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Palpitations Tips

Palpitations - All You Should Be Aware About!

Dr. Pankaj Kumar 92% (16 ratings)
MBBS, MD - Internal Medicine
Internal Medicine Specialist, Patna
Palpitations - All You Should Be Aware About!

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):

  1. These palpitations occur as a response to physical or mental stress like exercise, feverpainfearanxiety etc. 
  2. They are harmless and settle on their own once the precipitating factors disappear. They do not require any medical treatment.

Abnormal:

  1. These palpitations occur due to some underlying abnormality in either the structure of heart or the beating of heart. 
  2. 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, nauseavomitingseizures. 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: 

  1. Drug therapy 
  2. Cardioversion where either a drug or electric shock is given to stop palpitations immediately. 
  3. Ablations using many sophisticated computer softwares 
  4. Device Therapy like ICD (Internal cardiac defibrillator) 
  5. 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.

4101 people found this helpful

Heart Palpitations - How To Handle Them?

Dr. Suyash Tripathi 87% (10 ratings)
MBBS, MD - General Medicine, DM Cardiology
Cardiologist, Varanasi
Heart Palpitations - How To Handle Them?

Heart palpitations’ is a clustered term that denotes any fluttering, pounding or rapid sensation of the heart. The common triggers include excessive stress, medications, vigorous exercises, and very rarely, an underlying medical condition. Normally, though worrisome, heart palpitations aren’t very serious. However, in certain cases, if the palpitations are caused due to an underlying medical condition such as arrhythmia or ventricular tachycardia, you might want to get your condition reviewed as early as possible.
Common symptoms:

  • Skipping beats
  • A feeling of pounding of the heart
  • Fluttering

You could feel the above sensations even in the neck, or the throat; the chest, being the most common of them. Heart palpitations can happen irrespective of you being overly active or simply at rest, lying down or seated.

Make sure that you are consulting a doctor in any of the following cases:

  • If the palpitations are followed by pain or considerable discomfort/tightness in the chest
  • Spells of fainting
  • Mild, moderate or severe breathing troubles
  • Dizziness

The most common causes of heart palpitations include:

  • Strong response to anxiety or stress
  • Vigorous exercises
  • Over consumption of nicotine or caffeine
  • Hormonal imbalances, associated with menopause or pregnancy
  • A stimulant called pseudoephedrine, that is present in several cough and cold medications
  • Asthma medications that contain stimulants

In certain cases, conditions such as hyperthyroidism or arrhythmia could be at the bottom of one’s heart palpitations. Tachycardia (excessive fast heartbeats) and bradycardia (unusually slow heartbeats) are the most common types of arrhythmia.

Possible complications:

  1. Fainting
  2. Stroke
  3. Heart failure
  4. Cardiac arrest

Treatment

In maximum cases, heart palpitations don’t usually require medical intervention. The doctor might ask you to avoid the possible triggers which might have caused them in the very first place. In the case of palpitations caused by other underlying medical conditions such as arrhythmia, the focus will be on correcting the very anomaly. Cut down on smoking and limit alcohol consumption, along with other stimulants if they have been the cause. Manage stress and make sure to not let anxiety and stress get the better of you; for this, you always have meditation and yoga at your disposal.

1482 people found this helpful

Palpitations - Everything You Need To Know

DNB Cardiac surgery, MS General Surgery
Cardiologist, Visakhapatnam
Palpitations - Everything You Need To Know

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 hospita

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 looper recorder, is like holter, but it records rhythm for longer durations. 
ILR - Internal loop recorde 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 electro-physiologist 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 2-3 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 electro-physiologist 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 - 

1) Drug therapy 

2) Cardioversion - where either a drug or electric shock is given to stop palpitations immediately. 

3) Ablations using many sophisticated computer softwares 

4) Device Therapy like ICD (Internal cardiac defibrillator) 

5) 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.

3977 people found this helpful

Hyperventilation - How To Avert It?

Dr. Gurmeet Singh Chabbra 90% (60 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Chest & TB
Pulmonologist, Faridabad
Hyperventilation - How To Avert It?

A discomfort in the chest accompanied by shortness of breath and a tingling sensation in fingers or toes might be a sign of hyperventilation, more commonly known as panic attacks. This is the condition wherein you need more amount of oxygen than normal.

And, you need to be aware of the symptom, especially if you are suffering from COPD (Chronic obstructive pulmonary disease). With COPD, experiencing symptoms of hyperventilation may turn adverse, and there are enough reasons to know the ways to manage it, which is indeed possible.

Symptoms
Hyperventilating or over-breathing can be accompanied by or can cause various symptoms in people. Apart from the common symptoms described above, some patients may also experience dizziness, palpitations, sweating profusely, wheeze, feelings of suffocation or choking, tinnitus, weakness, etc. Some may also feel highly anxious or tensed. Though very uncommon, still, one may suffer from loss of consciousness as a result of hyperventilating.

