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Overview

Palpitations: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Heart palpitations can make your feel that your heart is skipping a beat, fluttering or beating too fast or too slow. It can happen due to stress, exercise or medication. It is generally not a serious or harmful condition and does not require treatment. If you seldom experience heart palpitations that last for a few seconds, there is nothing to be worried about. However, if you have a history of heart disease and are experiencing frequent palpitations, you should consult your doctor. Also, you must see your doctor if your palpitations are becoming more frequent with time and are worsening. Chest discomfort or pain, fainting, severe shortness of breath and severe dizziness are some signs that should never be ignored. Seek immediate medical help.

How is the treatment done?

Your doctor will ask you to go through several tests like ECG, holter monitoring, event recording and echocardiogram. An ECG (electrocardiogram) will record the electrical impulses that make your heart beat. It will help your doctor in detecting the irregularities in your heart beat. Holter monitoring is done by wearing a portable device for 24 to 72 hours. It can detect palpitations that are not detected during ECG. Event recorder is another that needs to be worn for a few weeks to record your heartbeats. Echocardiogram is done to see the detailed images of your heart’s structure and function by doing an ultrasound of your chest. Treatment will be provided only if, after going through the test results, your doctor believes that you have a serious heart condition. In other mild cases, there is no need for treatment.

Who is eligible for the treatment? (When is the treatment done?)

If you are experiencing frequent palpitations and they are worsening with time, you must consult a doctor.

Who is not eligible for the treatment?

Infrequent palpitations may be felt after exercising, exhaustion or stress. There is nothing to worry about.

Are there any side effects?

Diagnostic tests may cause temporary redness or itching in your skin due to the instruments that are attached. Do not worry; the effects wear off soon.

What are the post-treatment guidelines?

You should avoid consuming illegal drugs. Limit the amount of tobacco and alcohol intake. Make sure that your meals are filled with healthy foods like fruits, vegetables, pulses, meat, fish etc. Avoid heavy work out sessions. Exercise according to your age and as per the instructions of your doctor.

How long does it take to recover?

The time period of recovery depends on the kind and severity of the condition you are diagnosed with. Normal palpitations go away with time.

What is the price of the treatment in India?

One session of consultation with your doctor may cost around ₹400 - ₹800. The cost of ECG is between ₹300 and₹1100. Echocardiogram may cost ₹1200 - ₹1900. Holter testing costs ₹3500 - ₹6000.

Are the results of the treatment permanent?

The validity of results depend on the kind and severity of condition you are diagnosed with.

What are the alternatives to the treatment?

You can try to control the palpitations by reducing stress or anxiety. Meditation, yoga and deep breathing help in doing so. Illegal drugs like cocaine and amphetamines are known to bring on heart palpitations. Stay away from them. Excess caffeine, nicotine and energy drinks also contribute in bring on palpitations. Limit your consumption.

Safety: Symptom Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range:

Rs 400 - Rs 6,000

Popular Health Tips

Fast Heart Rate - Know Why It Happens!

MBBS, MRCP (UK), PG Diploma In Lipid Management, MBA (Healthcare)
Cardiologist, Bangalore
Fast Heart Rate - Know Why It Happens!

Tachycardia is the medical term of a fast heart rate. When a person’s heart beats for more than 100 times per minute, he/she is said to be suffering from tachycardia. Atria and Ventricles (both left and right) are the four major parts of the heart. They contract and expand so that blood can be pumped out of the heart and oxygen reaches all the organs of the body. Now, this pumping occurs at a stable pace, owing to electrical impulses that activate the pumping in the first place. When an underlying medical condition or a defect in the heart disrupts these electrical impulses a person is confronted with tachycardia.

Symptoms
In many people, no symptoms are observed until and unless it is detected by a blood pressure device or a tool that checks the pulse rate. But if the heart rate is significantly high a person might feel dizzy, fatigued. He/she can also suffer from shortness of breath, palpitation as well as chest pain.

When the heart beats faster than usual the oxygen in the body gets depleted, which can result in the death of myocardial cells, leading to heart attack.

