If you are really bothered with this, it's possibly a good idea to see a doctor and get a 24 hour EKG test done. However, one condition, atrial flutter, should be ruled out. I'd say in 99% of the cases, the fluttering sensation (with normal heart rate) is not cardiac related, but caused by benign muscle tremor in chest and neck. I know this phenomenon, it's really common (I have this sensation myself from time to time a sensation of fluttering/extremely high heart rate when waking up, especially right after falling asleep, and your heart rate is in fact normal). Your GP may arrange further tests or refer you to an outpatient clinic at your local hospital.Hello. You are concerned about the palpitations.The palpitations last a long time, don’t improve or get worse.They’re unlikely to be caused by a serious problem and probably won’t need treatment. You don’t usually need to see your GP if the palpitations pass quickly and occur only occasionally. Other medical conditions such as thyroid problems, anaemia, low blood sugar, fever, dehydration and a low blood pressure on standing can also cause palpitations. Specific heart rhythms such as atrial fibrillation, atrial flutter, supraventricular tachycardia and ventricular tachycardias are known as arrhythmias.Ĭertain heart conditions associated with heart valves, enlarged heart muscles and reduced pumping ability of the heart may also cause palpitations. Hormonal changes during a woman’s period, pregnancy or the menopause may cause palpitations: these are usually temporary. Speak to your GP if you think your medication may be the cause. These include asthma medications, some blood pressure medications, antihistamines, macrolide antibiotics, some antidepressants and antifungal medications. Breathing exercises and panic attack tips may help if you’re feeling stressed, anxious or panicky.Ī variety of medications can sometimes cause palpitations. Avoiding these triggers may help stop them coming back.Įxcitement, anxiety, stress and panic attacks can also cause palpitations. In these cases, the palpitations should go away without any treatment. Life style triggers include: strenuous exercise not getting enough sleep drinks containing caffeine, alcohol smoking recreational drugs, rich or spicy foods. These are known as ectopic beats and are also usually nothing to worry about. Sometimes you may feel an extra or missed beat.Palpitations may seem alarming, but in most cases they’re harmless and aren’t a sign of a serious problem.Palpitations are often most noticeable at night or when you are alone.You may also feel these sensations in your throat or neck. You may feel your heart is pounding, fluttering or beating irregularly, often for just a few seconds or minutes.Heart palpitations are heartbeats that suddenly become more noticeable.This information also explains when you should seek urgent medical attention.If you are getting recurrent episodes of palpitations it is worth discussing this with your GP who may arrange further outpatient tests such as a 24 hour ECG monitor.We may also have taken blood tests or a chest x ray. During your visit, we may have carried out a trace of your heart (an ECG, electrocardiogram) and taken some observations of your heart rate, blood pressure and temperature.Although palpitations can be caused by abnormal rhythms such as supraventricular tachycardias (SVTs) and atrial fibrillation which may require treatment, this is unusual and the vast majority do not need any treatment.Palpitations may seem alarming and be uncomfortable. This information discusses possible causes, how to avoid a recurrence and when to seek help. You have been seen in the Emergency Department because of heart palpitations.Download and print as a PDF (147kB pdf) On this page
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