Heart Palpitations

Heart palpitations are a feeling that your heart is thrashing too exhausting or too quick, skipping a beat, or fluttering. You may notice heart palpitations in your chest, throat, or neck.

Heart palpitations can be annoying or scary. They usually are not serious or harmful, though, and often get away on their own. Most of the time, they're connected to stress and anxiety or to consumption of stimulants like caffein, nicotine, or alcohol. Palpitations also usually occur throughout gestation.

In rare cases, palpitations can be a symptom of a additional serious cardiovascular disease. Therefore, if you have heart palpitations, make arrangements to see your doctor. And seek immediate medical attention if on with palpitations, you experience shortness of breath, dizziness, chest pain, or fainting.

After taking your medical history and conducting a physical communication, your doctor may order tests that will either make sure or rule out an underlying cause. If an underlying cause is found, the right treatment can cut back or eliminate palpitations. If your palpitations are not associated with an underlying cause, lifestyle changes, including stress management and the dodging of common triggers, can facilitate stop them.

Causes of Heart Palpitations

Many things will cause heart palpitations. In the overwhelming majority of cases, the cause is either related to your heart or is unknown. Non-heart-related causes of palpitations include:

1. Strong emotions such as anxiety, fear, or stress; palpitations often occur throughout panic attacks.
2. Vigorous physical activity
3. Caffeine, nicotine, alcohol, or illegal street medicine such as cocain and amphetamines
4. Medical conditions, including thyroid sickness, a low glucose level, anemia, low blood pressure, fever, and dehydration
5. Hormonal changes throughout period, pregnancy, or the perimenopausal period; sometimes, palpitations during maternity ar signs of anemia.
6. Medications, including diet pills, decongestants, asthma inhalers, ANd some drugs accustomed stop arrhythmias (a serious regular recurrence problem) or treat an hypoactive thyroid
7. Certain flavourer and nutritionary supplements
8. Abnormal electrolyte levels
9. Some people expertise palpitations when ingestion serious meals that ar made in carbohydrates, sugar, or fat. Sometimes, eating foods with high levels of monosodium salt (MSG), nitrates, or sodium will bring them on.

If you have heart palpitations after ingestion sure foods, the problem may well be food sensitivity. Keeping a food diary can facilitate you establish that foods to avoid.

Palpitations can additionally be associated with underlying cardiovascular disease. When they ar, palpitations are additional seemingly to represent cardiopathy. Heart conditions associated with palpitations include:

1. Prior heart attack
2. Coronary artery disease
3. Other heart issues such as symptom coronary failure, heart valve problems, or heart muscle problems.

Your doctor will conduct a physical examination, take your medical history, and ask concerning your current medications, diet, and lifestyle. The doctor also can raise once, how often, and under what circumstances palpitations occur.

Sometimes, a blood test will reveal the presence of anemia, electrolyte issues, or thyroid abnormalities and help establish the cause of palpitations. Other helpful tests include:

1. Electrocardiogram (ECG). An graphical record will be done either whereas you're at rest or whereas you're workout. The latter is called a stress graphical record. An graphical record records your heart's electrical signals and will discover abnormalities within the heart's rhythm.
2. Holter monitoring. A Holter monitor is worn on the chest. It continuously records your heart's electrical signals for twenty four to forty eight hours. It can discover rhythm abnormalities that weren't known throughout a regular graphical record take a look at.
3. Event recording. An event recorder is worn on the chest. You use a handheld device to record the heart's electrical signals once symptoms occur.
4. Chest X-ray.
5. Echocardiogram. This is an ultrasound examination of the center. It provides detailed info concerning the heart's structure and perform.
6. If necessary, your doctor may refer you to a specialist for extra tests or treatment.

Treatment of Heart Palpitations

Treatment of heart palpitations depends on their cause. In most cases, palpitations are found to be harmless and typically flee on their own. In those cases, no treatment is needed.

If palpitations are not as a result of an underlying condition, your doctor may advise you to avoid the things that trigger them. Strategies could include:

Reducing anxiety and stress. Common stress-reducing therapies include relaxation exercises, yoga, tai chi, biofeedback, guided mental imagery, and aromatherapy.

Avoiding certain foods, beverages, and substances. This may embody alcohol, nicotine, caffeine, and illegal medicine.

