Heart Palpitations in Patients with Psoriasis - Dermatology

More Info

---

Heart palpitations can be a concerning symptom, especially when they occur alongside other health issues like psoriasis. In your case, the presence of pustular psoriasis and elevated inflammatory markers (ESR) may contribute to your experience of palpitations.
Firstly, it’s important to understand that palpitations are often benign and can be caused by a variety of factors, including anxiety, stress, caffeine intake, and certain medications. In your situation, the elevated heart rate (sinus tachycardia at 102 bpm) noted on your ECG could be a physiological response to stress or anxiety, especially given your ongoing struggles with psoriasis. Stress and anxiety can significantly impact the autonomic nervous system, leading to symptoms such as palpitations and feelings of your heart racing or "skipping beats."
Psoriasis itself is a chronic inflammatory condition, and systemic inflammation can affect cardiovascular health. Studies have shown that individuals with psoriasis may have an increased risk of cardiovascular disease, which could potentially lead to symptoms like palpitations. However, the direct correlation between psoriasis and heart rhythm disturbances is still an area of ongoing research.

Your description of being startled awake by your heart racing, along with the sensation of your heart "leaking beats," could indicate heightened sympathetic nervous system activity, which is often associated with anxiety or stress responses. It’s also worth noting that sleep disturbances can exacerbate feelings of anxiety and lead to increased awareness of heartbeats, which can create a cycle of worry.

Given that your cardiologist has assessed your heart condition as not serious, it’s essential to consider other factors that might be contributing to your symptoms. Here are some recommendations:
1. Monitor Your Symptoms: Keep a diary of your palpitations, noting when they occur, their duration, and any associated symptoms (like anxiety, fatigue, or changes in your psoriasis). This information can be helpful for your healthcare provider.

2. Manage Stress and Anxiety: Techniques such as mindfulness, meditation, or yoga can help reduce stress levels. Since stress can exacerbate both psoriasis and palpitations, finding effective ways to manage it is crucial.

3. Lifestyle Modifications: Evaluate your diet and lifestyle. Reducing caffeine and alcohol intake, ensuring adequate hydration, and maintaining a regular sleep schedule can help mitigate palpitations.

4. Follow-Up with Your Healthcare Provider: Since your symptoms have changed and are causing you distress, it’s advisable to discuss these changes with your healthcare provider sooner than your scheduled appointment. They may recommend further evaluation, such as a Holter monitor, to assess your heart rhythm over a more extended period.

5. Consider Psychological Support: If anxiety is a significant factor, speaking with a mental health professional may be beneficial. Cognitive-behavioral therapy (CBT) has been shown to be effective in managing anxiety and related symptoms.

In summary, while your heart palpitations may not indicate a serious cardiac issue, they warrant attention, especially in the context of your psoriasis and overall health. By addressing potential triggers and seeking appropriate support, you can work towards alleviating your symptoms and improving your quality of life. Always consult with your healthcare provider before making any changes to your treatment or management plan.