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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sudden Palpitations?

Sometimes my heart randomly starts beating really hard and fast. This happens even when I am sitting down and haven t been doing anything. It happened for the first time when I was 10 years old, (now 20) and it really scared me at first. It happens a few times a month and so now I am used to it. Sometimes it lasts a few minutes and sometimes it lasts for up to an hour. It causes me to be short of breath, and when it goes on for longer than usual I get that tired, worn out feeling that you get after you just ran a lap- even if I have been sitting still the whole time. Over these 10 years a few things I have noticed that make it more likely to happen (but don t always cause it to happen) are caffeine, stress, and anxiety. Another strange trigger that sets it off almost every time is if I bend down quickly to pick something up off the floor. I am not overweight, but I am very out of shape and so lately I have been playing frisbee and taking walks. I have been running only a little bit when I play frisbee. I haven t done any very intense exercise. I have only been doing this for 5 days now and every time I do I get this heart thing. And even when I m not exercising it s been happening. Today it happened 3 times. And I have only recorded my heart rate twice and I had it once at 160 bpm resting and then another at 184 bpm resting. Should I stop exercising before I hurt myself or should I keep exercising and try to help it? Although this doesn t hurt me when each instance occurs, is it hurting me long-term? What could this be?
Mon, 1 Dec 2014
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Infectious Diseases Specialist 's  Response
Hello,
Welcome to HCm.Thanks for posting your query in HCM.
Heart palpitations are usually not serious or harmful and often go away on their own. Most of the time, they're related to stress and anxiety or to consumption of stimulants such as caffeine, nicotine, or alcohol,as in your case.

Medical conditions, including thyroid disease, a low blood sugar level, anemia, low blood pressure, fever, and dehydration can also lead to this.
Palpitations can also be related to underlying heart disease.Heart conditions associated with palpitations include:
Prior heart attack and Coronary artery disease

As you are having these episodes of palpitations from childhood,i would advice you to do a complete workout of your cardiac condition that includes ECG,2D-Echo ,Holter monitoring.

Along with this also do relaxation exercises, yoga,. Avoid certain foods, beverages, and substances including alcohol, nicotine,and caffeine.

Hope you are happy with the answer.

Thank you
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What Causes Sudden Palpitations?

Hello, Welcome to HCm.Thanks for posting your query in HCM. Heart palpitations are usually not serious or harmful and often go away on their own. Most of the time, they re related to stress and anxiety or to consumption of stimulants such as caffeine, nicotine, or alcohol,as in your case. Medical conditions, including thyroid disease, a low blood sugar level, anemia, low blood pressure, fever, and dehydration can also lead to this. Palpitations can also be related to underlying heart disease.Heart conditions associated with palpitations include: Prior heart attack and Coronary artery disease As you are having these episodes of palpitations from childhood,i would advice you to do a complete workout of your cardiac condition that includes ECG,2D-Echo ,Holter monitoring. Along with this also do relaxation exercises, yoga,. Avoid certain foods, beverages, and substances including alcohol, nicotine,and caffeine. Hope you are happy with the answer. Thank you