Avoiding medications that act as stimulants. These include cough and cold medicines, and certain flavourer and nutritionary supplements.

If lifestyle changes fail to cut back or eliminate palpitations, your doctor may visit sure medications. In some cases, beta-blockers or calcium-channel blockers are used.

If your doctor finds that your palpitations are connected to an underlying condition, such as anemia, the focus are going to be on treating that condition. If the palpitations are caused by a medication, your doctor will attempt to notice another medication you'll be able to use. If the palpitations represent an cardiopathy, medications or procedures may be needed. You may even be spoken a regular recurrence specialist called an electrophysiologist.

Mild Heart Attack Symptoms

Sometimes there is a formation of fatty plaque in some parts of the heart and the supply of blood to that part get restricted and due to which supply of oxygen also get reduced and the heart muscles of that portion become inactive and in turn become the cause of heart attack in that person.

Mild heart attack is a term normally referred to a condition in which a person experiences a heart attack but his medical conditions like heart rhythm, blood pressure etc is stable throughout the attack and the heart also keep on doing its work as in normal circumstances and ECG also don’t detect any kind of problem in the heart. Due to prolonged deprivation of oxygen the heart muscles start dying and in turn cause more serious heart problems and serious heart attack.

Heart attack is the most important cause of death rate both in men and women but the condition has been much under control by the inventions of new methods of treatments. But to get wanted results the treatment should start within an hour as the symptoms of heart attack occur. Generally the symptoms of mild heart attack in men is chest pain but the symptoms are slightly different in women as they suffer quite different symptoms like jaw pain, poor digestion and weakness.
Common symptoms of mild heart attack:

Some typical symptoms of mild heart attack are listed below:

• Feeling dizziness sometimes along with nausea but occurrence of nausea is not compulsory.
• Feeling of uneasiness or soreness in left arm and hand.
• A clinching pain is felt in the chest which reduces sometimes but never ends completely by walking or changing the position of body. Gradually the pain elevates towards the shoulders, jaws, back bone and sometimes even teeth. Some patients feel this pain even radiating towards their shoulder blades. The main symptom of heart attack is pain in jaw, arms or in back.

• A very strong pain is felt in the center of the chest which is also a symptom of heart attack.
• A prickling sensation is felt in the arm, shoulder or jaw.
• Heaviness is felt in the lower abdomen which is sometimes mixed with poor digestion.
• Trouble in breathing or complete breathlessness.
• Fainting due to shortness of breath or complete breathlessness is also a sign of heart attack.
• Elaborate sweating is also a symptom of mild heart attack.
• Vomiting due to heaviness in the lower abdomen also expresses mild heart attack.
• Sometimes heartburn or feeling of indigestion is also a sign of heart attack.
• Severe state of anxiety or feeling the end of everything.

All above symptoms are the most common of heart attack and if any of these symptoms are seen one should consult the doctor and should not wait for all the symptoms to occur as most of the deaths due to heart attack are because they didn’t reach the doctor within the time.

Myocarditis

Myocarditis is a type of heart disease that is the inflammation of myocardium. Myocardium is the part of the heart that has more muscles compared to other parts. Myocarditis is caused by infections that can be viral or bacterial. The usual signs of myocarditis are heart failure quickly, chest pain and sudden death. There are various kinds of heart diseases from which people suffer. The neglect and wrong diagnosis of the disease can ave fatal consequences and at times affects the other parts of the body as well. Any kind of symptoms should not be neglected. Expert help should always be taken when there is need. Heart diseases are rampant among those who lead an extremely stressful life that involves physical and mental stress. However there are other causes as well like genetic and congenital defects that cause heart disease. The signs and symptoms showed by individuals having myocarditis are usually varied.

People having myocarditis have signs like stabbing chest pains, palpitations that is caused by arrhythmias, congestive failure of the heart. The congestive heart failure leads to hepatic congestion, edema and a feeling of breathlessness. Myocarditis can also cause fever that is the rheumatic fever and sudden death at times. Myocarditis is most of the times caused by viral infections due to which there are symptoms like diarrhea, pain in the joints and extreme fatigue. Myocarditis is linked with pericarditis often. Many patients show signs and symptoms that points to concurrent myocarditis and pericarditis. There are many factors that leads to the formation of myocarditis in the heart. The factors causing myocarditis have been identified by experts.