Causes
Heart diseases like coronary artery disease, heart valve disease, heart muscle disease, tumors or infection can lead to increased rate of heart beat. Apart from that, other conditions that might lead to tachycardia are: stress, hormonal disorders, especially in case one is suffering from hyperthyroidism, blood loss etc.

Treatment

Medications
If there is an underlying medical defect that is causing the increased heart rate in the first place, it needs to be treated. For example, if a person is suffering from hyperthyroidism then medicines are prescribed to regulate the function of the thyroid glands.

If tachycardia develops as a result of weakened heart muscle then medicines are given to strengthen the heart. Beta blockers are given to check the defective electrical impulse in the heart, if that is the cause of tachycardia. Depending on the condition of the patient anti-arrhythmic medicines might also be given. People who stand at a risk of receiving a stroke as a result of this condition are prescribed warfarin.

Surgery and Implantation

Implantable cardioverter defibrillator
This procedure involves the insertion of an artificial device in the heart that controls the heart rate. It is equipped to send an electrical shock whenever it detects defective electrical impulse in the heart. In other words, it is designed to mechanically deflect the erroneous impulse.

Surgery
If medications fail to rectify the disorder, a surgery has to be performed. In this case a section of the heart tissue is removed through operation. The scar that is left by the operation controls defective electrical impulse as a scar tissue is affirmed to be a bad conductor of electricity.  In case you have a concern or query you can always consult an expert & get answers to your questions!

3084 people found this helpful

Holter Monitor - What Exactly It Is?

Multi Speciality
Cardiologist, Delhi
Holter Monitor - What Exactly It Is?

A holter is a a 24-48 hour hour ECG that is used to evaluate disturbances in the rhythm of your heart. A holter monitor is a little, battery controlled therapeutic gadget that measures your heart's actions, for example, rate and cadence. Your specialist may request that you utilize one, in case that they require more data about how your heart functions, that a normal electrocardiogram (EKG) cannot give them. Twenty four hour holter monitoring is an important test to record your heart's rate and cadence for twenty four hours. 

You wear the holter small monitor for twelve to forty-eight hours as you continue with your usual everyday routine. This gadget has cathodes and electrical leads like a standard ECG. It can get your heart's rate and beat as well as when you feel neck pains or display indications of an unpredictable pulse or arrhythmia. 

Here is how it usually works:

  1. The holter monitor is very small. It is marginally bigger than a deck of playing cards. A few leads or wires, are attached to your body like an ECG. The leads connect with cathodes that are put on the skin of your chest with a paste like gel. The metal anodes direct your heart's movement through the wires and into the holter screen. 
  2. You wear a little pocket around your neck that holds the recorder. It is important to keep the monitor near your body during the testing time frame to ensure the readings are precise. 
  3. You will get guidelines that disclose how to deal with your monitor and what not to do while you are wearing it. It is vital to abstain from activities, such as washing, exercising, or running, while you are wearing the screen.
  4. You are urged to take an interest in your typical routine during the holter twenty-four-hour test. You will be coordinated to record your routine in a journal. 
  5. A 24-hour holter test is effortless. Make sure to record any pain, fast pulse, or other cardiovascular symptoms you have during the testing period. Keep the Holter dry to guarantee it works properly. Scrub down or shower before your arrangement to have the screen fitted and do not apply any moisturizers or creams. Stay away from exercises that may lead to the screen getting wet.
  6. Electrical fields may meddle with the capacity of the holter screen. Keep away from zones of high voltage while wearing the screen. 

The results can somewhat be determined as follows: 

  1. After the suggested testing time allotment has passed, you will come back to your specialist's office to have the holter monitor removed. Your specialist will read your movement and examine the aftereffects of the screen. Depending upon the results of the test, you may need to experience additional testing before a conclusion is made.
  2. The holter monitor may uncover underlying disturbances in your heart rate that may go unnoticed and will help your doctor in treatment of the condition. This is an a very informative and useful tests specially if you have irregular heart beats, fast heart beats, unexplained dizziness or fainting.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3774 people found this helpful

Irregular Heartbeat - Signs You Are Suffering From It!

