerns, and Solutions

Hello, Doctor: A few years ago, I underwent various examinations due to autonomic nervous system dysfunction, but everything came back normal, and it ultimately remained undiagnosed (though I was never truly diagnosed with autonomic nervous system dysfunction). My symptoms includ...


Dr. He Dongjin reply Cardiology
Hello, yes, premature heartbeats are often caused by autonomic nervous system dysfunction. It is recommended to see a cardiologist for further evaluation. If it is not severe, medication can be used to control the premature beats and autonomic nervous system imbalance. An increas...

[Read More] Understanding Heart Palpitations: Causes, Concerns, and Solutions


Understanding Palpitations: Causes, Symptoms, and Solutions

From time to time, I experience episodes of rapid heartbeat and missed beats (with the next beat feeling particularly strong). This issue has been occurring intermittently since I changed jobs a year and a half ago. It tends to improve for a while (lasting about half a month to o...


Dr. Chen Jili reply Cardiology
It is recommended that you visit a cardiology outpatient clinic to determine if any relevant examinations are necessary. Thank you, and wishing you good health!

[Read More] Understanding Palpitations: Causes, Symptoms, and Solutions


Managing Prolonged Palpitations: Causes and Solutions

Hello Doctor: I usually experience palpitations that can last for 2 to 3 hours or even longer. It feels like I can't catch my breath, and then the palpitations start. I haven't been doing any intense exercise; sometimes it happens just while I'm sitting in a chair....


Dr. He Dongjin reply Cardiology
Hello, it is recommended to visit the hospital for further examination to check for any arrhythmias. Please confirm that there are no issues before addressing the palpitations. Changhua Hospital cares about you.

[Read More] Managing Prolonged Palpitations: Causes and Solutions


Understanding Prolonged Palpitations After Weightlifting: Causes and Concerns

Hello Doctor, about three weeks ago, after doing some dumbbell exercises, I gradually started experiencing palpitations. My symptoms are as follows: 1. My pulse rate can reach just over 100 at its highest, but most of the time, I feel like my heart is beating harder. 2. I can fee...


Dr. He Dongjin reply Cardiology
Hello, it seems that the symptoms are caused by mitral valve prolapse, which should not be a concern. If you are still worried, you can visit a cardiology clinic for further diagnosis. Changhua Hospital cares about you.

[Read More] Understanding Prolonged Palpitations After Weightlifting: Causes and Concerns


Related FAQ

Palpitations

(Cardiology)

Atrial Fibrillation

(Cardiology)

Tachycardia

(Internal Medicine)

Autonomic Nervous System Dysfunction

(Cardiology)

Premature Atrial Contractions

(Cardiology)

Rapid Heartbeat

(Cardiology)

Palpitations

(Traditional Chinese Medicine)

Ectopic Beats

(Cardiology)

Lightheadedness

(Cardiology)

Pacemaker

(Cardiology)