Viral infections like the presence of viruses like enterovirus, Coxsackie virus, rubella virus, polio virus, cytomegalovirus, and hepatitis C can cause myocarditis. Bacterias like brucella, corynebacterium diphtheriae, gonococcus, haemophilus influenzae, actinomyces, tropheryma whipplei, and vibrio cholerae are the causes of myocarditis. Spirochetal like borrelia burgdorferi, leptospirosis and protozoal infection like toxoplasma gondii and trypanosoma cruzi are the causes of myocarditis. Parasites like Echinococcus granulosus, visceral larva migrans, Wuchereria bancrofti, schistosoma, Taenia solium and trichinella spiralis. Drugs too are the contributing factors in causing myocrditis. Drugs containing chemotherapy, ethanol, and antipsychotics can cause this heart disease along with toxins and heavy metals. Electric shock, hyperpyrexia, and radiation too causes the disease.

Myocardium can be diagnosed on the results of electrocardiographic results (ECG), elevated CRP and/or ESR and increased IgM (serology). Markers of myocardial damage (troponin or creatine kinase cardiac isoenzymes) are advanced. The ECG show the diffusion of the T wave inversions and the elevations of saddle-shaped ST-segment. These are also found in pericarditis. The best way to detect myocarditis is biopsy of the myocardium that can be done by angiography. The biopsy can be done by the tissue sample of the endocardium and myocardium. A pathologists tests it under light microscopy, immunochemistry and special staining methods. Histopathological features of myocardium are myocardial interstitium accompanied by edema and inflammatory infiltrate, with ample lymphocytes and macrophages. Focal destruction of myocytes are the reasons for failure of myocardial pump.

Types of Heart Disease

Heart disease has become a disease which is effecting maximum number of people. Heart disease effects the functions of the heart. Heart is the most important part of human body which pumps the blood to the blood cells. Inadequate supply of blood may to blood cells can lead to many complications. There are many types of heart disease and each type of heart disease effects the heart in one or another way. The death caused by heart disease has increased in the past few years. The new techniques of diagnosing the heart disease has helped in spreading the awareness about the disease. As the lifestyle of people is changing more and more people are becoming victim of heart disease. The types of heart disease are Coronary heart disease (CHD), Rheumatic heart disease, Heart rhythm disorders, High blood pressure, Hypertensive heart disease, Heart attack, Pulmonary heart disease, Ischemic heart disease, Heart murmurs and Tachycardia.

Types of Heart Disease

Coronary heart disease (CHD) is one of the types of heart disease. It is one of the common types of heart disease caused by inefficiency of blood supply. Most of the people suffer from this type of disease. The heart disease which is caused by the heart damage from rheumatic fever. There are many symptoms of Rheumatic heart disease and each symptom varies according to the heart damage. The heart rhythm disorder is also called as arrhythmia. It is the the disorder in the rhythm of heart. This heart disease can sometime be harmless and dangerous also. One of the common types of heart disease is the disease caused by high blood pressure. It is a disease which is effects maximum number of people. This heart disease is called hypertension. This type of heart disease has to be diagnosed properly to avoid further complications. It is also called as a silent killer. The blood pressure has to be constantly checked. High blood pressure can give arise to many problems. Headache, discomfort and tinnitus are some of the symptoms of blood pressure. Hypertensive heart disease is also a type of heart similar to the heart disease cause by high blood pressure. Symptoms of the hypertensive heart disease are shortness of breath, nausea, fatigue, irregular pulse and hypertension.

Heart attack is also one of the types of heart disease. It is very deadly and is causing maximum number of deaths. It is also called as cardiac arrest and the symptom of this disease is the chest pain. Emergency help is also required if the chest pain is too much. Sometime people mistake chest pain with common heart burn. Pulmonary heart disease is caused because of lung disorder. When the flow of blood to the lungs are blocked this causes lung pressure and eventually resulting in a heart disease. The common symptoms of this type of heart disease are syncope, shortness of breath, chest pain, dyspneea, etc. In heart murmur the heart beat of the heart sounds different from the normal beating. Tachycardia results from the fast and rapid heart beat.

