Palpitations

Palpitation
Artistic impression of a woman experiencing syncope, which may accompany heart palpitations
SpecialtyCardiology
Differential diagnosisTachycardia

Palpitations occur when a person becomes aware of their heartbeat. The heartbeat may feel hard, fast, or uneven in their chest.[1][2]

Symptoms include a very fast or irregular heartbeat. Palpitations are a sensory symptom.[1] They are often described as a skipped beat, a rapid flutter, or a pounding in the chest or neck.[1][2]

Palpitations are not always the result of a physical problem with the heart and can be linked to anxiety.[3] However, they may signal a fast or irregular heartbeat. Palpitations can be brief or long-lasting. They can be intermittent or continuous. Other symptoms can include dizziness, shortness of breath, sweating, headaches, and chest pain.[2]

Palpitation may be associated with coronary heart disease, perimenopause, hyperthyroidism, adult heart muscle diseases like hypertrophic cardiomyopathy, congenital heart diseases like atrial septal defects,[4][2] diseases causing low blood oxygen such as asthma, emphysema or a blood clot in the lungs; previous chest surgery;[2] kidney disease; blood loss and pain; anemia; drugs such as antidepressants, statins, alcohol, nicotine, caffeine, cocaine and amphetamines; electrolyte imbalances of magnesium, potassium and calcium; and deficiencies of nutrients such as taurine, arginine, iron or vitamin B12.[5]

  1. ^ a b c Robinson, Kenneth J.; Sanchack, Kristian E. (2019). Palpitations in StatPearls. StatPearls. PMID 28613787. Retrieved 2019-03-30 – via NCBI Bookshelf. This source from PubMed is licensed under the Creative Commons Attribution 4.0 International License.
  2. ^ a b c d e Aras, Mandar (2023). Current Diagnosis & Treatment: Cardiology (6th ed.). McGraw Hill, LLC. ISBN 978-1-264-64357-8.
  3. ^ Kowalchuk, Alicia; Gonzalez, Sandra J.; Zoorob, Roger J. (December 2022). "Anxiety Disorders in Children and Adolescents". American Family Physician. 106 (6): 657–664. ISSN 1532-0650. PMID 36521463.
  4. ^ Lilly, Leonard (2026). Pathophysiology of Heart Disease: An Introduction to Cardiovascular Medicine (8 ed.). a Wolters Kluwer business. ISBN 978-1-9752-1662-7.
  5. ^ "Vitamins That Can Cause Heart Palpitations". LiveStrong. com. Retrieved 2021-09-04.

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