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What Causes Irregular Heartbeat And Palpitations?

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Posted on Thu, 3 Sep 2015
Question: I have a hpm that has been in the 90s all day and I have been feeling paputations... Should i be concerned or is this normal for anxiety?
doctor
Answered by Dr. Ilir Sharka (39 minutes later)
Brief Answer:
It seems to be a normal reaction to anxiety.

Detailed Answer:

Hello!

Welcome and thank you for asking on HCM!

I understand your concern, and would like to explain that anxiety is frequently associated with increased adrenergic state, reflected with tachycardia, episodes of palpitations, dry mouth, sometimes excessive sweating, and even hypertension.

This is a normal body reaction in front of anxiety disorder (which is defined as an increased unjustifiable alertness) leading to increased sympathetic nervous system activity with its subsequent consequences.

If your symptoms are exclusively related with the periods of increased anxiety, than no further investigations are necessary.

But, if tachycardia and palpitations keep persisting frequently without any obvious responsible background, then you need to perform a medical check up (physical exam, resting ECG and some lab tests, like complete blood count to exclude anemia, thyroid function tests to identify possible hyperthyroidism, blood electrolytes, etc).

If suspicions towards cardiac arrhythmia are raised, then an ambulatory ECG monitoring (Holter) and cardiac ultrasound are necessary.

You need to discuss with your attending physician about the above mentioned issues.

Hope to have been helpful to you!

Feel free to ask me whenever you need! Greetings! Dr. Iliri

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Ilir Sharka (2 hours later)
I do think half of my issue is anxiety that something may be wrong..I've been to the doctor and had a ekg, x-ray, and blood test. If I don't have any other symptoms besides heart paputations should I not be worried.. And i know your heart beats fast when you workout is it not that bad to beat fast?
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
There is nothing to worry about!

Detailed Answer:
Hello again!

Your racing heart and palpitation feelings during those anxiety bouts, will never harm your heart, so nothing to worry about.

As I said before, it is a normal reaction.

So just relax!

Instead, try to release your anxiety. Meditation is the best you can do. Other tips are a lot of physical activity and recreational activity.

Hope to have been of help!

Best wishes,

Dr. Iliri
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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What Causes Irregular Heartbeat And Palpitations?

Brief Answer: It seems to be a normal reaction to anxiety. Detailed Answer: Hello! Welcome and thank you for asking on HCM! I understand your concern, and would like to explain that anxiety is frequently associated with increased adrenergic state, reflected with tachycardia, episodes of palpitations, dry mouth, sometimes excessive sweating, and even hypertension. This is a normal body reaction in front of anxiety disorder (which is defined as an increased unjustifiable alertness) leading to increased sympathetic nervous system activity with its subsequent consequences. If your symptoms are exclusively related with the periods of increased anxiety, than no further investigations are necessary. But, if tachycardia and palpitations keep persisting frequently without any obvious responsible background, then you need to perform a medical check up (physical exam, resting ECG and some lab tests, like complete blood count to exclude anemia, thyroid function tests to identify possible hyperthyroidism, blood electrolytes, etc). If suspicions towards cardiac arrhythmia are raised, then an ambulatory ECG monitoring (Holter) and cardiac ultrasound are necessary. You need to discuss with your attending physician about the above mentioned issues. Hope to have been helpful to you! Feel free to ask me whenever you need! Greetings! Dr. Iliri