Coronary Artery Disease

Coronary Artery Disease

The changing lifestyle of the people are increasing the risk of heart disease. In the past ten years the maximum death is caused by the heart disease. People suffer from various types of heart disease. One of the most common types of heart disease is Coronary Artery Disease. Most of the people in the world suffer from this disease. Any type of the heart disease can be dangerous to health. The heart disease must be diagnosed earlier in order to avoid the complications. As it is a type of cardiovascular disease special care must be paid to your diet and exercise. It is a disease of arteries. It is also called as CAD. It is said to be one of the main causes of heart attack. In coronary artery disease the blood flow is obstructed in the arteries causing heart attack. When the flow of blood is reduced in the arteries the heart muscles get damaged causing heart attack. It can also result in other heart problems like chest pain. In many cases the disease develops over year and only comes in notice when the patient suffers from heart attack. If the disease is diagnosed in early stage then it can be cured to certain extent thus reducing the complications.

If coronary artery disease becomes more complicated it can largely reduce the supply of oxygenated blood to the heart. The signs and symptoms of coronary artery disease are shortness of breath, chest pain and heart attack. Many people ignore shortnesses of breath but it can be dangerous causing heart attack. Shortness of breath is one o the main symptoms of coronary artery disease. Shortness of breath means the you cannot pump enough blood to the heart. This can also cause fatigue and swelling of arms and ankles. Chest pain is also a common symptom of coronary artery disease. The patient suffering from chest pain can experience heaviness in the chest or pressure in the chest. If the patient suffers from frequent chest pain then he or she must be diagnosed. Heart attack has become very common and maximum number of people are falling pray to it. The maximum number of death in the world is caused by heart attack. In many cases the heart attack happens suddenly without any symptoms and signs. The number of deaths caused by coronary disease is increasing with each year. In United States the disease affecting millions of people.

The complications in coronary artery disease give rise to heart attack, arrhythmia and angina pectoris. Coronary artery disease is the result of atherosclerosis. When a plaque is formed in the arteries it causes atherosclerosis. If the patient is getting early symptoms of coronary artery disease an immediate check up must be done to avoid further complications. If the disease is detected earlier it can reduce many risk. There are lot of tests and surgery done to treat the disease. Those suffering from the disease must put more emphasis on the diet.

Rapid heart beats after eating -worry or not

Rapid heart beats after eating - what should we be worried about?

Rapid heart beats

Some people experience rapid heart beats after eating and this can create an important discomfort as they begin to be afraid or avoid eating in order to prevent these irregular heart beats to occur. Others are worried they might have a heart disease that causes palpitations and sick medical help. In the next part of the article we will find out what is the meaning of these palpitation and how can we prevent them.
After a meal, the digestion process requires more blood in the stomach and intestine and that’s why the heart has to pump more blood in these organs. The process consisting in increasing the amount of blood in the abdominal area after a meal is very important as it helps the body to assimilate food. This routine activity can determine palpitations, because heart has to work harder then usually. Until now, heart palpitation after eating seems to be a normal manifestation that can occur during a daily physiological process of our body.
Along with palpitation, after eating there are other manifestations that can also occur:

• nausea
•  dizziness-it occurs because cerebral blood flow is reduced, as the stomach needs more blood then usually in order to digest the food.
•  fatigue or even exhaustion (the blood will accumulate in the digestive system, while other organs and among them, the brain, will receive a smaller amount of blood)
• chest pain after eating- many times, patient with coronary disease (chronic heart ischemia determined by deprivation of oxygen) can have a chest pains after eating
•  sweating
• insomnia-if you sleep immediately after a meal, you may have problems to fall asleep. Because during night digestion and digestive secretion used in this process are diminished, you may get indigestion with abdominal discomfort, nausea and vomiting.
•  shortness of breath-the stomach is full of food and presses against diaphragma, restricting lung expansion during breathing
•  abdominal discomfort-if we eat too much or meals which are difficult to digest

If we experience rapid heart beats after eating should we seek for medical help?

Even if sometimes, heart palpitation after eating it is a normal manifestation, there are other causes for this condition, which need to be evaluated and treated. The answer is yes, if we experience heart palpitation after eating we should pay a visit to our doctor and check if there is something wrong.
What is the cause for heart palpitations after eating?