MBBS, DM - Cardiology, MD
Cardiologist, Hyderabad
Irregular Heartbeat - Signs You Are Suffering From It!

Atrial fibrillation is a form of irregular heartbeat or arrhythmia, which you may experience due to a problem in the electrical system of the heart. Such a problem causes the upper parts of the heart or the atria to fibrillate. Due to this quivering, the normal rhythm between the lower parts of the heart and the atria gets disrupted. The ventricles are likely to beat faster in an irregular rhythm. This is a severe condition where the blood may get collected in the atria; this could lead to the formation of blood clots. These clots can block the blood flow and lead to a stroke.

Causes
Several conditions cause strain and damage to the heart. These include the following:

  1. High blood pressure or hypertension
  2. Heart attack
  3. Valvular diseases
  4. Coronary artery disease
  5. Medical problems like heart failure, lung diseases, high level of thyroid or pneumonia
  6. Heart surgeries
  7. Excess consumption of alcohol

Symptoms
The primary symptoms of atrial fibrillation include the following:

  1. Light-headedness and dizziness
  2. Shortness of breath
  3. Feeling weak and fatigued
  4. Feeling as if the heart is pounding, fluttering or racing (known as palpitations)
  5. Feeling that the beating of the heart is uneven
  6. Chest pain and fainting

In many cases of atrial fibrillation, the symptoms may be absent.

Diagnosis
Conducting several tests, physical examinations and an analysis of your health history is the first step towards diagnosing atrial fibrillation. An electrocardiogram (ECG) needs to be carried out for the detection of this condition. This test is performed for checking problems regarding the electrical activity of the heart. Other laboratory tests and an echocardiogram maybe required as well. An echocardiogram helps in observing the pumping function of the heart and to check whether the valves have been damaged.

Treatment
The treatment options for atrial fibrillation depend on the cause, symptoms and the risks of getting a stroke. Several medicines are used for treatment along with other methods. They are as follows:

  1. Blood thinning medicines for the prevention of a stroke.
  2. Heart rate control medicines which will prevent irregular beating of the heart.
  3. Rhythm control medicines for restoring the heart’s rhythm to normal.
  4. A process known as cardioversion may be used to bring the heartbeat to a normal rhythm. This can be carried out by medicines or an electric shock therapy known as electrical cardioversion.
  5. In case of severe symptoms, ablation may be carried out where the affected areas of the heart are destroyed by the creation of a scar tissue.

For the best diagnosis and treatment of atrial fibrillation, you must consult a doctor as soon as you start experiencing the symptoms of the condition. A doctor will prescribe all that you need for an effective treatment.

4861 people found this helpful

Anger Management - 12 Tips To Help You!

M.S. Counselling and Psychotherapy
Psychologist, Bangalore
Anger Management - 12 Tips To Help You!

Anger is good. It protects you. But intense, uncontrolled anger may destroy valuable relationships. Anger is a result of anxiety and fear. When we assume that our expectations will not be met, we become anxious. When we feel unsure about our own capabilities we become anxious. This anxiety creates fear. Anxiety comes from our beliefs. All beliefs can be modified.

Anger has lots of energy. Avoid arguments/confrontations when you are very angry. When you are very angry you are likely to use rough language which may damage your relations and you are likely to behave impulsively. All this you might regret later on. Following are a few techniques which will help you to manage your anger in difficult situations :

