Palpitations

Overview of Palpitations

Palpitations Meaning in Urdu

یہ بیماری لاحق ہونے کی صورت میں دل کی دھڑکن کئی دفعہ تیز تو کچھ مرتبہ سست ہو جاتی ہے۔ دل کی دھڑکن کسی بھی وقت تیز یا کم سست ہو سکتی ہے، حتی کہ اگر آپ آرام کر رہے ہوں تو پھر بھی یہ کم یا زیادہ ہو سکتی ہے۔ دل کی دھڑکن بے ترتیب ہونے کی کئی وجوہات ہو سکتی ہیں۔ بہت زیادہ سخت ورزش، نیند کی کمی، ذہنی دباؤ، اضطراب، کیفین، اور کچھ ادویات کے استعمال کو دل کی دھڑکن کی بے ترتیبی کی عام وجوہات سمجھا جاتا ہے۔ اس کے علاوہ آئرن کی کمی کی وجہ سے بھی دل کی دھڑکن متاثر ہو سکتی ہے۔

Palpitations meaning in urdu (Dil ka Dhak Dhak krna /دل کا دھک دھک کرنا) is a fast beating, fluttering, or pounding of the heart. Palpitations are the irregular movements of the heart sensations. It depends on the other factors that trigger the heartbeats such as: 

  • Stress
  • Exercise
  • Medication
  • Medical conditions e.g arrhythmia

People with heart palpitations can be troublesome if it is associated with some serious heart condition such as arrhythmia (irregular heartbeats).

Signs and Symptoms of Palpitations

An individual having palpitations can feel the following symptoms:

  • Heart skips a beat
  • Heart beating hard
  • A rapid fluttering of the heart
  • Heart-Pounding
  • Flip-flopping

People also feel that heart palpitations may occur in the throat or neck as well as the chest. It is possible when they are active or in a resting position.

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Causes of Palpitations

The causes of Palpitations remain unclear but there are some common potential reasons for heart palpitations, which are: 

  • Excess use of caffeine or alcohol
  • Nicotine usage from tobacco products such as cigarettes and cigars
  • Vigorous physical activities
  • Stress
  • Lack of sleep
  • Having Fear
  • Feeling panic
  • Dehydration
  • Hormonal changes, including pregnancy
  • Electrolyte imbalance
  • Low blood sugar
  • Anemia
  • Overactive thyroid (hyperthyroidism)
  • Low levels of oxygen (hypoxia) or carbon dioxide in the blood
  • Blood loss
  • Shock
  • Fever
  • Heart palpitations anxiety
  • Over-the-counter (OTC) medications, including cold and cough medications, herbal supplements, and nutritional supplements
  • Prescription medications such as asthma inhalers and decongestants
  • Stimulants such as amphetamines and cocaine
  • Heart diseases, such as arrhythmia (irregular heart rhythm), abnormal heart valves, congestive heart failure, etc.
  • Smoking
  • Sleep apnea
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Risk Factors of Palpitations

Some of the factors that can increase your risk of palpitations include:

  • Suffering from stress or have anxiety disorders
  • Being pregnant 
  • Intake of certain medications that affect your heart rate
  • Having an existing heart problem
  • An overactive thyroid gland

Health Complications of Palpitations

If heart palpitations become a serious cause of heart-related medical conditions. These are the possible complications that may result due to continuous palpitations.

  • Fainting: Due to the rapid increase in heartbeats and a significant decrease in blood pressure may lead to fainting. This might be more likely to occur if people have heart problems, such as congenital heart disease or certain valve problems.
  • Cardiac Arrest:  Palpitations can be caused due to arrhythmia that stops the heart from beating effectively.
  • Stroke: This might be possible due to a condition in which the upper chambers of the heart start to flutter instead of beating properly (atrial fibrillation). Due to this blood clots form and block the brain artery, causing a stroke.
  • Heart Failure: This can result due to the heart beating hard for a prolonged period due to an arrhythmia, such as atrial fibrillation. Uncontrollable heartbeats may have a risk of heart failure.

