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What Causes Unusual Heart Palpitations?

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Posted on Mon, 6 Jul 2015
Question: Hi, Off late I have been experiencing unusual heart palpitations. Did a full body checkup, everything seems fine.

Very worried as its happening very frequently, specially is someone is talking loudly suddenly, or if sumone makes a sound like a car horn or something
doctor
Answered by Dr. Tushar Kanti Biswas (5 hours later)
Brief Answer:
Palpitations probably anxiety state

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
If you are getting palpitations off & on and your cardiac work-up is normal,endocrine cause like thyrotoxicosis or phaeochromocytoma needs to be ruled out . Excessive Coffee, tea, alcohol consumption also can give rise to palpitations. What is your daily caffeine and weekly alcohol consumption?
However description of palpitation as it is often precipitated by loud sounds or car horns indicates anxiety state .
What is your heart rate when you get palpitations?
In patients with panic disorders and other anxiety states, the sensation of palpitations may occur during periods of normal rate and rhythm.
Certain drugs can also cause palpitations like sympathomimetic drugs.
Medicines particularly decongestants such as ‘cold cures’ often contain sympathomimetic drugs.
Is there any relieving factors like breath-holding, exercise?

If there is no organic cause ,anxiolytic drugs will relieve symptoms.







Regards

Dr. T.K. Biswas M.D. XXXXXXX








Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Tushar Kanti Biswas

Internal Medicine Specialist

Practicing since :1975

Answered : 1920 Questions

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What Causes Unusual Heart Palpitations?

Brief Answer: Palpitations probably anxiety state Detailed Answer: Hi, Thank you for your query. I can understand your concerns. If you are getting palpitations off & on and your cardiac work-up is normal,endocrine cause like thyrotoxicosis or phaeochromocytoma needs to be ruled out . Excessive Coffee, tea, alcohol consumption also can give rise to palpitations. What is your daily caffeine and weekly alcohol consumption? However description of palpitation as it is often precipitated by loud sounds or car horns indicates anxiety state . What is your heart rate when you get palpitations? In patients with panic disorders and other anxiety states, the sensation of palpitations may occur during periods of normal rate and rhythm. Certain drugs can also cause palpitations like sympathomimetic drugs. Medicines particularly decongestants such as ‘cold cures’ often contain sympathomimetic drugs. Is there any relieving factors like breath-holding, exercise? If there is no organic cause ,anxiolytic drugs will relieve symptoms. Regards Dr. T.K. Biswas M.D. XXXXXXX