  1. Sit down and have a glass of water, slowly. This will help you to calm down a little.
  2. Avoid or go away from that room or situation. Tell the people concerned, that you are angry and would like to discuss it some other time.
  3. Deep breathing exercises help a lot. Close your eyes, take 10 deep breaths, turn your attention towards your body. See what is happening to your body. Tell your body muscles to relax. If your heart is beating fast, if you are breathing fast, continue deep breathing, till it normalises.
  4. Now understand what is making you angry. Understand your own anxiety and fear related to the issue.
  5. Let the other person know how you are “feeling”. Start your statements, “I feel hurt/insulted/let down/neglected etc. when you do this”, instead of saying “You hurt/neglect me”. When you express your feeling in this manner, the other person does not feel blamed, which makes the other person more receptive.
  6. Focus on the current issue, don’t bring in past situations.
  7. Tell the other person, what you want or expect, instead of telling what you do not want. E.G. Instead of saying “I don’t want you to go out now”, say “I would like you to stay at home today”.
  8. Listen carefully what the other person wants to tell you. Give others a chance to voice their opinions.
  9. Make an eye contact and be firm but polite while communicating your point of view.
  10. Understand everyone’s responsibility in the situation. Try to see, what is your share in the problematic situation? Work on that.
  11. Understand what change you want.
  12. Have realistic expectations from others and also from yourself. 

    If you wish to discuss about any specific problem, you can consult a psychologist.

2881 people found this helpful

Postural Tachycardia Syndrome - All You Need To Know About It?

M.B.B.S. , PG Diploma In Clinical Cardiology
Cardiologist, Delhi
Postural Tachycardia Syndrome - All You Need To Know About It?

Postural Tachycardia Syndrome or POTS, what this condition entails is a sudden and abnormal increase in the heart beat of an individual, causing them difficulty in breathing, dizziness, and even blackouts.
There are some factors that can trigger the situation and stem the sudden rise in the heart beat. Meeting with a medical expert may help bring the situation under control.

What is Postural Tachycardia Syndrome?
Postural Tachycardia Syndrome or POTS is a cardiovascular condition that is caused due to the sudden shift from an upright position to a supine position or vice versa. It is this sudden increase in heartbeat of an individual that is referred to as Tachycardia.

The longer you overlook this condition, the bigger is the trouble you are putting your health in. This is when it becomes extremely important for you to get in touch with a medical expert, who can offer you perfect consultancy, diagnose the causes and also find a result for the same.

What Causes POTS?
According to medical specialists, there are some factors that this condition stems from and it all differs from one person to the other. Some of the most common causes of the condition are-

  1. Joint Hypermobility Syndrome
  2. Faulty Gene
  3. Poisoning
  4. Amyloidosis
  5. Lupus
  6. Diabetes
  7. Sarcoidosis
  8. Siogren’s Syndrome
  9. Cancer

Signs of Postural Tachycardia Syndrome:
There are multiple signs that indicate that an individual is stricken by Postural Tachycardia Syndrome. Some of the more common signs and symptoms include:

  1. Orthostatic HypotensionOrthostatic Hypotension refers to the sudden increase in the heart beat by at least 30 beats per minute, within or after 10 minutes of rising up from a sitting or lying down position. Though the condition increases the heart rate, it does not trigger any drop or rise in blood pressure. Certain medications used to diminish this effect often extend some side effects, such as lightheadedness, palpitation, difficulty to breath, discomfort in the chest, weakness, heaviness in the chest area, nausea, cognitive difficulties and also stain on the vision.
  2. Effects in Response to Postural Change: Almost one-third of the people with Postural Tachycardia Syndrome are noticed to faint as a result of the increased heartbeat, almost 40 beats minutes, instead of the chance in postural position. Other symptoms under this head include a headache, migraine, disturbance in sleep, fatigue, acrocyanosis or blood pooling in feet, etc.
  3. Ehlers- Danlos Syndrome (EDS): Sometimes POTS is found to coexist in an individual with other conditions, such as EDS. This condition makes an individual prone to dislocation of bones, greater laxity in skin, loose- clicking joints, chronic fatigue, reduced level of tolerance towards any exercise, etc. According to medical specialists, though these are common symptoms of POTS, there might also be other signs. These signs and symptoms differ from one person to the other.

When Should You Consult a Doctor?
The moment you experience a POTS attack or for that matter notice some of the symptoms of the condition, it is time for you to consult a medical expert. The doctor will give you valued consultation, as well as diagnose the condition properly, thus finding the best treatment and suitable medication for you.

