What is Palpitation?
Palpitation is a feeling of awareness of your own heart beat. It is usually described as heart rate being either too fast (racing), too slow or a sensation of missing a beat.

Types of palpitations?
Normal (Benign)
- These palpitations occur as a response to physical or mental stress like exercise, fever, pain, fear, anxiety etc. 
- They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.

Abnormal
- These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart. 
- These can be dangerous and at times life threatening. They may or may not settle on their own and require some medical treatment.

Warning signs that suggest palpitations are abnormal?
Palpitations are abnormal, if they are associated with chest heaviness, chest pain, uneasiness, sweating, weakness, giddiness, feeling of black out, fainting, nausea, vomiting, seizures. Palpitations are more likely to be abnormal in people who have some existing heart disease and these patients should report to their doctor at the earliest.

What to do during palpitations?
1. Stay calm. 
2. Call for help. If u are alone avoid driving, use a taxi or auto, go to your nearest hospital/doctor and try to get an ECG during the palpitations. If you are helping someone having palpitations, if they faint, call for help, start CPR if they remain unresponsive and take them to the nearest hospital. 

Which doctor can treat palpitations?
Doctors who specialise in the treatment of palpitations are called Electrophysiologists. They specialise in heart rhythm and are capable of performing a variety of complex tests to identify and treat different types of palpitations.

Which investigations are used to diagnose palpitations?
ECG: Taken during palpitations and when the patient is normal is a very helpful tool. 
Holter: Externally applied recorder, which continuously records heart rhythm for 24 hrs. 
ELR: Extended loop recorder, is like holter, but it records rhythm for longer durations. 
ILR:  Internal loop recorder is attached within the body for recording rhythm for long duration. 
EPS: Electrophysiology study, is the most sure shot test to diagnose, identify and treat 
Palpitations.

What is EPS?
EPS stands for Electrophysiology study. By this test a trained Electrophysiologist studies the conduction and formation system of heart beat, to understand the source, cause and type of palpitation. It is a simple and safe procedure of 2 to 3 hours and can be done as a day care procedure (by admitting the patient for a few hours in hospital, with discharge on same day).

It requires fasting for 4 hrs, some standard blood investigations and is done with local anaesthesia and if required it can be combined with treatment like ablation in the same sitting.In the procedure Electrophysiologist take catheters into your heart to study and stimulate the palpitations and understand them. Once found they can use various techniques to stop the palpitations, the techniques are called Ablation.

What are the treatment options available for palpitations?
There are many options depending upon the nature of palpitations and condition of the patient: 
- Drug therapy 
- Cardioversion where either a drug or electric shock is given to stop palpitations immediately. 

Ablations using many sophisticated computer softwares 
Device Therapy like ICD (Internal cardiac defibrillator) 
Combination of all the above therapies.

Your Electrophysiologist and you as a team can make a choice about the options that will be best for you.

Palpitations - Everything You Need to Know

Why Do You Get Palpitations? How to Get Immediate Relief?

Palpitations is the feeling that you experience when your heart beats abnormally. Heart palpitations can be felt in the form of rapid, fluttering or pounding heartbeats. They can be frightening as when you palpate, you heart beats so hard that it even skips a beat and the sensations are so strong that they can be felt all through your chest, neck, and throat.

Palpitations are also common especially in young people because of abnormal electrical circuits in heart from birth. However, they may have normal hearts on Echo. Such palpitations are curable by a nonsurgical methods called Radiofrequency Ablation.

Palpitations can be triggered as a result of a number of reasons like stress, certain medications, exercise etc.

Here are a few prominent causes of heart palpitations.

Causes unrelated to the Heart -

- Anxiety, fear, and stress
- Consumption of alcohol and drugs like caffeine, nicotine etc.
- Consumption of street drugs likes cocaine, amphetamines etc.
- Certain medical conditions such as thyroid, anemia, dehydration, low blood pressure and low sugar levels etc.
- Hormonal changes that occur as a result of menstruation, pregnancy, menopause etc.
- Certain nutritional and herbal supplements
- Certain medications like asthma inhalers, diet pills etc.
- Abnormal levels of electrolyte
- Sensitivity to certain food items like some carbohydrates

Causes related to the Heart -

- Coronary artery disease
- Prior instances of heart attack
- Congestive heart failure (a condition wherein your heart's chambers get affected)
- Problems associated with the heart valves or the heart muscles

Immediate Relief Mechanisms-

It is crucial to go to the most easily available doctor to get an ECG done during palpitations as ECG will give an exact diagnosis, which helps in identifying the clear line of treatment.

