Heart palpitations due to anxiety or atrial fibrillation?

This is an automatically translated article.

The article was professionally consulted with Specialist Doctor II Nguyen Quoc Viet - Interventional Cardiologist - Department of Medical Examination & Internal Medicine - Vinmec Danang International General Hospital.
If you are worried about heart palpitations, this could be due to many reasons. Sometimes it is due to emotions, for example you are too excited about receiving good news or conversely, you are about to face a situation that makes you anxious. However, arrhythmias can also be a warning sign of a more serious condition than atrial fibrillation.

1. Atrial fibrillation overview

Atrial fibrillation is a heart rhythm disorder in which the electrical signals in the heart are not transmitted properly, causing the two upper chambers of the heart (atria) to beat not in a normal rhythm but just "vibrating".
Atrial fibrillation is very common and has the following characteristics:
Missing a heartbeat followed by a loud and irregular pounding sound. Anxiety, anxiety, heart palpitations. Unusual sweating. Chest pain (angina). Dizzy. Fatigue and weakness. Cardiologists have shown that stress and anxiety can make AFib symptoms worse. Conversely, many studies have also shown that people with atrial fibrillation are more likely to experience depression or anxiety. Overall, whatever the reason, anxiety about heart palpitations affects your physical and mental well-being.

2. Diagnosis of atrial fibrillation

How can I tell the difference between anxiety and atrial fibrillation? That is a good question. Your doctor will use several tests to diagnose AFib and rule out emotional anxiety.
Electrocardiogram (EKG or ECG) will be applied to record the electrical activity in the patient's heart. This is a quick painless and very fast assessment of results. In some cases, doctors may leave the patient wearing a heart rate monitor for a few days for more accurate diagnostic data.
In addition, the doctor may order a number of other tests and evaluations such as:
A fitness test can help diagnose AFib if exercise is the cause of anxiety palpitations. To do this, your doctor may ask you to run on a treadmill while you wear a heart rate monitor. Blood tests can help rule out other causes of anxiety, such as a thyroid problem. A chest X-ray will help your doctor see the condition of your heart and lungs. X-ray imaging can also help rule out other conditions. Some patients with atrial fibrillation have no symptoms, making diagnosis and treatment more difficult. In general, people at risk still need to be diagnosed and treated early, otherwise atrial fibrillation can lead to heart failure and stroke.

Lo lắng hồi hộp tim đập nhanh là tình trạng nhiều người gặp phải
Lo lắng hồi hộp tim đập nhanh là tình trạng nhiều người gặp phải
2.1. Information to proactively give your doctor When you visit and talk to your doctor, prepare these questions in advance if you suspect you may have anxiety or atrial fibrillation:
If you suspect Suspect I'm suffering from anxiety, depression:
Does my anxiety, nervousness have a clear effect on my heart health? Should I see a psychiatrist? Do I need counseling or anxiety medication? What should I do at home to relieve stress? Are there any foods or drinks I should avoid? If you suspect you have AFib:
What type of atrial fibrillation am I likely to have: paroxysmal, persistent or permanent? What are the causes? Are there any foods or drinks I should avoid? What types of activities or exercise are safe for me? What activities or exercises should I avoid? Do I need any procedure or surgery? Do I need any medication? What are the next steps? Feeling anxious about heart palpitations is common at any age, and in addition to emotional and mental factors, it can also signal a serious heart problem such as atrial fibrillation. Whenever there are abnormal signs, the patient should take the initiative to see a doctor for examination and directly ask the above questions. Hopefully with her initiative, every patient can live a healthy life with atrial fibrillation.
Currently, Vinmec International General Hospital is one of the most prestigious medical treatment units for cardiovascular diseases in Vietnam. The Cardiology Department of Vinmec always receives much praise and satisfaction from domestic & international customers. As a pioneer address to successfully apply the world's most advanced techniques in the treatment of cardiovascular diseases.
A team of highly qualified and experienced specialists: Medical doctors with qualifications from Master to Professor, Doctorate, reputable in medical treatment, surgery, interventional cardiac catheterization. Intensive training at home & abroad. State-of-the-art equipment, comparable to major hospitals in the world: The most modern operating room in the world; The most modern silent magnetic resonance imaging machine in Southeast Asia; The CT machine has a super-fast scanning speed of only 0.275s/round without the use of drugs to lower the heart rate; 16-sequence PET/CT and SPECT/CT systems help to detect early damage to cardiovascular organs even when there are no symptoms of the disease. Applying the most advanced advanced cardiovascular techniques in the world in treatment: Painless open heart surgery; Percutaneous aortic intervention without general anesthesia; Treatment of mitral regurgitation through the catheter has a success rate of 95%; Ventricular-assisted artificial heart transplantation for patients with end-stage heart failure prolongs quality of life beyond 7 years. Cooperation with leading Cardiology Centers in Vietnam and the world such as: National Heart Institute, Cardiology Department of Hanoi Medical University, University of Paris Descartes - Georges Pompidou Hospital (France), University of Pennsylvania (France), University of Pennsylvania United States)... with the aim of updating the most modern cardiovascular treatments in the world. To be examined and treated with leading Vinmec cardiologists, please book an appointment online at the website or contact Vinmec Health System nationwide for service.

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Reference source: Webmd
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