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Question
Hello doctor,
For about 2 days now, I have been working in the office as usual when I feel my heart beat faster than usual. My heart beats fast for about 3 minutes, I can feel the change of heart rate very clearly. Doctor tell me what is a heart palpitations? Thank you doctor.
Anonymous customer
Answer
Answered by Dr., Doctor Le Thi Huong - Department of Examination, Vinmec Times City International General Hospital.
Hello,
With the question “What is a heart palpitations sign of disease? ”, the doctor would like to answer as follows:
Some manifestations of tachycardia:
Anxiety. Short of breath. The heart "vibrates" in the chest. The beat is too fast. This sensation can be felt in the throat, neck or chest area, and can occur with exercise or at rest.
When to see a specialist: Usually, this feeling will be infrequent and transient, if only for a few seconds, there is no need to see a specialist. If you have a history of heart disease or this tachycardia occurs frequently, or is getting worse, consult a specialist. Your doctor will consider doing laboratory/imaging orders to find the cause of this phenomenon.
You should find out information about hospitals that can provide emergency care right away if the heart palpitations are accompanied by:
Angina pectoris. Faint. Difficulty breathing a lot. Dizziness wobbly. Usually, the cause of heart palpitations can't be found right away if you already have a tachycardia when you go to the doctor, some common causes:
Strong emotions, stress, anxiety, panic. Depression. Heavy physical exercise. Taking stimulants e.g. caffeine, nicotine, cocaine, amphetamines, cold medicine, cough medicine containing pseudoephedrine. Fever. Hormonal changes due to perimenopause, menopause, or pregnancy. Hyperthyroidism, hypothyroidism. Unintentionally tachycardia can be a sign of a more serious condition such as arrhythmia, arrhythmia is a specialized term for tachycardia, tachycardia - bradycardia syndrome, or irregular heartbeat.
The following are factors that can trigger heart palpitations:
Too much stress. Anxiety disorders or often panic for no reason. Pregnancy. Using medications (stimulants, cold and cough medicines, or asthma/asthma medications). Hyperthyroidism. Cardiac arrhythmia, congenital heart disease, old myocardial infarction, previous heart surgery,... Complications: Except for accompanying heart disease, usually tachycardia causes only a few mild complications. For people with heart problems, serious complications are as follows:
Syncope: When the heart beats too fast, there will be a sudden drop in blood pressure causing fainting. Seems to have had a serious heart problem such as valvular heart disease, congenital heart disease or tachycardia, etc. Cardiac arrest: Although rare, a bout of tachycardia can be life-threatening and cause the heart to stop beating. . Stroke: common in atrial fibrillation, easy to form blood clots, causing cerebral embolism Heart failure: Long-term decrease in heart contractile function causing arrhythmias (ventricular tachycardia, ventricular fibrillation, atrial fibrillation,... ) can cause the above complications. The specialist will examine and take history, if necessary The doctor will give blood tests, imaging tests, functional tests to find the cause, some very basic tests:
ECG (Electrocardiogram) chart): Helps detect regular or irregular heart rhythms, syndromes related to arrhythmias. The ECG can be measured when the patient is at rest or during exertion. Holter electrocardiogram: The hospital will provide a removable device for the patient to wear for 24-72 hours, the heart rate data will be recorded to help detect tachycardia episodes, which the ECG limit. Echocardiography: Provides detailed imaging and contractility of the heart. Other necessary tests (depending on examination). If no cause can be found, the therapist rarely prescribes it, but usually advises to avoid the causes that trigger the tachycardia (listed above). Specific treatment will be specific to each specific type of heart disease:
Reduce stress: Relax, exercise, practice breathing,... Avoid stimulants Avoid drugs, narcotics In the case of You don't need any treatment in the first place. You should change your lifestyle: Rest, relax, exercise and avoid excessive stress. If it reappears many times, you should see a cardiologist to check.
If you still have questions about heart palpitations, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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