•  sudden consumption of food after a long period of starvation. This is often seen in patients suffering from anorexia nervosa, when after a long time of not eating, they start the consumption of food, the level of blood sugar increases rapidly, followed by increased secretion of insulin, which can create arrhythmia and also decreases blood sugar. The rapid decrease of blood sugar will stimulate the secretion of adrenaline, which will stimulate heart activity and create palpitation (it is like when you hurry up a person and it is obviously that in some point she will do mistakes)
•  hiatal hernia– a small portion of the stomach protrudes into the chest through diaphragm (the muscle that separates chest from abdomen and looks like a roof). This condition is usually associated with gastroesophageal reflux disease and may lead to chest pain and palpitations.
•  obesity- usually these persons have a diet with lot of sugar and caffeine, with a sedentary lifestyle and they can experience palpitation and chest pain. Their body has a lot of fats and these fats will deposit on the blood vessels wall, blocking them and generating heart disease (coronary arteries disease-with deprivation of blood and oxygen in the heart tissues). Also, the heart has to work extra hard to pump blood into their stomach.
•  hormonal imbalance could be a possible cause of heart palpitation after eating. For example hyperthyroidism (a thyroid disorder with high level of hormones) determines heart palpitation, tachycardia, chest pain, shortness of breath etc.
•  Severe anemia can affect heart and determine tachycardia (rapid heart rate) or irregular heart beats. Because there is a small number of oxygen carriers, heart will try to pump the blood faster and faster in order to satisfy the tissues need for blood and oxygen. In the same time, heart needs oxygen for itself, working harder with less oxygen it is a very good condition for palpitation to occur. Persons that avoid eating meat, can have anemia, as the meat is the main source of iron.

How can we treat rapid heart beats after eating?

Preventing heart palpitation after eating should first start with a moderate diet and by this we mean to eat moderate amounts of food at regular intervals. It is not advisable to eat one meal after we starved ourselves an entire day. Regular meals in small proportion, regular exercise, losing weight and periodically check of the hormones level (since hormonal imbalance can determine heart dysfunction) are the solution to this medical issue.

Heart palpitations at night

Why do we have heart palpitations at night?

Before we discuss the matter of heart palpitations at night, we have to clarify the meaning of the word “palpitation” in general. Palpitations refer to irregular heart beats, usually the heart beats to fast, or with pauses from time to time and gives us an abnormal sensation, sometimes associated with dizziness, light-headed sensation, shortness of breath, chest pain etc.
We all had palpitation at least once in our life, and this doesn’t mean we have a heart disease, because these symptoms occur in healthy people during exercise or associated to stress, smoking, coffee. Even so, if the palpitation persist or are associated with shortness of breath, chest pain, fainting, dizziness, a doctor should be consulted as soon as possible.
Some patients complain they have heart palpitations at night, which prevent them from falling asleep or wake them up in the middle of the night.

Heart palpitations at night -causes:

Normal heart rate for an adult is 60-90 beats/minute. If the heart rate is higher the 90 beats per minute, then the condition is called tachycardia and can provoke palpitation. Not only rapid heart rate can cause palpitation but also irregular heart beats, known as arrhythmia, which is the main cause behind palpitation. Why some patients experience heart palpitations at night, during rest, when heart labor is smaller?
Heart palpitations at night can be determined by one of the following cause:

• too much stress and anxiety gathered during the daytime. It is a habit now that every time we go to sleep, we think again at the daily problems and try to find a solution, as it is said night is a good adviser. If your mind is concerned about certain problems happening in your life, you may be lying down and think about it over and over again, but the emotions and the psychical tension can generate palpitation.
• excessive consumption of caffeine before sleeping can generate insomnia and palpitation, if you drink a lot of coffee, especially before sleeping, you may consider giving up.
• smoking
• alcohol consumption
• medication-some drugs used to treat different diseases (like asthma, heart diseases, high blood pressure, cold) can determine palpitation: pseudoephedrine used in cold medication, theophylline for asthma etc.
• pregnancy
• fever-it is well known that body temperature elevation is associated with rapid heart beats and sometimes with palpitations
• vigorous exercise before sleeping
• breathing problems determined by lung diseases determine a low level of oxygen in the body, which can lead to heart palpitations at night
• heart problem-patients with heart failure may develop paroxysmal nocturnal dyspnea (shortness of breath that occurs suddenly during night in patient with left heart failure) and palpitations, forcing them to wake up and search for an open window to get fresh air
• hyperthyroidism (a higher level of thyroid hormones can determine irregular or rapid heart beats)
• elevated blood pressure