Dealing with hyperventilation
Depending on the severity and type of hyperventilation, the available treatment option may vary from person to person. From various home remedies to certain prescribed drugs, treatments are available easily. However, it’s through practising a few techniques on noticing the symptoms that can help one deal with hyperventilation. Some of those useful methods are, breathing through pursed lips, holding the breath for 10 to 15 seconds, trying to take deep breaths into the belly rather than in the chest and breathing slowly into cupped hands or a paper bag. These techniques will help regulate breathing.

Preventing hyperventilation

  • As with many conditions, being aware of the preventive measures is crucial to managing the symptoms and the same is true with hyperventilation as well. A few measures to follow by COPD patients to prevent hyperventilation
  • Wearing tight fitting clothes restrict normal breathing. Therefore, wearing clothes that are loose on the upper chest portion can assist in preventing breathing.
  • Opting for light exercises regularly (approved by the doctors, as having COPD needs extra attention in activities) helps in reducing stress levels and anxiety, which again can play a crucial role in preventing hyperventilating.
  • Though initially, it may be difficult, still, one must try to breathe through his or her nose and close the mouth for preventing over-breathing, as closed mouth makes it extremely difficult to hyperventilate.
  • Further, sleeping well during the night, eating a balanced diet, reducing the intake of caffeinated beverages like tea and coffee, and practising various techniques for relaxation can be helpful too in preventing hyperventilation.

In case, the episodes of hyperventilation last for more than 30 minutes, even after trying all the techniques mentioned above, one should not delay in seeking necessary medical attention.

Growing episodes of hyperventilation or over-breathing can leave one feeling breathless. Therefore, when people with COPD notice any symptom of hyperventilation, consulting with pulmonology specialist must be of top priority. Neglecting this particular condition for an extended period may end up causing further complications.

1499 people found this helpful

Fast Heart Rate - Symptoms, Causes & Ways To Treat It!

Dr. Rahul Gupta 97% (10 ratings)
MBBS, MD - Internal Medicine, Fellow European Society of Cardiology
Cardiologist, Navi Mumbai
Fast Heart Rate - Symptoms, Causes & Ways To Treat It!

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 are as below:

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 of fast heart rate are as below:

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 options available for fast heart rate are as below:

- 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.

3350 people found this helpful

Palpitations - How To Handle It?

Dr. Javed Parvez 87% (42 ratings)
MD- General Medicine, DM - Cardiology
Cardiologist, Raipur
Palpitations - How To Handle It?

What is Palpitation?

Palpitation is a feeling of awareness of your own heartbeat. 
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 the 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 blackout, 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?
Stay calm. 

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 looper recorder, is like holter, but it records rhythm for longer durations. 
ILR - Internal loop recorder is attached within the body for recording rhythm for a long duration. 
EPS - Electrophysiology study, is the surest shot test to diagnose, identify and treat 
palpitations.

What is EPS?

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

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.

3184 people found this helpful

Cardiological Disorders - Knowing The Homeopathic Treatment For Them!

Dr. Rajal Shah 87% (31 ratings)
BHMS
Homeopathy Doctor, Ahmedabad
Cardiological Disorders - Knowing The Homeopathic Treatment For Them!

Homeopathy is a method of treatment, which is based on the fact that symptoms of a certain disease, if induced in small quantities, may help cure the same disease in a sick person. Cardiological disorders are complications of the heart; they can range from various disorders, such as heart attack or irregular heartbeats.

Homeopathic remedies are based on naturally occurring substances and are given to the patients in a diluted form. These remedies increase immunity and heal the person from within and in a natural way. If heart condition is reversible, Homoeopathic medicines deal with it in the best posssible way and help you get rid of the condition. Homoeopathic medicines help in conditions like arrhythmia, tachycardia, high blood pressure, cardiomyopathy and even in all conditions after heart surgery to recover the best.

The various homeopathic treatments for cardiological disorders are:

  1. Latrodectus: This treatment is used to treat symptoms of precordial pain in the body.
  2. Aurum metallicum: Aurum metallicum is used in treating symptoms of weakness in the muscles of the heart.
  3. Aconitum:This treatment is used when a person is having a heart attack.
  4. Spigelia: Spigelia is used in the treatment of irregular heartbeats which may cause sharp pain in the chest.
  5. Cactus grandiflorus: This treatment is used in treating angina pectoris, which is characterized by symptoms of pain caused by decreased blood flow to the heart.
  6. Crataegus oxyacantha: This homeopathic treatment is used in treating coronary insufficiency in people. This disorder cause problems in heartbeat.
  7. Digitalis: This homeopathic treatment is used in treating cardiac muscle failure. This disorder causes palpitation, tightness in the heart muscles and a suffocating sensation.
  8. Kalmia latifolia: This treatment is effective in treating cardiac hypertrophy, which causes the heart muscle to thicken, resulting in size reduction of the ventricles. This treatment is very effective in treating cardiac hypertrophy that results after rheumatism.
  9. Glonoinum: This homeopathic treatment is prescribed to treat symptoms of plaque buildup in the artery, which cause hypertension.

