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Do Recurrent Heart Palpitations Require Consultation?
Question: For the past 7 days I have been being awakened by a very fast pulse rate (as high as 165 BPMs). The 1st night it happened just once. The 2nd night it happened twice. Since the 3rd night, it is happening every single time I fall asleep (as many as 5 times in one night) and typically occurs 2 hours after falling asleep each time.  I am finally starting to be able to get my pulse back to normal within 15 minutes by focusing on relaxation and breathing.  I am attaching pictures of the readouts from my overnight pulse oximeter of my first event last night for your review.  Should i have anything checked at the doctors?
Brief Answer:
Yes you should consult a doctor personally
Detailed Answer:
Hello
After going through the medical details provided by you I understand your concern and I would like to tell you that if your palpitations are happening this much frequently then you should consult with a cardiologist for evaluation.
Also I would like to suggest you to get a Holter monitoring done. It's basically a 24 to 48 hrs ambulatory ECG monitoring which will record all the electrical activities of your heart for 48 hrs which can later be analysed to see what kind of rhythm is going on during these palpitations and then treatment can be done accordingly.
It's also advisable to cut down your coffee intake and stop smoking if you do.
The report which you have attached doesn't show any significant event happening.
I hope this information will be helpful.
Kind regards
Dr Bhanu partap
Yes you should consult a doctor personally
Detailed Answer:
Hello
After going through the medical details provided by you I understand your concern and I would like to tell you that if your palpitations are happening this much frequently then you should consult with a cardiologist for evaluation.
Also I would like to suggest you to get a Holter monitoring done. It's basically a 24 to 48 hrs ambulatory ECG monitoring which will record all the electrical activities of your heart for 48 hrs which can later be analysed to see what kind of rhythm is going on during these palpitations and then treatment can be done accordingly.
It's also advisable to cut down your coffee intake and stop smoking if you do.
The report which you have attached doesn't show any significant event happening.
I hope this information will be helpful.
Kind regards
Dr Bhanu partap
Above answer was peer-reviewed by :
Dr. Raju A.T
attaching another file I forgot to attach earlier. ok, I will schedule an appt with a cardiologist. is it ok if I can't get in for a week or so as the hospital is booking out.
Brief Answer:
Yes you can wait
Detailed Answer:
Hello again
Yrs you can wait till appointment. But remember if at any point of time you feel dizzy or there is a sense of blackout or breathing difficulty or chest heaviness while having these palpitations that time you need to seek urgent medical help.
Hope to have been helpful
Kind Regards
Dr Bhanu partap
Yes you can wait
Detailed Answer:
Hello again
Yrs you can wait till appointment. But remember if at any point of time you feel dizzy or there is a sense of blackout or breathing difficulty or chest heaviness while having these palpitations that time you need to seek urgent medical help.
Hope to have been helpful
Kind Regards
Dr Bhanu partap
Above answer was peer-reviewed by :
Dr. Raju A.T
when you said you didn't see an event, I realized i forgot to mention that the oximeter fell off my finger when my high pulse XXXXXXX me out of sleep. that elevated heartrate spike in the picture lasted about 15 minutes no for just a second or two. does that change your opinion/advice?
Brief Answer:
No it doesn't change
Detailed Answer:
Hello again
No it doesn't affect my advise, as your palpitations are happening transiently so it's highly recommended to get an ecg done during the palpitations for which HOLTER is done. You just need to be watchful for the symptoms which I have mentioned above.
Warm Regards
Dr. Bhanu Partap
No it doesn't change
Detailed Answer:
Hello again
No it doesn't affect my advise, as your palpitations are happening transiently so it's highly recommended to get an ecg done during the palpitations for which HOLTER is done. You just need to be watchful for the symptoms which I have mentioned above.
Warm Regards
Dr. Bhanu Partap
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Above answer was peer-reviewed by :
Dr. Raju A.T
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