Palpitations

Also known as Heart skipping a beat, Heart fluttering, Heart jumping, Heart skipped a beat, Heart racing, and Heart Throbbing

Palpitation is an abnormality of heartbeat that ranges from often unnoticed skipped beats or accelerated heartrate to very noticeable changes accompanied by dizziness or difficulty breathing. Palpitations are common and occur in most individuals with healthy hearts. Palpitations without underlying heart disease are generally considered benign. However, heart palpitations can be symptoms of illnesses such as coronary heart disease, asthma, or emphysema.

Source: Wikipedia

What causes it?

The most common causes of palpitations are high blood pressure, atrial fibrillation, and anxiety. Other possible causes, such as heart failure, are more rare.

What symptoms are related?

Within all the people who go to their doctor with palpitations, 59% report having sharp chest pain, 56% report having shortness of breath, and 51% report having dizziness.


What might my doctor prescribe?

Common Tests and Procedures

Patients with palpitations often receive electrocardiogram, hematologic tests, radiographic imaging procedure, complete blood count, plain x-ray, glucose measurement, electrolytes panel and kidney function tests .

Common Medications

The most commonly prescribed drugs for patients with palpitations include diltiazem, adenosine, sotalol, propafenone, flecainide, regadenoson (lexiscan), propylthiouracil, ibutilide, pindolol, rofecoxib (vioxx), trandolapril / verapamil, masoprocol topical and acrivastine / pseudoephedrine .

Who is at risk?

Groups of people at highest risk for palpitations include age 60-74 years. On the other hand, age 1-4 years and age < 1 years almost never get palpitations.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.2x
15-29 years
0.8x
30-44 years
1.2x
45-59 years
1.2x
60-74 years
1.6x
75+ years
1.4x

Sex

Male
0.8x
Female
1.2x

Race/Ethnicity

Black
0.7x
Hispanic
0.9x
White
1.1x
Other
1.4x
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