Usually people call a heartbeat such a state when a person begins to feel the beats of his (her) own heart. Under normal conditions, it is impossible to catch a heart, and therefore it is only natural that the appearance of such sensations is always alarming and even frightening. Palpitations can be observed in healthy people under certain circumstances, as well as in patients with severe diseases of the cardiovascular system.
So where is the line between the norm and the disease, when it is necessary to seek help and how urgently should it be done?
Initially, let’s sort out a little in such unequal terms as tachycardia and palpitation. Tachycardia is an increase in the heart rate more than 90-100 per minute and is an objective symptom. A doctor or any other post-mortem person can detect tachycardia simply by counting the pulse. While palpitation is a subjective complaint of the patient, it is his (her) personal feelings, which are not always dependent on the pulse rate.
Therefore, before going to the doctor or complaining about the heart palpitations, count up the pulse at a time when something is bothering you and decide what it really is. In order to understand what is happening to your heart, pay attention to other sensations that accompany heartbeat and of course the pulse rate and pressure at the same time. If the pulse within the range of 60-90 beats per minute arterial pressure remains within the norm, there is no pain in the chest, dizziness, a pre-stupor condition, and then there is no danger in such a state. Otherwise, without consulting a cardiologist and a minimum survey is indispensable.
It is necessary to note one more important characteristic of palpitations - rhythmicity. Most often, irregularity is observed with atrial fibrillation or atrial fibrillation, in which case it is always necessary to carry out special treatment. On the other hand, irregularity in the work of the heart can also be observed in young healthy people in the form of sinus arrhythmia. In the latter case, this is evidence of well-being and a favorable outlook.
Summing up all the above, we would like to emphasize once again that timely treatment to a doctor is very important. And if there are symptoms that disturb you, violate the habitual way of life, then only for that, they should not be ignored. Nobody says that everything should be treated, but it is necessary to find out the cause and determine the significance of these complaints, including this should apply to such a common complaint as a heartbeat.
Often people after visiting doctors and prescribed treatment want to once again check their diagnosis and look for answers on the Internet. They also look for information about medicines and how to use them. Also often people choose online pharmacies and you can choose in any country, for example, Greece online pharmacy. In this article, we describe three patient’s cases, including descriptions of their symptoms and the response of the doctor.
Prescribed drugs: anaprilin, propionate dehydrate and tiotriazolin.
Question:
Frequent palpitations even during sleep. Frequent heart pain, with shortness of breath and very fast fatigue. Sometimes there is a loss of pulse.
Tell me, please, I really need to slow down my heartbeat with those drugs listed above. Just when I started taking these drugs, almost constant dull pain in the heart area began, and the pulse is still the same.
Answer of doctor:
You need to know the cause of high heart rate, including the need to exclude the pathology of the thyroid gland, chronic infections, intoxication, anemia, increased excitability of the nervous system, etc and only then to understand how to slow the pulse.
Of course, anaprilin is one of the drugs for temporary heart rate slowing and can be used in this situation. But we need to look for the cause of tachycardia.
Note that all other drugs have, you might say, a firming and soothing effect, and they have their side effects. In my practice, there were two cases when the vegetative preparations in patients there was discomfort in the chest. And propionate dehydrate describes a side effect like tachycardia.
Prescribed drugs: cetirizine, at high pressure - indapamide, losartan (10), amlodipine (10), in heartbeat - verapamil (40).
Complaints: Dry mouth, nocturnal attacks (during sleep, a sharp heartbeat starts - up to 130 beats, pressure up to 170/120, tremor), in the morning after a dream - dizziness, weakness, palpitation up to 120 beats, with the pressure dropping to 90/60 (once - loss of consciousness). The day is more or less stable (heart rate ~ 90, arterial pressure ~ 118/94).
Question:
1) What can it be for the disease?
I already visited the endocrinologist - treatments are not prescribed (he said that everything is good). Also I visited the therapist - he appointed the abovementioned medications, but they do not relieve the attack!
2) Can it be due to bronchial asthma?
Answer:
You describe the paroxysms (attacks) of tachycardia against the background of blood pressure increases. It is difficult to say what they are caused by and which exactly type of a tachycardia it is. You need to undergo such a study as daily monitoring of ECG and Holter blood pressure monitor, and by results consult with a cardiologist. It should be noted that taking antihypertensive drugs should be permanent and continuous, even if there are normal BP figures.
Such symptoms can occur in response to the use of inhalers containing bronchodilators. If these are used by you, then it is worthwhile to consider reducing the dose and the frequency of their application.
Question:
I go to the hospital only in case of emergency, because I do not want to spoil my medical history. Therefore, I will try to describe the problem in more detail.
In principle, I’m healthy and with health problems you can say I ran into it for the first time in my life. I’m skinny and decided to gain muscle mass. I started to work out for two or three weeks. But then it turned out that I did not sleep more than a day (that evening I also worked out). During the day I drank coffee (to which I am very sensitive) so as not to fall asleep. In the evening, after working out, I felt a strong palpitations and stitching pains in my chest. Then I went to bed, I get enough sleep after 8 hours, but when I woke up, I felt like my heart was beating tiredly, and that it was not rested. I went to bed again and slept for 15 hours.
Now I feel in the heart insufficiency, it knocks as if with effort, sometimes sharp pains. I have a general feeling of fatigue. Mood has changed, depression has appeared. Palpitation is always rapid. I get enough sleep now for 15 hours. I have no diagnosis of an arrhythmia in my medical history, but my doctor knew that I had it when I told him what I felt like my heart sometimes "falls through".
Answer:
Judging by your description, we can assume a violation of the heart rhythm against the background of autonomic dysfunction. However, in order to clarify the type of arrhythmia and its nature, it is necessary, at least, to conduct routine research - electrocardiography (ECG). In this period, it is advisable to exclude coffee, because you wrote that you have an increased sensitivity to it.
