Understanding Heart Palpitations: When Anxiety Isn't the Only Culprit

A heart palpitation can be a frightening sensation, especially when it lasts for an hour and is rated as high as a 9 out of 10 on the pain scale. The condition can significantly impact one’s quality of life, and it's important to distinguish between anxiety-induced palpitations and those that might be a sign of a more serious underlying issue, such as an arrhythmia.

Many individuals, especially those dealing with anxiety, are often told that their palpitations are simply a result of anxiety and are not necessarily a cause for major concern. However, it's crucial to seek further evaluation to understand the true nature of the symptoms. If you are experiencing these palpitations, consider scheduling an appointment with a cardiologist, who can provide a thorough assessment and appropriate diagnostic measures.

Consulting a Cardiologist: Your Next Step

A cardiologist is a specialized physician with the expertise to evaluate and treat a wide range of heart and blood vessel conditions. They can provide a more comprehensive diagnosis, which might include a complete history, physical examination, and the use of various diagnostic tools such as an electrocardiogram (EKG), echocardiogram (Echo), and a wearable cardiac monitor.

Diagnostic Tests and Monitoring Tools

EKG (Electrocardiogram): An EKG is a painless and non-invasive test that measures the electrical activity of your heart. This test can detect abnormal heart rhythms, such as those seen in arrhythmias like atrial fibrillation. Wearable Cardiac Monitor: For intermittent palpitations, a wearable cardiac monitor can be prescribed. It allows you to record heart activity during episodes of palpitations. There is a button attached to the device that you can push to mark the onset of palpitations for closer analysis. Echo (Echocardiogram): This test uses sound waves to create detailed images of your heart. It can help identify structural problems within the heart that might be causing the palpitations.

Common Causes and Symptoms of Arrhythmias

Arrhythmias are irregularities in the heart's rhythm. While anxiety can certainly cause palpitations, there are other causes to consider. Common arrhythmias include:

Atrial Fibrillation: This is the most common type of arrhythmia, characterized by an irregular and often rapid heartbeat. Atrial Flutter: Similar to atrial fibrillation, but the heartbeat is more organized and typically at a faster rate than atrial fibrillation. Ventricular Tachycardia: This condition involves rapid heartbeats originating from the ventricles, which can be a sign of a serious heart condition.

Palpitations that occur with pain are often related to a higher heart rate, usually over 130 beats per minute. Tachycardia at 160 beats per minute is usually painless, which is why your doctor may suspect anxiety as the cause rather than a serious heart condition. However, your doctor may still recommend further testing to rule out any underlying issues.

What You Can Do Now

Here are some steps you can take to manage and address your palpitations:

Visit a Cardiologist: Schedule an appointment with a cardiologist to conduct a thorough evaluation. Prepare a list of your symptoms, including when they occur, their duration, and any possible triggers. Stay Informed: Research common causes and symptoms of arrhythmias. Understanding your condition can help you approach your doctor with more informed questions. Follow Medical Advice: If your doctor suggests diagnostic tests or further treatment, follow their recommendations for your safety and well-being.

Conclusion

The experience of heart palpitations can be a source of anxiety and concern, but it's important to understand that they can have a range of causes. Seeking the expertise of a cardiologist can provide the necessary clarity and peace of mind. Whether your palpitations are due to anxiety or an underlying cardiac issue, getting a proper diagnosis and appropriate care is crucial. Remember, your health is a top priority, and working with a specialist can help you manage your condition effectively.