Irregular Heartbeats: Causes and When to Seek Help - Cardiology

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Irregular heartbeat?


In the past two months, I have frequently experienced a normal heartbeat that suddenly skips a beat.
Due to the pandemic, I am hesitant to go to the hospital.
What could this condition be?

Xiao Lan, 30~39 year old female. Ask Date: 2021/05/19

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 advisable to adjust your lifestyle and engage in regular exercise.
However, if symptoms persist, it is recommended to visit a hospital for an electrocardiogram (ECG) examination.

Reply Date: 2021/05/19

More Info


Irregular heartbeats, also known as arrhythmias, can be concerning and may arise from various causes. It's essential to understand that while some irregularities in heart rhythm can be benign, others may indicate underlying health issues that require medical attention.
The sensation of your heart suddenly skipping a beat or having an irregular rhythm can be attributed to several factors. Common causes include:
1. Stress and Anxiety: Emotional stress or anxiety can lead to increased adrenaline levels, which may cause the heart to beat irregularly. This is often referred to as "palpitations."
2. Caffeine and Stimulants: Consumption of caffeine, nicotine, or other stimulants can lead to temporary changes in heart rhythm. If you've increased your intake of coffee, energy drinks, or other stimulants, this could be a contributing factor.

3. Electrolyte Imbalances: The heart relies on a delicate balance of electrolytes (such as potassium, sodium, calcium, and magnesium) to maintain a normal rhythm. An imbalance can lead to arrhythmias.

4. Medications: Certain medications, including over-the-counter cold and allergy medications, can affect heart rhythm. If you've started any new medications recently, it may be worth discussing with a healthcare provider.

5. Underlying Heart Conditions: Conditions such as high blood pressure, coronary artery disease, or structural heart issues can lead to arrhythmias. If you have a history of heart disease or risk factors such as diabetes or high cholesterol, it's crucial to monitor your symptoms closely.

6. Thyroid Issues: An overactive thyroid (hyperthyroidism) can cause palpitations and irregular heartbeats. If you have symptoms like weight loss, increased sweating, or anxiety, it may be worth checking your thyroid function.

Given that you've experienced these irregular heartbeats for the past two months, it's advisable to seek medical attention, especially if you notice any of the following warning signs:
- Chest Pain or Discomfort: If you experience chest pain, pressure, or discomfort along with irregular heartbeats, it could indicate a more serious condition.

- Shortness of Breath: Difficulty breathing or feeling winded during normal activities can be a sign of heart problems.

- Dizziness or Fainting: If you feel lightheaded, dizzy, or faint, it could be related to your heart's rhythm.

- Prolonged Symptoms: If the irregular heartbeats persist or worsen, it's essential to consult a healthcare provider.

While the ongoing pandemic may make you hesitant to visit a hospital, many healthcare providers offer telehealth services that allow you to discuss your symptoms and concerns from the comfort of your home. This can be a valuable first step in addressing your irregular heartbeats.

In summary, while occasional irregular heartbeats can be normal, persistent or concerning symptoms warrant medical evaluation. Understanding the potential causes and recognizing warning signs can help you take appropriate action to ensure your heart health. If you have any additional symptoms or concerns, please do not hesitate to reach out to a healthcare professional for personalized advice and care.

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