Heart palpitations can be unsettling. They’re those moments when you become suddenly aware of your heart beating—sometimes it feels too fast, too slow, or even irregular. While palpitations can often be harmless, they can also signal an underlying heart condition that requires attention.

Common Causes of Palpitations

There are a range of causes of heart palpitations, some of which are natural and some of which require further investigation, they include:

  1. Stress and Anxiety: Emotional triggers can cause your heart to race.
  2. Caffeine and Stimulants: These can elevate heart rate.
  3. Hormonal Changes: Menopause, pregnancy, or thyroid issues can impact your heart rhythm.
  4. Medications: Certain prescriptions can have side effects affecting the heart.
  5. Heart Conditions: Arrhythmias or other cardiac issues can manifest as palpitations.

When to Seek Medical Advice

It’s important to differentiate between benign palpitations and those that may indicate a serious condition. Seek medical advice if you experience:

  • Persistent palpitations lasting more than a few minutes.
  • Accompanying symptoms like dizziness, shortness of breath, chest pain, or fainting.
  • A history of heart disease.

If you experience palpitations in anyway which feels abnormal or worrying, you can always visit your doctor for advice and you may be referred on to cardiology.

Diagnostic and Treatment Options

Dr David Begley, a consultant cardiac electrophysiologist, highlights the importance of a thorough evaluation to determine the cause of palpitations. Common diagnostic tests include:

  • Electrocardiogram (ECG): Measures the electrical activity of the heart.
  • Ambulatory ECG Monitoring: Tracks heart rhythms over 24 hours or longer.
  • Echocardiogram: Ultrasound imaging to view heart structure and function.
  • Electrophysiology Study: Detailed mapping of the heart’s electrical activity.

Treatment varies based on the underlying cause and can range from lifestyle modifications and medications to more advanced interventions like catheter ablation or pacemaker implantation. You must be thoroughly examined to ensure the right treatment option is chosen and the palpitations become less of a problem.

Living with Heart Palpitations

Managing stress, reducing caffeine intake, and regular medical check-ups can help to mimise the frequency and severity of palpitations. However, if they are linked to heart disease or any cardiac problem you are likely to need specialised treatment. Dr Begley’s expertise in cardiac rhythm management helps patients access the right level of treatment and manage their condition effectively.

If you’re experiencing palpitations and are concerned about your heart health, don’t hesitate to seek professional advice. Early intervention can make a real difference in managing symptoms and improving quality of life. You can book in for an appointment with Dr Begley and discuss your concerns too.