Cardiac Palpitations – Understanding Irregular Heartbeats

Fluttering, pounding, or racing heartbeats may be harmless or a sign of an underlying heart condition timely evaluation ensures safety and peace of mind.

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Not a Disease but a Symptom
May Indicate Arrhythmia or Heart Disease
Can Be Triggered by Stress, Caffeine, or Lifestyle Factors
Quick & Non-Invasive Diagnostic Tests
Treatable with Lifestyle Changes, Medicines, or Procedures
Specialist Care for Safe Management

What are Cardiac Palpitations?

Cardiac palpitations are sensations of irregular, fast, or forceful heartbeats that can be felt in the chest, throat, or neck. They may feel like fluttering, racing, pounding, or skipped beats. While often harmless and linked to stress, caffeine, or dehydration, palpitations may also signal serious arrhythmias, structural heart disease, or thyroid problems, which require medical evaluation.

Symptoms

Anxiety or fainting in rare cases
Awareness of rapid, irregular, or skipped heartbeats
Chest discomfort or mild pain
Chest discomfort or mild pain
Shortness of breath or lightheadedness

Causes

Structural heart disease
Arrhythmias.

Types of Cardiac Palpitations

Atrial Fibrillation (AFib)
Premature Atrial Contractions (PACs)
Atrial Fibrillation (AFib)
Atrial Flutter
Premature Ventricular Contractions (PVCs)
Sinus Tachycardia
Supraventricular Tachycardia (SVT)
Ventricular Tachycardia (VT)

Diagnosis

Medical history and physical examination
Electrocardiogram (ECG)
Holter monitor / event recorder
Blood tests
Echocardiography
Stress testing

Cardiac Palpitation Treatment

01
Lifestyle Modifications

Reducing caffeine, alcohol, smoking, and stress can significantly improvepalpitations. Adequate hydration, regular sleep, and balanced diet also help regulatethe heart rhythm.

02
Electrolyte Correction

Imbalances in potassium, magnesium, or calcium can trigger palpitations. Your doctormay prescribe supplements or IV fluids to stabilize electrolyte levels and improveheart rhythm.

03
Anti-Arrhythmic Medications

If palpitations are due to arrhythmias, medicines such as beta-blockers or calciumchannel blockers may be prescribed. These help slow down the heart rate and controlirregular beats.

04
Thyroid or Hormonal Treatment

Overactive thyroid, anemia, and hormonal changes can cause palpitations. Treatingthe underlying condition helps reduce or eliminate the symptoms.

05
Stress & Anxiety Management

In cases where palpitations are linked to anxiety or panic episodes, doctors mayrecommend relaxation techniques, counselling, or medication to manage stress andstabilize heart activity.

06
Catheter Ablation (If Needed)

For persistent palpitations caused by electrical disturbances in the heart, catheterablation may be advised. This minimally invasive procedure destroys the abnormalpathways responsible for irregular beats.

07
Pacemaker or ICD (In Severe Cases)

If palpitations are related to dangerous heart rhythm problems, the doctor may suggesta pacemaker or implantable cardioverter-defibrillator (ICD) to maintain safe andregular heartbeats.

08
Avoiding Triggering Medicines/Substances

Certain medications (like decongestants), energy drinks, steroids, and recreationaldrugs can cause palpitations. Your doctor may modify or stop these to preventrecurrence.

Why You Should Not Delay

While occasional palpitations may be harmless, persistent or severe cases may signal arrhythmias, heart failure, or stroke risk (especially with atrial fibrillation). Early evaluation prevents complications and ensures effective treatment.

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Frequently Asked Questions

What are cardiac palpitations?

Cardiac palpitations are sensations of a fast, irregular, or skipping heartbeat. They can feel like fluttering, pounding, or racing in the chest, throat, or neck.

What causes heart palpitations?

Palpitations can occur due to stress, anxiety, caffeine, dehydration, thyroid problems, or anemia. Heart conditions like arrhythmias (AFib, SVT), valve issues, or cardiomyopathy can also trigger them.

Are palpitations serious?

Most palpitations are harmless, but if they come with dizziness, chest pain, fainting, or shortness of breath, Healic cardiologists recommend immediate evaluation to rule out dangerous arrhythmias.

How are palpitations diagnosed at Healic?

Doctors may perform an ECG, Holter monitor test, blood tests (thyroid/electrolytes), or an echocardiogram to identify the cause and check for underlying heart disease.

How are palpitations treated?

Treatment depends on the cause. Lifestyle changes, hydration, reducing caffeine, or adjusting medicines may help. For arrhythmias, Healic specialists may recommend medication, cardiac ablation, or in some cases, a pacemaker.

Still unsure about treatment?

Don’t worry, our expert team will guide you through diagnosis, treatment options, and recovery. Share your question and we’ll respond quickly.

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