What causes palpitations, palpitations or palpitations?

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Question
Hello doctor,
I have a phenomenon of avoiding palpitations, feeling both in the neck and head area, especially when lying down, causing difficulty sleeping. I went to the cardiology department, the psychiatric department at the hospital. I had echocardiography, electroencephalogram, cervical vertebrae, psychological tests but still no disease. The most recent examination concluded that the heart was beating fast, but the question I want to know is what is the cause of the palpitations, tachycardia or palpitations? What tests should be done to diagnose the disease, because this phenomenon greatly affects the sleep of the child. Hoping to get an answer from the doctor. Thank you doctor
Anonymous client
Reply
Hello friend,
To the question “What is the cause of palpitations, heart palpitations or palpitations?”, the doctor would like to answer as follows: :
We would like to share your concerns about the arrhythmia you have described. However, you have had a cardiologist visit, have had an echocardiogram, and have no abnormalities. With that information in mind, we advise you not to worry too much about the symptoms that suggest your tachyarrhythmia.
First, we want to give you some information about heart rate physiology so that you can understand it better:
Normal heart rate is commanded by the sinus node. At rest the heart rate ranges from about 60-100 beats/min. However, in different contexts, the heart rate tends to change to ensure that the heart contracts and pumps blood to the body in accordance with the needs of each situation. For example, heart rate at night tends to decrease, especially at midnight near dawn, when we are sleeping soundly. During physical activity, labor or exertion, the heart rate tends to increase to ensure more blood supply to meet the body's needs. Heart palpitations, feeling nervous is one of the common symptoms, in normal people the above symptoms can be encountered when anxious, emotional,... However, the symptoms will disappear soon after and only appear. present in the above contexts. This is a physiological process because the heart rate is affected by nerve impulses, affected by the subject's own emotions. In your case, the symptoms appear to make you really uncomfortable, increase when lying down and it affects your sleep, our advice to you: should return to the cardiologist soon, where there are experienced specialists, especially arrhythmia doctors.
At Vinmec, in the above cases, we will conduct:
Assess and monitor the patient's heart rate through: 12-lead electrocardiogram, Holter 24-hour, 48-hour, 72-hour electrocardiogram... or portable personal electrocardiographic monitoring devices such as: EGCg, or implantable electrocardiographic monitoring devices (in the case of sparse arrhythmia episodes, undetectable by short-term monitoring devices). , or unexplained syncope with suspected arrhythmia, etc.). Echocardiography : A routine and important investigation, it helps to evaluate the structure and function of the heart. Arrhythmias in patients without structural heart disease or with organic cardiovascular disease have a better prognosis. Additional tests: Electrolyte, liver and kidney function, tests to evaluate other diseases or cardiovascular risk factors such as: blood fat, blood sugar. Tests to find the cause of non-cardiac arrhythmias: Thyroid function and imaging tests, quantification of hormones or substances circulating in the blood that can cause tachycardia eg: Quantification of blood catecholamines,... Vinmec is The first private medical facility in the North, installing an arrhythmia detection and ablation system using radiofrequency energy through a catheter (through the skin). This is a modern, safe and highly effective technique in the treatment of cardiac arrhythmias.
If you still have questions about the cause of palpitations, heart palpitations or palpitations, you can go to a hospital of 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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Answered by Cardiologist - Heart Center - Vinmec Times City International General Hospital.