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Palpitations

WHAT YOU SHOULD KNOW

Palpitations (pal-pih-TAY-shuns) are the feeling that your heart has a change in rate, rhythm, or strength of the beat. Although this can be frightening, it usually isn't serious.

Causes

Palpitations can be caused by anxiety, lack of sleep, certain medicines, caffeine, or too much heavy exercise. They also may be a sign of heart disease or other diseases.

Signs/Symptoms

Palpitations often feel like your heart is ""skipping beats,'' ""fluttering in your chest,'' or ""racing.'' If you also feel dizzy, light-headed, short of breath, or have chest pain along with palpitations, it could be a sign of a life-threatening problem.

Care

Depends on the cause. If the palpitations are due to a serious problem, you'll need to have it treated. If a medicine is causing your heart to skip beats or race, your doctor may stop or change the prescription. Otherwise, you will need to stop eating or drinking foods with caffeine in them. You will also need to make sure you get enough rest. Remember, also, to avoid over-exercising, and try not to get too stressed-out.

Risks

If you do not go for treatment, the cause of the palpitations will remain unknown. Since palpitations sometimes signal a dangerous problem, you could be at risk for your life.

WHAT YOU SHOULD DO

  • If you are prescribed a medication, be sure to take it as directed. If you feel it is not helping, call your doctor. Do not quit taking it on your own.
  • To help keep the palpitations from coming back:
    • Drink decaffeinated coffee, tea, and soda pop. Do not eat chocolate.
    • If you smoke, quit or cut down as much as you can.
    • Try not to get too stressed-out or upset. Biofeedback, yoga, or meditation will help you relax. Exercise such as swimming, jogging, or walking also may help reduce stress.
    • Excess weight can make the heart work harder. If you need to lose weight, ask your doctor about the best plan for you.

Call Your Doctor If...

  • You continue to have a fast heart beat.
  • Your palpitations occur more often.

Seek Care Immediately If...

  • You get a really bad headache, dizziness, or fainting.
  • You have chest pain that spreads to your arms, jaw, or back, and you are sweating, feel sick to your stomach (nauseated), and have trouble breathing. These are signs of a heart attack. THIS IS AN EMERGENCY. Call 911 or 0 (operator) to get to the nearest hospital or clinic. Do not drive yourself!

IF YOU'RE HEADING FOR THE HOSPITAL...

What to Expect While You're There

You may encounter the following procedures and equipment during your stay.
  • Taking Vital Signs: These include your temperature, blood pressure, pulse (counting your heartbeats), and respirations (counting your breaths). A stethoscope is used to listen to your heart and lungs. Your blood pressure is taken by wrapping a cuff around your arm.
  • Pulse Oximeter: You may be hooked up to a pulse oximeter (ox-IM-uh-ter). It is placed on your ear, finger, or toe and is connected to a machine. It measures the oxygen in your blood.
  • Oxygen: Your body may need extra oxygen at this time. It is given either by a mask or nasal prongs. Tell your doctor if the oxygen is drying out your nose or if the nasal prongs bother you.
  • Blood: Usually taken from a vein in your hand or from the bend in your elbow. Tests will be done on the blood.
  • Blood Gases: Blood is taken from an artery in your wrist, elbow, or groin. It is tested for the amount of oxygen in your blood.
  • ECG: Also called a heart monitor, an electrocardiograph (e-lek-tro-CAR-dee-o-graf), or EKG. The patches on your chest are hooked up to a TV-type screen or a small portable box (telemetry unit). This screen shows a tracing of each heartbeat. The ECG helps to detect the source of the problem.
  • IV: A tube placed in your vein for giving medicine or liquids. It will be capped or have tubing connected to it.

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