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Prevention

If the cardiologists think that treatment isn’t required but can be easily managed by diet, an individual can opt these measures to decrease their chance of  palpitations:

  • Try to identify the stimulators that elevate the palpitations and avoid them as much as the people can such as cheese, cured meat, dried or overripe fruits, chocolates, etc.
  • Make a list of the activities, as well as the foods and beverages you eat and note when you get palpitations.
  • To release the heart palpitations anxiety or stress through relaxation exercises such as deep breathing, yoga, or tai chi.
  • Stop the intake of caffeine. 
  • Avoid energy drinks.
  • Don’t smoke or use tobacco products.
  • Exercise regularly.
  • Adopt a healthy diet.
  • Avoid alcohol intake.
  • Stop taking the drugs that cause heart palpitations frequently that are cocaine and amphetamines.
  • Try to keep the blood pressure and cholesterol levels under control.

In case you have persistent heart palpitations, consult a medical professional as soon as possible.

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Diagnosis

A cardiologist will make the medical history on the basis of the questions of the previous medical condition. The medical illness history is important to diagnose the signs that may cause palpitations such as  the swollen thyroid gland. During the consultation, your  cardiologist will check your heart beat with the help of a stethoscope.  

If cardiologists notice that palpitations occur due to heart condition such as arrhythmia then they recommend following diagnostic tests including: 

  1. Electrocardiogram (ECG): In this non-invasive technique, a technician attaches leads on the patient's chest to record the electrical signals that convert into heartbeats on the screen. An ECG is a basic tool for a doctor to diagnose heart problems. This machine detects heart structure and problems that may cause palpitations. The test is performed either at the patient’s resting state or during exercise (stress electrocardiogram).

  1. Holter Monitor: Holter is the portable medical device that a person can easily wear, to monitor the continuous heart palpitations for at least 24 to 72 hours. It is the modified form of ECG because sometimes heart palpitations can't be detected in a regular ECG examination session. Hence this device is preferred. Some personal devices such as smartwatches have the function of ECG monitoring. So ask your cardiologists for such options.

  2. Event Recorder: If an individual feels the irregular heart rhythms even after wearing the holter monitor then a cardiologist may recommend an event recorder. This is the quick, fast portable device that monitors the continuous heart palpitations. A patient wears it at the time of heart racing and records the heart activity in a few minutes.

  3. Echocardiogram: This helps to show a moving image of the heart display on the computer screen as the sound waves pass through the heart. Echo can also show blood flow and structure abnormalities along with the heart.

Treatment of Palpitations | When to Consult a Doctor

Treatment and causes of palpitations are interlinked with each other. After addressing the exact cause, a cardiologist will recommend the treatment based on the diagnosis.

At times, the causes of palpitations cannot be identified until the condition of the patient gets worse. The problem is treated by adopting a healthy lifestyle. Major causes are:

  • Tobacco smoking
  • Consuming too much caffeine
  • Cutting down or eliminating those substances that may increase it ( sodium or tyramine rich food, spicy food, the compound containing theobromine like chocolate)

Specifically, there is no treatment or medication for palpitations. It is mostly managed  through alternative drugs that have been used for associated medical conditions.

Doctors to treat Palpitations

Last updated on Sunday 23/10/2022

Doctor

Dr. Muhammad Kashif Zafar

Cardiologist | MBBS, FCPS, FCPS

Punjab Institute of CardiologyRs 1500

Omar Hospital and Cardiac CentreRs 1500

0

Today’s Slots

98%

Satisfaction Rate

29

Years

Highly recommended. Very good Doctor.

Doctor

Dr. Muhammad Saleem Akhtar

Cardiologist | FCPS, MBBS, MCPS

Hameed Latif HospitalRs 3000

0

Today’s Slots

98%

Satisfaction Rate

21

Years

Highly Recommended

Doctor

Dr. Riaz Zulqurnain Aslam

Cardiologist | MBBS, DIC

Iqra Medical ComplexRs 2000

7

Today’s Slots

99%

Satisfaction Rate

34

Years

Very supportive doctor, experience was good.

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