If I have heart palpitations at night-how can my doctor discover if there is something wrong in my body?
Yes it is possible. For patients that have these symptoms only during night it is difficult to  diagnose them during a simple medical visit, but if a special device called holter ecg is used, then this is no longer a problem. Holter ECG is a portable medical device that the patient “wears” for 24 hours and it records heart activity during this period of time.
Heart palpitations at night-treatment
Heart palpitations at night can be treated only after proper tests are made in order to establish the correct diagnosis. In many cases, palpitations have no serious cause and a short time treatment associated with a life style change can be the “cure”.
Special precaution in patients with heart palpitations at night:

• avoid consumption of alcohol, coffee, drugs (marijuana, cocaine) or smoking
• avoid stress and anxiety-there are many types of techniques used against anxiety (psychotherapy, sports, taking vacation, travelling etc.)
• sometimes medication is needed in order to control anxiety
• respect your hours of sleep
• avoid if possible the intake of medication that stimulate palpitations

Heart palpitations at night can be very uncomfortable, but sometimes a simple change in the  daily habits can make them disappear.

Fibrillation of the heart

Fibrillation of the heart

In the next part of the article we will discuss about fibrillation of the heart, one type of irregular heart rate and what are the consequences for our body. Our heart is an organ that has a so called „automatism”, an intrinsic property of the cardiac tissue to create its own electric impulse, a signal that allows changes in cell metabolism in order to generate cardiac muscle contraction and therefore pumping blood into the arteries. This electric signal is generated in the sinus node (a structure capable of generating electric signal, located in right atrium) and then conducted through special structures until it reaches the ventricles (heart chambers that pump blood into the arteries). If these structures called pacemakers, can’t function normally, irregular heart rate occurs and one of them is fibrillation of the heart.

 What is fibrillation of the heart ?

What is fibrillation of the heart? And how many types of fibrillation of the heart exist? There are two types of fibrillation of the heart: one is called atrial fibrillation and another ventricular fibrillation. The difference between these types of fibrillation of the heart is not just in name, but also in origin and prognostic. The first type of fibrillation of the heart-the atrial fibrillation-is an irregular heart rate generated in multiple atrial cells (but not in the sinus node which is the „natural” heart pacemaker).
Patients with atrial fibrillation may experience palpitations, shortness of breath, chest pain, dizziness, drowsiness, fainting, but there are some patients that don’t complain of any symptom and they are diagnosed with the occasion of a routine medical check or when the complications occur. Usually, atrial fibrillation allows blood clots to form and they can flow in the arteries and block them, causing a condition known as ischemia: the tissues won’t receive enough blood and oxygen and cells start to die. In this situation, strokes, pulmonary embolism (clots in the pulmonary arteries that can lead to death), limbs ischemia (if untreated it can lead to amputation) can occur and can lead to patient’s death, if immediate  measures aren’t taken. On the electrocardiogram, in atrial fibrillation there is an irregular heart rate, without „P” waves (which are a mark of  heart rate generated by the sinus node) and the frequency of the heart beats can vary: low, average or rapid.
If this arrhythmia was discovered at its beginning, a conversion to the normal heart rate called sinus rhythm can be tried (either using medication or with electric shocks). After this procedure succeeded, other medication is needed in order to maintain the normal heart rate, to control the normal frequency of the heart beats and prevent blood clotting. In some patients, when the beginning of this arrhythmia is unknown, doctors will use only drugs to control the heart rate (beta blockers like metoprolole, atenolol; digoxin-a drug that increases heart contractility and also has antuarrthymic properties, very often used in the treatment of atrial fibrillation, calcium channel blockers like amlodipine, verapamil, diltiazem) and prevent blood clotting. Atrial fibrillation associated with rapid heart rate can be a severe medical condition affecting the level of consciousness and the only way to save patient life is the electrical conversion to the sinus rhythm using electric shocks.
The other type of fibrillation of the heart-ventricular fibrillation is an irregular heart rate generated in the ventricular cells and is not compatible with life, meaning that is one of the heart rate that generates cardiac arrest. Heart stops from beating and emergency measures of resuscitation are needed-cardiac massage alternating with artificial oxygenation of lungs, using facial masks with balloons or orotracheal intubation (which is preferred if it is possible to perform), electric shocks, specific medication like adrenaline, vasopressin, amiodarone. If in 30-45 minutes all these maneuvers are unsuccessfully, then the patient is declared dead.

