Palpitations refer to forceful, rapid, or irregular heartbeats that patients describe as pounding, jumping, or racing. Palpitations can develop due to changes in heart rhythm like ectopic beats, compensatory pauses, high cardiac output, or valvular regurgitation. Specific types of irregular heart rhythms that cause palpitations include sinus tachycardia, paroxysmal tachycardia including supraventricular tachycardia, atrial flutter or fibrillation. Premature ectopic beats can also cause palpitations and are felt as a dropped beat followed by a stronger beat. Paroxysmal tachycardia episodes have a heart rate over 120 beats per minute and
2. PALPITATION
Forceful or rapid beating of heart
Patient describe
Pounding
Jumping
Racing
Irregularity of heart
3. PALPITATION CAN DEVELOPE
Change in heart rhythm
Ectopic beats
Compensatory pause
Augmented stroke volume due to valvar regurgitation
High cardiac output
All form of tachycardia sudden bradycardia
4. TACHYCARDIAS
Sinus tachycardia may be due to anxiety, anemia fever or drugs etc
Paroxysmal tachycardia due to SVT atrial flutter or fibrillation
palpitation = slow, fast or irregular heart rhythm
5. PREMATURE (ECTOPIC) BEATS
Usually due to atrial or ventricular ectopic beats
Patient describe it dropped beat because the premature beat followed by the a
pause before next normal beat which is more forceful as a result of longer
diastolic filling period
Most of the time it is related to anxiety and aggravated by chocolate and
excessive intake of tea.
6. PAROXYSMAL TACHYCARDIA
Beats are >120/min
Starting abruptly and terminating suddenly result from the proxysmal
supraventricular (atrial or junctional ) tachycardia or ventricular tachycardia
Paroxysmal Supraventricular tachycardia (SVT) and paroxysmal atrial fibrillation
are common causes
Some patient feel tachycardia on standing from sitting position associated with
mild drop in BP symptoms is dizziness
These patient have form of postural orthostatic tachycardia syndrome (POTS)
7. Paroxysmal tachycardia when prolonged may be associated with
Syncope
Dyspnea
Chest pain
Diagnose measure BP check pulse and perform ECG
Avoidance of stress, coffee and treatment with beta blockers are usually enough
to control the symptoms
8. BRADYCARDIA
Generally palpitation means is tachycardia
Sometime patients of heart block and bradycardia also complain of palpitation
Ghabrahat is very conmen
Restlessness