Question: My heart give a strong beat in between normal beats. Sometime I find gap in heartbeat which give pain and restless in the heart. Sometime palpitation , chest pain, solder pain. Sometime heartbeat becomes faster when sleeping as if I am going to have an attack then I switch on the light and sit which relaxes. I did ECG, thyroid test, ECHO, lipid all are normal. I was diagnosed as hypertensive patient but I am not getting any relief from medicine. I am suffering since 2 yrs
Answer: In medical language irregular heartbeats are termed as cardiac arrhythmia.
Causes of Abnormal Heart Rhythm
Abnormal heart rhythm can be caused by many factors.
- Coronary artery disease
- Hypertension
- Following exercise and emotional or sexual excitement in normal persons
- Obesity
- Mitral or aortic valvular disease
- Anemia, thyrotoxicosis
- Excessive tea, coffee, tobacco and alcohol
- Drugs like insulin, digoxin
- Cardiac neurosis
- Hiatus hernia, gastric distension
Symptoms of Abnormal Heart Rate or Arrhythmia
Under normal circumstances, the rhythmic contraction of the heart is not perceived by a healthy individual of average temperament, however normal person experiences palpitation following exercise and emotional or sexual excitement due to release of catecholamine leading to tachycardia, a normal awareness of an overactive heart.
- Palpitation
- Dizziness
- Shortness of breath
- Chest discomfort
- Weakness and fatigued
Treatment for Arrhythmias
- Treatment of arrhythmia depends on its type and the seriousness, some people require no treatment, while some may require medication, life style change and surgical intervention in few cases
- Any medication causing palpitation should be avoided, excessive tea, coffee and alcohol should be restricted.
- A change in environment in some cases is found to be helpful
You have done all necessary tests for heart evaluation , you can ask for treadmill test with your cardiac consultant if it is necessary.
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When I leave my house and start walking sometimes I feel a funny sensation on my chest like anxiety, for a couple of times or three, but soon after it will disappear and I continue walking normally. I am 76 year old, Thank you very much, and I expect your answer.
Further to my last query I want to know if the effects of arrhythmia are fatal? I am doing some exercise for about an hour daily and also go for a walk and I find no problem but some times it starts and after sex it is more and I feel tired. I would also like to know how the Treadmill test is done and what would be the cost?