Should You See a Doctor for Irregular Heartbeats and Stress? - Cardiology

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Heart rate issues?


Recently, I have noticed that my pulse is missing 1 to 3 beats per minute.
I've been under some stress lately.
Should I see a doctor?

Niming, 30~39 year old female. Ask Date: 2024/01/19

Dr. Li Han reply Cardiology


Hello, regarding your question, "I've been feeling quite stressed lately; should I see a doctor?" When you have such thoughts that affect your quality of life, it's a good idea to consult a trusted family physician for advice.
The Changhua Hospital of the Ministry of Health and Welfare is here to support you.

Reply Date: 2024/01/19

More Info


Experiencing irregular heartbeats, also known as palpitations, can be concerning, especially when accompanied by stress. Given your recent observation of your pulse showing a decrease of 1 to 3 beats per minute, along with increased stress levels, it is essential to consider several factors before deciding whether to see a doctor.

First, it's important to understand that palpitations can be caused by a variety of factors, including anxiety, stress, caffeine intake, dehydration, or even hormonal changes. Stress, in particular, can significantly impact heart rhythm. When you are under stress, your body releases stress hormones like adrenaline, which can lead to an increased heart rate or irregular heartbeats. This is often a normal physiological response; however, if the irregularities become frequent or are accompanied by other symptoms, it may warrant further investigation.

In your case, since you mentioned that your heart rate occasionally skips beats, it is advisable to monitor the situation closely. If you experience additional symptoms such as dizziness, shortness of breath, chest pain, or fainting, you should seek medical attention immediately. These symptoms could indicate a more serious underlying condition that requires prompt evaluation.

If your irregular heartbeats are infrequent and not associated with any alarming symptoms, you might consider lifestyle modifications first. Reducing stress through relaxation techniques such as deep breathing, meditation, or yoga can be beneficial. Additionally, ensuring adequate hydration, maintaining a balanced diet, and limiting caffeine and alcohol intake can help manage palpitations.

However, if the irregular heartbeats persist or worsen, or if you find that your stress levels are significantly impacting your daily life, it would be prudent to consult a healthcare professional. A doctor can perform a thorough evaluation, which may include an electrocardiogram (ECG), a Holter monitor (24-hour ECG), or other cardiac assessments to determine if there is an underlying heart condition that needs to be addressed.

In summary, while occasional irregular heartbeats can be benign, especially in the context of stress, it is essential to remain vigilant. If you notice any concerning symptoms or if the palpitations become more frequent, do not hesitate to seek medical advice. Early evaluation can provide peace of mind and ensure that any potential issues are addressed promptly. Remember, your health is paramount, and it’s always better to err on the side of caution when it comes to heart health.

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