1959 people found this helpful

Popular Questions & Answers

For past few weeks I'm feeling palpitations and bit fast heart beats, dull pain sometimes to the left or right part of the chest, restlessness and sleep-break, today measured BP as 135/80 Am I having panic attacks or hyperventilation?

BHMS
Homeopath, Noida
For How much duration do you feel pain? What r other symptoms that you r experiencing? By doing what like walking, exertion, eating or empty stomach- it increases or decreases in intensity. For how much time the pain remains? How is your appetite? R you constipated? U should see a physician n do your ECG. If its normal then it could be gas. Do this for gas-- 1. Don't Overeat 2. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 3. Take your breakfast every day. Don't skip it. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style 7. Avoid fast foods, spicy n fried foods, Acidic foods, like tomatoes and citrus, Carbonated beverages 8. Take a lot of green vegetables n fruit. It contains a lot of fiber which will help reduce tendency for constipation 9. Drink lot of water. 10. Take half cup of cold milk when you feel acidity, it will help. Curd is good for u. 11. Everyday preferably sleep on same time Exercise in the form of yoga, cycling, Swimming, gymming, walking etc. This is for long term results But for now to bring your digestive system back on track you need to take medicines. For that I need more details, you can consult me.

Sir, I am taking glycomet 500 half regularly in a day I have noticed that my sugar level goes down. Today when I checked my sugar level its on 84 during this period I feeling to that hungry my heart is beating high so you suggest me what can I do I stop this tablet regularly or not.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Dharwad
Mr. lybrate-user, Thanks for the query. I have gone through the details given. Usually Glycomet 500 mg (Metformin 500 mg) does not lead to any hypoglycemic symptoms. 84 mg is not very low. Hypoglycemic symptoms are noticed when blood glucose goes below 70 mg or 60 mg. That happens with drugs like Glimiperide, not with metformin. Please check your HbA1c% and inform. Thanks.

Hi, I am male 44. My bp shows. 115/75. My pulse rate is 82. I do not feel uncomfortable while walking. By sometimes I feel slight palpitations in throat. My cholesterol reports are totally normal. Please suggest any medicine to low the heart rate.

MBBS, MD - Internal Medicine, DM - Cardiology, Fellowship in EP
Cardiologist, Delhi
You seem to be on 4 medicines. Cholesterol medicine, 2 blood thinners and one BP medicine. You should continue olmisartan, but probably stop others. Other medicines are required after a heart attack. Taking medicines without requirement may be risky. For good health you must eat well, not take multiple medicines. Talk to people who are healthy at ninety about diet, don't trust other ways of staying healthy.
1 person found this helpful

I am suffering from anxiety. Heartbeats get very fast for no apparent reason. I am separated forcefully from my child, should I see a psychologist?

Masters In Clinical Psychology
Psychologist, Lucknow
Of course you should For depression anxiety symptoms see a psychologist to help you deal with them Consult with me or any psychologist for therapy and counseling Connect with me through text or audio on Lybrate app All the best.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Heart Attack - Causes , Risks & Precautions
Hello Friends!

I am Dr. Anupam Goel. I am a senior interventional cardiologist in Max Hospital, Saket, Delhi. Today we will discuss a very important issue, I am not sure how best you can see this slide, this is just to say that the heart attack complains increase day by day and unfortunately it is affecting young people. By an estimate of WHO, in next 2 years means by the year 2020, in India, we will have maximum patients of hypertension, diabetes and heart disease. So, we are going to face an epidemic of heart disease. So, I just tell you how the heart disease happens. Normally, our heart arteries are very narrow smooth whole tubes structure. But all the year because of disease and cholesterol deposition the blockage happens and the channel for blood carrying, keeps on reducing. So, what exactly happens is less and less blood reaches the heart and heart is not even getting enough blood for its routine functioning. When this blood supply is interrupted that is when the heart attack happens because those cells of the heart don't get any blood. Suddenly and repeatedly, these holes will never be going to function again. More important than heart attack itself because of awareness not many of us know about heart disease in women. Whenever we think of heart disease, we think about male but unfortunately, as we have more data, the heart diseases in men are reducing.

