Is Your Heart Racing and Hurting? Irregular Heartbeats - Cardiology

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Experiencing heart palpitations accompanied by pain, as well as irregular heart rates, can be concerning. It is important to consult a healthcare professional to evaluate your symptoms and determine if there is an underlying issue that needs to be addressed?


Hello, I have recently been experiencing unusual heartbeats that feel very strong.
When I lie in bed, I can feel my heart beating as if there is an earthquake, without needing to touch my body.
My highest recorded heart rate is 105 beats per minute.
Is this concerning?

Rui Rui, 10~19 year old female. Ask Date: 2005/09/07

Dr. Chen Guifeng reply Cardiology


The normal heart rate is approximately 60 to 100 beats per minute.
However, there are times when one may experience palpitations or irregular heartbeats, which can be due to arrhythmias.
Mild arrhythmias typically do not affect physiological function.
Thank you for your question.

Reply Date: 2005/09/07

More Info


Experiencing a racing heart and unusual sensations in your chest can be concerning, and it's important to understand what these symptoms might indicate. Based on the information you've provided, it seems that you are experiencing episodes of strong heartbeats, which can be described as palpitations. These sensations can be alarming, especially if they feel intense enough to be perceived even when lying down.

Palpitations can occur for a variety of reasons, and they are often benign, especially in younger individuals without a history of heart disease. Common causes of palpitations include anxiety, stress, excessive caffeine intake, dehydration, hormonal changes, and even certain medications. In your case, the heart rate of 105 beats per minute (bpm) is considered tachycardia, which is defined as a resting heart rate above 100 bpm. While this can be normal during physical activity or emotional stress, if it occurs at rest or is accompanied by other symptoms such as chest pain, dizziness, or shortness of breath, it warrants further investigation.

The sensation of your heart racing can sometimes be linked to conditions such as atrial fibrillation, premature ventricular contractions (PVCs), or other forms of arrhythmia. However, these conditions are typically diagnosed through an electrocardiogram (ECG) or a Holter monitor, which records your heart's activity over a period of time. Given your symptoms, it would be prudent to consult a healthcare professional who can perform these tests to rule out any serious underlying conditions.

In addition to the physical aspects, emotional and psychological factors can significantly influence heart rhythm. Anxiety and stress can lead to heightened awareness of bodily sensations, including heartbeats. If you are experiencing increased stress or anxiety, addressing these factors through relaxation techniques, mindfulness, or counseling may help alleviate some of your symptoms.

It's also worth noting that lifestyle factors play a crucial role in heart health. Regular exercise, a balanced diet, adequate hydration, and sufficient sleep can all contribute to a healthier heart. If you consume caffeine or stimulants, consider reducing your intake to see if your symptoms improve.
If your symptoms persist or worsen, or if you experience additional concerning symptoms such as chest pain, fainting, or severe shortness of breath, it is essential to seek medical attention promptly. A healthcare provider can assess your symptoms, perform necessary tests, and provide you with a tailored treatment plan based on your specific needs.

In summary, while occasional palpitations can be normal, especially in the context of stress or lifestyle factors, it is important to monitor your symptoms closely. If you have any doubts or if your symptoms are affecting your quality of life, do not hesitate to reach out to a healthcare professional for further evaluation and peace of mind. Your heart health is paramount, and understanding your body's signals is the first step towards maintaining it.

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