Will a consistently strong heartbeat cause any damage?
Hello Doctor, I am currently abroad.
About two months ago, I experienced palpitations, and since then, my heart rate has been consistently elevated, and my heart feels very forceful.
I previously returned to Taiwan for an electrocardiogram and an echocardiogram, both of which showed no significant issues, so I suspect it might be a case of autonomic nervous system dysregulation.
After two months, my body feels less uncomfortable, but my heart still beats very forcefully.
I'm concerned whether this prolonged condition could cause damage to my organs.
When I was in Taiwan, I received medication for cardiac health, but I'm unsure if I should take it.
Will taking it lead to a cure? I have some fear regarding the side effects, which is why I have hesitated to start the medication.
I initially planned to rely on exercise and diaphragmatic breathing to help relax and restore my nervous system, but the results seem limited.
Being abroad, I really don't know what to do.
Mr. Lin, 20~29 year old female. Ask Date: 2015/12/16
Dr. He Dongjin reply Cardiology
Hello,
1.
It will not cause harm to the organs.
2.
The medications for heart health will not cure the condition but can help control the symptoms.
There is no need to fear the side effects; they are not as severe as you might think.
Doctors are also concerned about potential issues, so the medications prescribed are generally mild.
You don't need to worry; sometimes using a little medication can help you quickly recover from this autonomic nervous system disorder.
Changhua Hospital cares about you.
Reply Date: 2015/12/16
More Info
Persistent strong heartbeats, often referred to as palpitations, can be concerning and may lead to anxiety, especially when they occur frequently or are accompanied by other symptoms. However, it's essential to understand the underlying causes and the potential implications for your health.
From your description, it seems that you have experienced persistent palpitations for about two months, with a history of having undergone tests such as an electrocardiogram (ECG) and echocardiogram, which did not reveal any significant issues. This is reassuring, as it suggests that there are no major structural heart problems. The fact that you suspect autonomic nervous system dysregulation is also a common consideration in cases of palpitations, particularly when they are not associated with any identifiable heart disease.
The autonomic nervous system controls involuntary bodily functions, including heart rate. Stress, anxiety, and lifestyle factors can lead to dysregulation, resulting in symptoms such as palpitations. In your case, the persistent strong heartbeats may not necessarily cause direct damage to the heart or other organs, especially if your heart has been structurally normal based on your previous tests. However, chronic stress and anxiety can lead to other health issues over time, so it is important to address these factors.
Regarding your concern about whether persistent strong heartbeats can cause damage, the answer is generally no, provided that there are no underlying heart conditions. The heart is a resilient organ, and occasional palpitations are common and usually benign. However, if the palpitations are frequent and accompanied by symptoms such as chest pain, shortness of breath, or fainting, it is crucial to seek medical attention.
As for the medication you mentioned, "心康樂" (which may refer to a beta-blocker or a similar medication), it can be effective in managing symptoms related to palpitations and anxiety. Beta-blockers work by blocking the effects of adrenaline on the heart, which can help reduce heart rate and the force of contractions. If your doctor prescribed this medication, it is likely because they believe it could help alleviate your symptoms. While it is natural to have concerns about side effects, many people tolerate these medications well. It might be beneficial to discuss your fears with your healthcare provider, who can provide more information about the medication's benefits and risks.
In addition to medication, lifestyle modifications can play a significant role in managing palpitations. Regular exercise, a balanced diet, adequate hydration, and sufficient sleep are crucial. Techniques such as deep breathing exercises, yoga, and mindfulness can help reduce stress and promote relaxation, potentially alleviating the symptoms of autonomic dysregulation.
If you find that your symptoms persist despite these measures, or if you experience any new or worsening symptoms, it would be wise to consult a healthcare professional. They may recommend further evaluation or adjustments to your treatment plan. Since you are currently abroad, consider reaching out to a local healthcare provider who can assess your situation and provide guidance tailored to your needs.
In summary, while persistent strong heartbeats can be distressing, they are often benign, especially in the absence of structural heart disease. Addressing lifestyle factors, managing stress, and considering medication under the guidance of a healthcare provider can help improve your symptoms and overall well-being.
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