As we saw above, fibrillation of the heart is a major heart disorder, that requires  special attention, knowledge, maneuvers and skills, since ventricular fibrillation is the most frequent cause of cardiac arrest in adults.

Hyperlipidemia symptoms

What are the hyperlipidemia symptoms ?

Hyperlipidemia represents increasing levels of lipid or lipoproteins in the blood and hyperlipidemia symptoms can be varied from patient to patient. Hyperlipidemia is a metabolic disease and may include changes in cholesterol (blood fat levels), triglycerides (a type of blood fat) or lipoproteins. There are two main types of hyperlipidemia: hypercholesterolemia (which occurs most frequently) and hypertriglyceridemia.  Hyperlipidemia may be a risk factor for atherosclerosis, cardiovascular diseases (coronary artery diseases and peripheral vascular diseases), but can affect other organs such as pancreas.

Hyperlipidemia symptoms

Hyperlipidemia symptoms are usually absent from most of the patients, if this is the only change to the analysis of blood. This can be found at a routine exam that the patient makes. It can remain undiagnosed for many years.
Hyperlipidemia symptoms can include first deposits of cholesterol (known as xanthomas) that form under the skin (especially around the eyes). They may be the only symptom that indicate an increase in blood lipids. They can also form the Achilles tendon and the extensor tendons of the hands. Xanthomas may have varied sizes, from very small to several centimeters. The diagnose of xanthoma can be done by physical examinations and by determining blood cholesterol levels.
Chest pain may be another symptom for hyperlipidemia. This pain can be felt by the patient as chest discomfort located anywhere. Patients go to the doctor for the fear of a heart attack. Hyperlipidemia is a risk factor for atherosclerosis (deposition of fat in the arteries of large and medium) that causes coronary artery diseases manifested primarily through chest pain. Any organ in the thorax may be the source of pain (heart, lungs, esophagus, muscles or nerves).
Another symptom which may be included in the category of hyperlipidemia symptoms is hepatomegaly (increased liver beyond normal size, 12 inches). This may or may not be associated with increased spleen size.
One of the last hyperlipidemia symptoms is abdominal pain. This may occur in the right hypochondrium where it is located the liver or anywhere in the abdomen. Hyperlipidemia occurs in the liver as fatty liver disease caused by the deposition of fat in liver cells. Pain in the abdomen can originate from many organs (stomach, small and large intestines, appendix, spleen, liver or pancreas). Pain may be generalized or may be located in a single point. In many cases patients don’t go to a doctor and expect that the pain to go by itself.
Treatment of hyperlipidemia symptoms

Treatment of hyperlipidemia symptoms can be done with drugs or by dietary changes, weight reduction and exercise. If cholesterol and triglycerides are not very high and patients have no important hyperlipidemia symptoms, doctors advice patients dietary changes by reducing dietary fat, weight loss and moderate exercise daily.
If  lipids values may be lower without drugs then doctors recommend the use statins (drugs used to lower cholesterol) and fibrates (drugs used to lower triglycerides).
Conclusion
In conclusion there are no specific hyperlipidemia symptoms, but if discovered at a routine exam is better to be treated because it can have serious complications.

Heart palpitations after eating

Heart palpitations after eating are one of the causes of heart palpitations seen in patients. This may be normal under certain conditions, but if it is associated with other symptoms can be a problem for the patients.
After you read this article you know which are the mechanisms, symptoms, causes, treatments and preventions of heart palpitations after eating.
Heart palpitations after eating are fast heart beats that occurs after eating and may or may not feel the patient. Heart palpitations may be due to cardiac or extracardiac. Very important is the severity of the heart palpitations after eating. They can be without hemodynamic significance (just heart palpitations and anxiety)  or hemodynamically significant, considered severe (with low blood sugar, syncope, chest pain and difficulty of breathing).

Mechanism of heart palpitations after eating  

After eating a meal, need for blood in the stomach and surrounding organs increases and thus aids digestion. In this process of digestion and absorption of food, increased heart rate may be undetectable or may be felt as palpitations. If you want to see if you have heart palpitations    you have to measure your pulse rate. This can be done at any hand with the index and the middle finger of the wrist from the other hand. If the pulse rate is over 90 -100 beats and it is maintained over this values,  the patient should consult a doctor.