This is the data from the United State not from our on the country. Because of ignorance or prognosis, societies not aware of heart disease in women, the death in women are increasing because of heart disease. When we see the causes of death in women, cancers are a very important part but much more than that heart and circulatory disorders are the biggest reason any women will die. So, what we have is, heart disease is the no.1 killer in women. And heart disease causes 1 in every 3 deaths in women. Every 3rd one is dying because of heart disease. 90% of women are at the risk of developing heart disease but they are not aware of it. It suddenly affects them and causes the bad prognosis. Let's bust some myths. Most of us believe that the heart disease is of men. But heart disease can affect both men and women, in fact, 50k women in a year die because of heart disease.

The women die because of heart diseases as compared to all the cancers combined together. And because of under-diagnosis and treatment, even the doctors are less aware of it, women face more adverse outcome. And why would it happen? Because none of us relate to heart disease to women. So, they come to an emergency late. they keep on thinking that it could be gastritis or something else and they are busy taking care of each other. And it could also be because the heart disease presents differently in women. In a man classical signs, you would all know. The heart attack would present as a heaviness or like an elephant sitting on the chest. But in women, it can very vague. They will be like not feeling well, palpitation and just unwell. It can't be just simple chest pain. So, most of the women just confused about their heart attack presentation and would be late in getting treatment. the good thing is 80-90% heart diseases are preventable. So, if we are aware, we are able to take care of the risk factors. There is a large proportion of heart disease which we can prevent.

So, we will discuss some important risk factors which can take care of to prevent disease. Some risk factors are non-modifiable. Like the family history of heart disease. if there is the strong history of heart disease and in one genetics than one is likely to have heart problems. So, it is advancing age. But there are a few risk factors which we can control. Like high blood pressure, high cholesterol, high sugar, smoking, more weight and some newer risk factors like CRP level and clotting factors. few of these which are relevant, diabetes, 2/3 of all diabetics will die of heart disease eventually. Risk of having a heart problem in women, if she is diabetic as compared to the women who are non-diabetic and in men also, the risk of heart disease increases 3 times, if they are diabetic. So, diabetics have to be more conscious about their heart conditions. Than smoking. Smoking is one single most preventable risk factor which is responsible for heart disease. It is relevant in both male and female. Especially, a young woman who smokes is at the very high risk of heart disease. And if somebody is on oral contraceptive because of their age or anything, the risk of heart disease is compounded with smoking.

So, what smoking does, it causes the plaque. The cholesterol deposits the arteries to burst. They form a clot and causes a heart attack suddenly. it reduces good cholesterol. It gets burned by smoking which causes one to have more heart attack. And smokers who have a heart attack, they are more likely to die young. When one quite smoking, then the risk of developing a heart attack comes to 1/3 in the next 2 years. But you know, it takes almost 10-15 years for the risk to come back to normal as compared to somebody who has never smoked. So, I request everybody to quit smoking. 3rd is physical inactivity. So, inactivity is a very important factor in our Indian culture to cause a heart attack. We should all exercise not because it burns calories and helps in weight loss but it increases good cholesterol. It helps us in keeping our heart healthy. One should try to stay active physically. Just get up in the morning and walk. Walking is a good exercise which will help you in preventing heart disease. One more important factor is obesity, BMI. if the BMI is less than 25% is normal.

Beyond that, it becomes overweight and predisposes one would have more and more heart attack. Heart attack increases almost 6 times as compared to a normal weight person in those persons who are very heavyweight. So, we should all be very careful about our own body weight. Till very recently we didn't know that women are at the highest risk of heart disease. Thanks to research and data which we have. Now we know women are more likely to have heart disease. The disease starts in early childhood. It is a gradual process. Small changes in our lifestyle can make a big difference. We all need to prevent it. So, we all should start with lifestyle changes but if one has risk factors, it is a good idea to see your doctor at earliest. I am with Max Hospital, Saket. If anybody needs any help for their heart health, please don't hesitate. You can contact me and come and see me.

Thank you so much. Take care of your health and your heart.
Having issues? Consult a doctor for medical advice