Heart Palpitations: When to Seek Medical Attention - Cardiology

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Heart palpitations can be concerning, especially when they present as irregular heartbeats or skipped beats. Based on your description, it seems you are experiencing episodes of heart palpitations characterized by intermittent pauses in your heartbeat, accompanied by a sensation of dizziness. While occasional palpitations are common and often benign, the specific pattern you've described warrants further evaluation.


Understanding Heart Palpitations
Palpitations can arise from various causes, including anxiety, caffeine intake, dehydration, electrolyte imbalances, or underlying heart conditions. They may feel like your heart is racing, fluttering, or skipping beats. In many cases, palpitations are harmless and may not indicate a serious health issue. However, when they are accompanied by symptoms such as dizziness, fainting, or chest pain, it is essential to seek medical attention.


When to Seek Medical Attention
Given your recent experience of palpitations with associated dizziness, it is advisable to consult a healthcare professional. Here are some specific indicators that suggest you should seek medical attention:
1. Frequency and Duration: If the palpitations are frequent, last for an extended period, or are progressively worsening, it is important to get evaluated.


2. Associated Symptoms: The presence of dizziness, lightheadedness, or fainting spells during these episodes is concerning and should prompt immediate medical evaluation.

3. Underlying Conditions: You mentioned having undergone a coronary CT angiogram a few months ago, which showed normal results. However, if you have a history of heart disease, hypertension, or other cardiovascular issues, any new symptoms should be taken seriously.

4. Lifestyle Factors: Consider any recent changes in your lifestyle, such as increased stress, changes in medication, or dietary habits that could contribute to your symptoms.


Possible Evaluations
When you visit your healthcare provider, they may recommend several evaluations to determine the cause of your palpitations:
- Electrocardiogram (ECG): This test records the electrical activity of your heart and can help identify arrhythmias or other abnormalities.


- Holter Monitor: If your palpitations are sporadic, a Holter monitor may be used to record your heart's activity over 24 to 48 hours to capture any irregularities.

- Echocardiogram: This ultrasound test can assess the structure and function of your heart, helping to rule out any underlying heart conditions.

- Blood Tests: These may be conducted to check for electrolyte imbalances, thyroid function, or other metabolic issues that could contribute to palpitations.


Conclusion
While your previous coronary CT angiogram results were normal, the new onset of palpitations with dizziness is a signal that should not be ignored. It is essential to consult with your healthcare provider to discuss your symptoms in detail and undergo appropriate testing. Early evaluation can help identify any potential issues and guide you toward the right treatment or management plan. Remember, it’s always better to err on the side of caution when it comes to heart health.