Other symptoms that accompany heart palpitations after eating

This are nausea, dizziness, fatigue, asthenia, chest pain, shortness of breath  and discomfort in abdominal region felt as feeling bloated. After dinner heart palpitations after eating can may the patient inability to sleep in peace at night and this may be a very important problem for the patient.

Causes of heart palpitations after eating

There are many causes for this condition. One of this is hiatal hernia, which is a condition that upper part of the stomach enters into the thorax. For this, patients with hiatal hernia should avoid lying position for at least two hours after a meal.
Today an important cause for heart palpitations after eating is obesity. More persons are obese due to environmental factors (a sedentary lifestyle, a diet high in sugar, fast food). In this persons suffering from obesity, the heart must work harder to pump the blood to the stomach. Severe anemia is another cause for heart palpitations after eating. In this patients hemoglobin value are very low and may be accompanied by low serum ferritin values. This palpitations are often accompanied with fatigue, asthenia and adinamie.
There are also hormonal imbalances that cause heart palpitations after eating. Patients with hyperthyroidism (disease of the thyroid gland with overproduction of thyroid hormones).

Treatment of heart palpitations after eating

There is no specific treatment for patients with heart palpitations after eating. They must have a lifestyle adapted for prevent heart palpitations. For example:

• Have frequent meals and few quantitative
• Not have a sedentary lifestyle
• Not have a diet high in sugar and caffeine
• To conduct periodic reviews to prevent severe anemia or hyperthyroidism

If heart palpitations after eating continue after prevention methods the patients should consult a doctor.

Leaking heart valve

Mortality and morbidity thought leaking heart valve are  an important part of cardiovascular pathology.  The main changes in  the study of leaking heart valve involves an evaluation of their function and etiology.
So, rheumatic etiology is declining, while the degenerative and ischemic etiology is growing.
Clinical evaluation methods have the same value (family history, physical examination), but some paraclinical methods ( cardiac ultrasound and Doppler) have an important role.

Types of leaking heart valve

Leaking heart valve may occur at the four heart valve: mitral valve, aortic valve, pulmonary valve and tricuspid valve.
The most common type of leaking heart valve is mitral regurgitation. It is characterized by regurgitation of blood in systole ( contraction of heart) from the left ventricle into the left atrium. There are two causes of mitral regurgitation: acute and chronic. The etiology of mitral regurgitation can be inflammatory, but also degenerative and structural. Chronic mitral regurgitation lead to expansion of left atrium.   Echocardiography provides important information in mitral regurgitation.
Another type of leaking heart valve is aortic regurgitation. It is incomplete closure of aortic valve in diastole (relaxation of heart). Aortic valves are affected primary by acute articular rheumatism, infectious endocarditis and degeneration and it can be acute or chronic.
Two other leaking heart valve are tricuspid regurgitation and pulmonary regurgitation. Tricuspid regurgitation is characterized by regurgitation of blood in systole from the right ventricle into the right atrium because of the incomplete closure of the tricuspid orifice.

Leaking heart valve symptoms

Symptoms of patients with   leaking heart valve depends on regurgitation grade and how to install (suddenly or gradually). Patients with small regurgitation can be asymptomatic. There are some  common  symptoms to the patients with leaking heart valve:
-          dyspnea on effort (shortness of breath or air hunger);
-          cough;
-          angina pectoris on effort (chest pain on effort) or at rest;
-          heart murmur;
-          heart palpitations (heart beats more than 90 per minute);
-          asthenia and adinamie;
-          fatigue;
-          rarely may occur syncope;
-          pale skin on  clinical examination.

Leaking heart valve diagnosis

Positive clinical diagnosis is based on present of heart murmur (systolic or diastolic) with different characters. Most used methods for diagnosis leaking heart valve are echocardiography, chest radiography, electrocardiography and Doppler exam.

Treatment and evolution of patients with leaking heart valve

Treatment of asymptomatic patients with leaking heart valve is not necessary. To the patients with symptoms should avoid exercise and salt. There are also treatments with drugs and surgery for leaking heart valve.
Evolution and prognosis of leaking heart valve depend on the importance blood reflux, of how to install (acute or chronic) and of the etiology. Patients with small or average regurgitation may remain asymptomatic a long time, but patients with complications (infectious endocarditis, atrial fibrillation) have obvious symptoms. Patients with acute leaking heart valve have serious prognosis.