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.

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.

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.