Here are a few techniques that can help you in getting immediate relief from heart palpitations until you are able to visit a doctor in case of a serious condition.

- Cough it out
- Splash cold water on your face or take a cold shower
- Practice slow, deep breathing exercises



Why Do You Get Palpitations? How to Get Immediate Relief?

As much as we take a dip in the bucket of blues and sing happy- sad songs to float and fall for the theorem of love; we are but orderlies to the emotion. We all wish if love had only been a four letter word. It, unfortunately, has multiple folds and crevices than the human mind can ever possibly think of. Nonetheless, staying in love is essential. Loving is as significant as is living; the reason being, it keeps you happy until you falter and with every faltering foothold, you emerge out as a stronger being.

A strange fact about the emotion is its tryst with wholeness. Love doesn t necessarily need an object or receptor under its radar. It could be experienced as a self - sufficient feeling. You may be full of love for a family, for a dear friend, for your lover or you could also be in love with your passion or yourself. Irrespective of perpetual disillusionment, one must try and remain in love.

Let's take a curious peek into these few ways to stay in love:

Put in efforts to look good: In any case,  beauty indeed lies in the eyes of the beholder , but finding yourself pretty is extremely important. One must take care to look good in his or her own eyes. Looking good is directly proportional to the way you feel and hence spending time on yourself helps you to think positively. You see yourself in a better light and are thus, in a position to love better.
Exercise to challenge your daily threshold: Exercising has multi - faceted effects on your overall health. If you exercise on daily basis, you witness your progress with every passing day. This encourages you to improve your flexibility and fitness. Exercising can lead to the release of the happy hormone - serotonin in one s body. Direct exposure to sunlight and consumption of food items rich in carbohydrates can also increase the level of serotonin. Exercising boosts up your confidence and makes you fall in love with your body.
Indulge in sweet things: As you grow up, you stop doing those little things that once gave you immense pleasure. Making a greetings card, baking a cake, making paper boats, going out on walks, teaching young children or doing whatever your heart feels like can actually make you stay in love.
Pursue your passion: A passion gets the best out of you; it rather steps up the limits of your talents. Pursuing one s passion makes one love oneself even more. It keeps you engrossed in your plus points, giving you little scope to brood over depressing factors.
Try having a pet to care for: Feeling responsible for your pet is a great way to discover another side of your personality. A pet gives you the warmth you had been looking for. The bond of love with a pet has had unmatched effects on a person s health.

5 Ways to Stay in Love

Coronary artery disease is characterized by accumulation of plaque in the coronary artery that chokes blood supply to the heart. This plaque buildup usually starts with cholesterol accumulation and gradually other particles such as calcium and lipoproteins get deposited as well. Over time, the plaque accumulates, making the blood vessels narrow and choking the supply of blood. In some cases, if the plaque ruptures, it may lead to formation of blood clots resulting in stroke.

The symptoms of coronary artery disease are:

1. Breathing difficulties: This disorder may lead to shortness of breath as the blood pumping mechanism of the heart is impaired; this usually results in fatigue and exertion. It is advised to avoid advanced cardio exercises such as the high intensity interval training.

2. Chest pain: Stress related activities may cause intense pressure or tightness in your chest, resulting in pain in the middle or left portion of your chest. If you discontinue the activity, the pain would usually subside. In some cases, you may feel the pain in the arm and the neck.

3. Heart attack: If the level of plaque accumulation is excessive, then it may result in a heart attack. It is characterized by breathing difficulties, pain, tightness in the chest and sweating. You may also experience pain in the neck and the jaw.

The causes of coronary artery disease are:
1. Smoking and alcohol consumption
2. Leading a sedentary lifestyle ups the risk of coronary artery disease
3. Hypertension
4. High cholesterol levels in the body
5. Blood sugar problems

Treatment
1. Get your blood pressure under control: If you suffer from high blood pressure, then it is recommended to get it under control to prevent coronary artery disease.
2. Quit smoking: If you are a habitual smoker, then it is time to nip the habit in the bud. Smoking is known to constrict blood vessels as it is a vasoconstrictor.
3. Eat healthy: Eat a well balanced diet consisting of vegetables and fruits so that your body receives the essential nutrients to function well.
4. Beat stress: You need to control your stress levels through exercise or meditation. Take time off work and do activities that make you happy.

