Palpitations: Causes, Symptoms, and Solutions - Cardiology

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Palpitations, or the sensation of feeling your heart beating rapidly or irregularly, can be a concerning symptom for many individuals. It’s important to understand that while palpitations can be benign, they can also indicate underlying health issues that may require attention. Based on your description, it seems you are experiencing episodes of rapid heartbeats and difficulty breathing, which can indeed be distressing.


Causes of Palpitations
Palpitations can arise from a variety of causes, including:
1. Physiological Factors: Stress, anxiety, and panic attacks are common triggers. When you are anxious or stressed, your body releases adrenaline, which can increase your heart rate and lead to the sensation of palpitations.

2. Lifestyle Factors: Consumption of stimulants such as caffeine, nicotine, or certain medications can lead to increased heart rate. Alcohol and recreational drugs can also contribute to palpitations.

3. Medical Conditions: Conditions such as hyperthyroidism, anemia, or electrolyte imbalances can cause palpitations. Heart conditions, including arrhythmias, can also lead to abnormal heart rhythms.

4. Hormonal Changes: Hormonal fluctuations, particularly during menstruation, pregnancy, or menopause, can lead to palpitations.


Symptoms Associated with Palpitations
In addition to the sensation of a racing heart, palpitations may be accompanied by other symptoms, such as:
- Dizziness or lightheadedness
- Shortness of breath
- Chest pain or discomfort
- Feelings of anxiety or panic

Understanding Your Measurements
You mentioned that your heart rate fluctuates between 65 to 90 beats per minute, which is generally considered within the normal range for adults at rest. However, if you are experiencing episodes where your heart feels like it is racing or pounding, it may not be captured accurately by a resting measurement.

When to Seek Medical Attention
While occasional palpitations are often harmless, you should seek medical attention if you experience:
- Frequent or persistent palpitations
- Palpitations accompanied by chest pain, fainting, or severe shortness of breath
- A history of heart disease or other significant medical conditions

Solutions and Management
1. Lifestyle Modifications: Reducing caffeine and alcohol intake, quitting smoking, and managing stress through relaxation techniques such as yoga, meditation, or deep breathing exercises can help alleviate symptoms.

2. Regular Exercise: Engaging in regular physical activity can improve cardiovascular health and reduce anxiety, which may help decrease the frequency of palpitations.

3. Hydration and Nutrition: Staying hydrated and maintaining a balanced diet rich in potassium and magnesium can support heart health.

4. Medical Evaluation: If palpitations persist, consider consulting a healthcare provider for a thorough evaluation. They may recommend tests such as an electrocardiogram (ECG), Holter monitor, or echocardiogram to assess your heart's rhythm and function.

5. Medication: In some cases, if palpitations are linked to anxiety or a specific medical condition, medications may be prescribed to help manage symptoms.


Conclusion
In summary, while your heart rate readings appear normal, the sensation of palpitations can be distressing and may warrant further investigation, especially if they are frequent or associated with other concerning symptoms. It is advisable to consult a healthcare professional who can provide a comprehensive assessment and tailored recommendations based on your specific situation. Remember, understanding your body and its signals is crucial, and seeking help is a positive step towards better health.