How does Homeopathy differ from allopathy treatment?

Homeopathy has been extremely successful in curing cardiological disorders because of its holistic approach. Where allopathy has a specific medicine for every disease, Homeopathy doesn't treat the disease but the person as a whole. An expert homeopath will first examin the all aspects of the person suffering from disease before finally prescribing the medicines.

3335 people found this helpful

Heart Problems - How Effective Is Homeopathy In It?

Dr. Karuna Shejwal Jadhav 90% (29 ratings)
BHMS, MD - Homeopathy
Homeopathy Doctor, Mumbai
Heart Problems -  How Effective Is Homeopathy In It?

Homeopathy is a method of treatment which is based on the fact that symptoms of a certain disease, if induced in small quantities, may help cure the same disease in a sick person. Cardiological disorders are complications of the heart; they can range from various disorders such as a heart attack to irregular heartbeats.

Homeopathic remedies based on naturally occurring substances are given to the affected person in diluted form. These substances induce symptoms of the disease in small quantities which triggers the body to heal.

The various homeopathic treatments for cardiological disorders are:

1. Lactrodectus
This treatment is used to treat symptoms of precordial pain in the body.

2. Aurum metallicum
Aurum metallicum is used in treating symptoms of weakness in the muscles of the heart.

3. Aconitum
This treatment is used when a person is having a heart attack.

4. Spigelia
Spigelia is used in the treatment of irregular heartbeats which may cause sharp pain in the chest.

5. Cactus grandiflorus
This treatment is used in treating angina pectoris which is characterized by symptoms of pain caused by decreased blood flow to the heart.

6. Craetaegusoxyacantha
This homeopathic treatment is used in treating coronary insufficiency in people. This disorder causes problems in heartbeats.

7. Digitalis
This homeopathic treatment is used in treating cardiac muscle failure. This disorder causes palpitation, tightness in the heart muscles and a suffocating sensation.

8. Kalmia latifolia
This treatment is effective in treating cardiac hypertrophy which causes the heart muscle to thicken, resulting in size reduction of the ventricles. This treatment is very effective in treating cardiac hypertrophy that results after rheumatism.

9. Glonoinum
This homeopathic treatment is prescribed to treat symptoms of plaque buildup in the artery and hypertension.

3391 people found this helpful

Heart Symptoms You Shouldn't Ignore Which May Cause Heart Attack!

MBBS, MD - General Medicine, DM - Cardiology
Cardiologist, Raipur
Heart Symptoms You Shouldn't Ignore Which May Cause Heart Attack!

A heart attack can be fatal for any person, and it is necessary for you to know about the signs and symptoms of a heart attack. This will enable you to act early in case you experience the symptoms. Heart attack, also known as myocardial infarction, is a severe condition defined by the death of the heart muscles due to the loss of blood supply. Blood loss commonly occurs due to the blockage of a coronary artery.

Signs of a heart attack
There are many symptoms and signs of a heart attack which you should know. The symptoms usually vary from person to person. Here is a list of the common signs of a heart attack:

  1. Chest pain and discomfort: Chest pain is the basic heart attack symptom which occurs in different forms. The chest pain is likely to cause pressure, fullness and a squeezing sensation. It starts from the center of the chest and may spread to other limbs of the body, such as the head, upper abdomen, back, shoulder, neck or throat. It may reoccur in the chest again.
  2. Shortness of breathA gasping sensation or feeling of shortness of breath may be experienced. Such difficult or labored breathing is known as dyspnea. The shortness of breath may occur before or after the chest pain.
  3. Nausea and vomiting: A feeling of nausea or sickness in the stomach may be experienced. It may be accompanied by belching or burping. In some cases, the heart attack may be associated with a feeling of indigestion. Nausea is commonly experienced by women. Nausea may lead to vomiting.
  4. SweatingPerspiration or sweating occurs during a heart attack and the patient experiences cold sweats in excessive amounts. The sweat will appear in spite of not being active or working out. Due to the clogged arteries, the heart needs to make extra efforts to pump the blood. This produces extra sweat for keeping the body temperature low. Cold sweats and night sweats are also likely symptoms, which indicate a heart attack.
  5. FatigueFatigue is another symptom of a heart attack. Exhaustion is caused by a heart attack because of the added stress on the heart for pumping of blood. Feeling tired without any reason might indicate some trouble. Fatigue is more common in women. Light-headedness and dizziness may also be associated with a heart attack.

Heart palpitations may also be experienced sometimes. You should consult a doctor immediately after experiencing any of these symptoms of a heart attack.

2678 people found this helpful

Palpitations - How To Diagnose It?

MBBS, MD, DM - Cardiology
Cardiologist, Bangalore
Palpitations - How To Diagnose It?

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?
Stay calm. 

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 hospita

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 looper recorder, is like holter, but it records rhythm for longer durations. 
ILR - Internal loop recorde 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 electro-physiologist 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 2-3 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 electro-physiologist 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.

2595 people found this helpful
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