How to tell if the palpitations you are getting are serious or not

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Palpitations are a really common symptom that I see in my clinic and the majority of palpitations are not serious, the big worry, when people experienced palpitation, is whether they may have a heart rhythm disturbance even if they have a heart rhythm disturbance most heart rhythm disturbances are not serious.

So that’s a little bit of reassurance the first thing I’d like to talk about is what is a palpitation I suppose the palpitation is an awareness of one’s heartbeat to the extent that it feels abnormal.

So the heart could be beating normally but is sensed abnormally now there are many normal causes of palpitations so for example if you were walking down a dark alley in someone jumps out that would cause palpitation that would cause the heart to beat very fast and that would be spelt as a palpitation the bet doesn’t signify a problem with the heart itself.

The heart is just doing what it’s meant to do it’s beating closed in response to the adrenaline that circulates around the body similarly anxiety stress can cause publication people who drink a lot of caffeine alcohol can cause palpitation exercise can obviously so these are the kind of sort of normal things that can cause palpitations.

We don’t see anything to be worried about then there are various heart rhythms that can various abnormal heart rhythms and one of the first thing to try and work out whether the publication is just because of something else or whether it’s an intrinsic part of the problem and there are a few things that very few clues that you can get if your publication of mainly occurring.

HOW DO I KNOW IF PALPITATIONS ARE SERIOUS?

When you also lying in bed you know her lying down after a busy day in the early morning when you’re still in bed than that signifies that it’s unlikely to be a heart rhythm disturbances don’t look at the time of day they can occur at any time when you’re getting the maddest certain time every day then you know this could be reflective of stress that you may or may not be aware of a lot of people who are going through a breakup or something like that will experience the opposition and they’re locked and come to me and say well.

You know I don’t notice it at all during the daytime but when I come back home and I lie in bed then I notice issues sometimes I wake up in the early hours and I tell them that you know I think this is less likely to be a hundred that disturbs the second thing to watch out for is the onset you know if your heart rhythm of publications are gradual onset and that’s less likely to be a heart rhythm disturbance heart rhythm disturbances just like that and they’ve been very sudden onset and they’re generally very sudden offsets that.

When they go away just within a few seconds a second whereas people who have another cause such as stress or anxiety than the offset is much slower there are other things to be aware of the rich that the heart is beating out is important because usually you know if the heart is beating a hundred and sixty beats per minute then that’s more likely to be a heart rhythm disturbance but not always and irregularities really important so worried about your publications always work working out whether the heart rhythm is regularly it’s a regular rhythm.

It’s generally less likely to be a hard rhythm disturbance although there is there are a few episodes that can be regular they tend to be very fast onset and sudden lots that what else I think it’s important things now it does in association with chest discomfort or if there’s an association with blackouts or something else then that’s obviously serious and it’s important to get that checked out I want to just check out a few beats of different competition just so you know.

So let’s check them out became the first one is the normal heartbeat again you will notice that it’s nice and slow and nice and regular ok now the second one is something called atrial fibrillation.