Feeling Your Heartbeats(Palpitations)

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What is palpitation? – Palpitation refers to feeling of one’s heartbeat. It may feel fast and pounding. This heartbeat may be felt in the chest, throat or neck. Usually, the beating of the heart occurs without notice. In other words, we do not normally feel our heartbeats.

When you begin to feel your heartbeat, it requires attention. Though it is common and often harmless, palpitations may be the earliest sign of an underlying heart disease.

How long do palpitations last?

Palpitations usually last for a short time, usually few seconds or minutes. However, occasionally, they may last longer.

What are the causes of palpitations?

Palpitations are common and often harmless. They may occur at rest or during routine daily activities; and, therefore, may not have an apparent cause. The following are common causes of palpitations to search for when it occurs:

  1. Exercise
  2. Emotional state such as: anxiety, panic, fear
  3. Pregnancy
  4. Caffeine
  5. Fever
  6. Low body water (dehydration)
  7. Blood loss (haemorrhage)
  8. Low blood level (anaemia)
  9. Thyroid disease (hyperthyroidism)
  10. Low blood sugar level (hypoglycaemia)
  11. Drugs: medications used to treat asthma, high blood pressure, cough or thyroid disease
  12. Alcohol
  13. Smoking
  14. Recreational drugs such as cocaine, amphetamines
  15. Heart disease

What are the symptoms of palpitations?

When there are palpitations, the heart feels like:

  1. Pounding
  2. Running fast
  3. Missing beats or having extra beats
  4. Having irregular beats

How is palpitation treated?

The treatment of palpitation depends on the cause.

No treatment: Palpitations that occur without any background disease need no treatment. For example, palpitations due to exercise, anxiety, panic, fear, pregnancy etc. will resolve after the resolution of these conditions without the need for treatment.

However, palpitations that occur due to specific causes can only be corrected by addressing the underlying cause(s). For example:

  1. Coffee: Reduce or stop coffee intake completely
  2. Bleeding and Anaemia: Blood transfusion
  3. Alcohol: Cessation or reduction of alcohol intake
  4. Smoking: Cessation of smoking
  5. Fever: Treat the underlying cause and administer antipyretic
  6. Dehydration: Liberal intake of water
  7. Thyroid disease: Treat underlying thyroid disease (medical or surgical)
  8. Heart disease: Treat underlying heart disease (medical or surgical)
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