Feeling the heartbeat in an uncomfortable way is perceived as palpitation. The appearance of the feeling of discomfort can be caused by the slow work of the heart, fast work or irregularities and misfires in the heartbeat. Palpitation is not a disease itself, but a symptom that occurs as a result of various triggering factors. Palpitation is one of the most common complaints among patients who apply to internal medicine and cardiology outpatient clinics, and it constitutes 10-35 percent of patients. Although the underlying cause is usually good, it can very rarely be caused by a life-threatening rhythm disorder.
The center where heart impulses are generated is the sinus node in your heart. The stimulus that comes out of that node in a fixed number and at regular intervals spreads to your heart at an incredible speed and contracts the heart muscle. While you are resting, your sinus node produces 60-100 impulses per minute. These numbers are the upper and lower limits of your heart beats per minute. The heart rate is slow in young people, especially in those who do active-intense sports. It can even go below 60 per minute. There is no danger in this situation.
In general, 35-40 percent of palpitations are caused by the heart, 30-35% are psychological, and the remaining (10 percent) are caused by drugs, foods and diseases not related to the heart. Apart from these, no cause was found in 15-20 percent of the patients. The main causes of palpitations without any heart problems are as follows; exercise, psychological factors (stress, anxiety, fear), cigarettes or cigars burned one after the other, excessive and rapid alcohol consumption, excessive coffee, cola or tea, anemia, thyroid problem, excessive use of diet and depression pills, premenopausal disease picture, ( pre-menopausal period in women), vitamin deficiencies, high blood pressure, extreme joy and fear, palpitations due to sleep deprivation (caused by caffeine), excessive and long-term intense work, normalization of the intensity in daily work by taking it for granted, long-lasting sadness, disappointment and Fears, conditions such as low blood sugar can cause heart palpitations.
If palpitations are accompanied by symptoms such as dizziness, blackout, fainting, chest pain, and shortness of breath, they should be taken seriously and investigated for underlying heart disease. Structural diseases of the heart (heart muscle diseases, valve diseases, etc.), cardiovascular diseases and diseases related to the electrical system of the heart may be the first symptom of rhythm disturbance. For this reason, in case of the above-mentioned symptoms along with palpitations, it is absolutely necessary to be examined by a cardiologist.
In a patient with palpitations, the ideal is to go to a health institution and have an electrocardiogram as soon as there is palpitation. However, this is difficult to implement in daily practice, because many arrhythmias are short-lived and resolve spontaneously. Rhythm recording can be done with rhythm recording devices to be applied to patients with frequent palpitations in daily practice. The biggest advantage of these devices is that they can be carried easily by the patient and do not restrict daily activities. In addition to this method, patients with palpitations should be investigated for possible structural heart disease and cardiovascular disease with exercise test and echocardiography. Palpitation complaints may regress after appropriate diagnosis and treatment of the disease that causes palpitation as a result of the examinations.
When you feel heart palpitations, you should not be alarmed unnecessarily. Most of your heart palpitations are harmless, benign, innocent, and go away on their own once the underlying triggers are gone. Therefore, do not be afraid of palpitations, but do not take it lightly.