Coronary Artery Disease: Causes and Treatment

Are you looking for effective and natural ways to prevent heart blockage and blood pressure management? You should consider taking Ayurvedic measures, which have been proven to be quite effective in dealing with various issues of the heart. Usually, heart blockages are difficult to deal with and a surgery has to be carried out for recovery. With Ayurvedic remedies, you can solve such issues without the concern of harmful side effects on your body.

Ayurvedic management of heart blockage
For effective prevention and management of heart blockages, you need to create a certain Ayurvedic medicine using basic ingredients.

Mix lemon, ginger, apple vinegar and garlic together and boil on a light flame.
After the quantity gets reduced, leave the mixture to cool.
After this, add some honey in the solution, and store it in a bottle for use. You have to take this medicine every morning after waking up.
Note all the ingredients are chosen for their unique and beneficial features.
Lemon contains more than 19 qualities, and garlic and ginger are good for dealing with gastric issues. Apple cider vinegar is given great importance in Ayurveda, and honey is good for your blood. Hence, this medicine is ideal for treating heart blockages effectively.
Ayurvedic management of blood pressure
High blood pressure or Rakta Gata Vata refers to an elevation in the pressure of blood in your arteries. The increase in pressure is based upon your age, activities, diet, and medical history.

The Ayurvedic remedies for the prevention and control of blood pressure include the following:

Avoid consuming eggs, meat, tea, coffee, pickles and table salt.
Abstain from smoking.
Increase your intake of food items such as lemon, garlic, parsley, grapefruit, cottage cheese, Indian gooseberry, and watermelon.
Engage in regular exercise as it is important for lowering and preventing your chances of high blood pressure.
Laugh a lot and keep away from anxiety and stress factors.
Make a juice of garlic cloves, wheat grass and basil leaves. Have this regularly for reduced chances of high blood pressure.
Mix onion juice with honey and have the mixture every day.
Make a paste using garlic and buttermilk, and drink it regularly.
Grind roasted watermelon seeds, add water to the powder, strain the liquid, and have it twice every day.
It is important for you to visit an Ayurvedic practitioner before starting to take Ayurvedic measures for heart blockage or high blood pressure on your own. This will ensure that you are prescribed the best measures by a qualified and experienced doctor.

Heart Blockage & Blood Pressure - How Ayurveda Can Help You Prevent It?

What Happens When the Electrical Activity of Your Heart Changes?

The heart's electrical conduction system plays a very important role in cardiovascular functioning. Also known as the atrioventricular (AV) conduction system, it regulates and controls the timing of the heartbeat.

How does the heart's electrical conduction system work?

There is a collection of electrical cells in the upper right atrium of the heart known as the sinoatrial (SA) node which acts as a natural pacemaker and generates electrical signals. These signals travel through specialized electrical pathways and stimulate the muscular walls of the heart to contract in a rhythmic manner. This gives rise to the heartbeat that pulses at a specific frequency every minute.

What is the effect of fluctuations in electrical activity on the heart?

The standard heart rate in human being ranges from 60 to 100 beats per minute. It slows down when a person sleeps and speeds up when one experiences physical or emotional heightening. These fluctuations are triggered by the brain or other systems of the body and signal the SA node to generate charges more rapidly or slowly. This leads to spikes and drops in the heart rate, depending on the nature of the situation.

What happens when there is dysfunction in the heart's electrical activity?

When the heart's electrical conduction system does not function properly, it leads to the occurrence of a condition known as arrhythmia or abnormal heart rhythm. This happens when electrical impulses are generated in an irregular manner and causes tachycardia (rapid heartbeats) or bradycardia (slow heartbeats) which takes place in jarring infrequent tempos.

What causes fluctuations in the heart's electrical activity?

There are various kinds of triggers that cause the heart rate to fluctuate. The exact nature of fluctuation also depends on the type of trigger. A few everyday examples of these causes are as follows:
- Exercise and strenuous physical activity increases electrical activity as the heart is required to beat faster so as to increase the supply of blood and oxygen to the muscles.
- Sleep and rest reduce heart rate as the body is not needed to exert itself.
- Release of adrenaline into the bloodstream causes the heart rate to spike up.



What Happens When the Electrical Activity of Your Heart Changes?

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