How to tell if the palpitations you are getting are serious or not

September 20, 2019

Hello my name’s Sanjay Gupta I’m a
cardiologist in York and today I thought I’d do a little video on the
subject of palpitation, palpitations are really common symptom that I see in my
clinic and majority of palpitations are not serious, the big worry when people
experienced palpitation is whether they may have a heart rhythm disturbance even
if they have a heart rhythm disturbance most heart rhythm disturbances are not
serious so that’s a little bit of reassurance the first thing I’d like to
talk about is what is a palpitation I suppose the palpitation is a awareness of one’s heart beat to the
extent that it feels abnormal so the heart could be beating normally but is
sensed abnormally now there are many normal causes of palpitations so for example if you were walking down
a dark alley in someone jumps out that would cause palpitation that would cause
the heart to beat very fast and that would be spelled as a palpitation the bet
doesn’t signify a problem with the heart itself the heart is just doing what it’s
meant to do it’s beating closed in response to the adrenaline that
circulate around the body similarly anxiety stress can cause publication publication people who drink a lot of
caffeine alcohol can cause palpitation exercise can obviously so these are the
kind of sort of normal things that can cause palpitations we don’t see anything
to be worried about then there are various heart rhythms that can various
abnormal heart rhythms and one of the first thing to try and work out whether
the publication is just because of something else or whether it’s an
intrinsic part of the problem and there are a few things that very few clues
that you can get if your publication of mainly occurring when you also lying in
bed you know her lying down after a busy day in the early morning when you’re
still in bed than that signifies that it’s unlikely to be a heart rhythm
disturbances don’t look at the time of day they can occur at any time when
you’re getting the maddest certain time every day then you you know this could
be reflective of stress that you may or may not be aware of a lot of people who
are going through a breakup or something like that will experience the opposition and
they’re locked and come to me and say well I you know I don’t notice it at all
during the daytime but when I come back home and I lie in bed then I notice
issues sometimes I wake up in the early hours and I tell them that you know I
think this is less likely to be a hundred that disturbs the second thing
to watch out for is the onset you know if your heart rhythm of publications are
gradual onset and that’s less likely to be a heart rhythm disturbance heart
rhythm disturbances just like that and and they’ve been very sudden onset and they’re generally very sudden
offsets that when they go away just within a few seconds within a second whereas people who have
another cause such as stress or anxiety than the offset is much slower there are
other things to be aware of the the rich that the heart is beating out is
important because usually you know if the heart is beating a hundred and sixty
beats per minute then that’s more likely to be a heart rhythm disturbance but not
always and irregularities really important so
worried about your publications always work working out whether the heart
rhythm is regularly it’s a regular rhythm it’s generally less likely to be
a hard rhythm disturbance although there is there are a few episodes which can be
regular but they tend to be very fast onset and sudden lots that what else I think it’s important things now it
does in association with chest discomfort or if there’s an association
with blackouts or something else then that’s obviously serious and it’s
important to get that checked out I want to just check out a few beats of
different competition just so you know so let’s check them out became the first one is the normal
heartbeat again you will notice that it’s nice and slow and nice and regular
ok now the second one is something called atrial fibrillation which is when
the top two chambers of the heart the atria stopped working that’s an abnormal
heart rhythm it’s not a dangerous heart rhythm it’s an intermediate does carry
with it small risk of causing strokes but it is
always worth getting checked out if you’re experiencing something like this
and then you can see that that that was normal
and then suddenly became phones and became irregular and then went off
that’s typically relation ok here’s another one and this is called in
Escherichia supraventricular tachycardia and this is a more common heart rhythm
disturbance and younger people’s all those can occur in older people as well
but generally some people can habit from a very young age again it’s not a
serious problem it’s an inconvenient problem it’s worth checking out because
it can now be cured very few things in medicine that we
actually but this is one of them say it’s well worth checking out who will
work getting checked out if you experience of the day so normal hundred
themselves and then suddenly out says here again now on this occasion you
can notice that it was sudden it was very fast and then the office it was a
lot of people will actually find that’s you know pressing on your eyeballs are
holding your nose and then blowing out pressing on your neck back and get rid
of these symptoms and there’s a typical vagal maneuvers that people use them
they don’t even realize they’re actually doing something so often I see people in
a way so that the whole market an sdt the most common type of altercation I
experienced my neck when I see patients is this so people will say they get this see what happens here is that will
people are experiencing is normal and then something missus and then a big
thought and that again that’s typically extra beats beats and then usually not
dangerous and most people will find the most noticeable at rest and not when
they’re doing things that actually if you’re getting this in the middle of the
night and you’re worried about it if you go for a brick wall you’ll find that
gets rid of it all together these everyone gets extra beat some people
just noticed them a little bit more than others so those are the main types of
heart rhythm just now if you getting harsher them disturbance what should you
do well if you’re getting something that is making you feel very very
uncomfortable then it’s always worth just calling an ambulance going to
hospital otherwise most of the times you could wait till the next day and go and
see your GPU GPS should take a history and then ideally organized because the
answer is to capture the heart rhythm disturbance when you’re getting your
symptoms on an ECG if the heart rhythm is normal of the CG then that’s that
answers that question disturbance and there are various
bonuses that are available 24 hours under seven days there’s others that you
can keep on for four to six weeks ended really depends on how frequent symptoms
are and where they used to do the frequent enough of the monitors marks sometimes the easiest thing is
just to come to casualty happen ECG there and then answer your questions if
if your GP’s concerned he’ll probably want to send you to a cardiologist like
me what should I do well I always start off St just trying to work out from the
history as to what the symptoms they represent could represent I don’t listen
to the horses and then I organized the baseline ECG is normal then that’s
encouraging there’s always again really good to try and trap those publications
on an ECG monitor so I normally give my patients in ECG monitor to wear for one
day or sometimes a week I also think it’s really useful to scan the heart
because if you scan the card and you find that the heart just dropped room or
Linux comp well and it’s not disease did anyway then that’s generally a very good
sign and no matter what the publications of the prognosis is very good most publications are eminently
treatable now and should be really no cause for concern or you know last
night’s some of them easily controlled with tap dance until Jen need any
medication whatsoever and some of them are actually a meaningful legacy cheese that’s about it really and this little
video was useful to you if you have if you’d like to know more about me but why
do and more about heart health and peace deal reached this is my websites which
is an alternative you can also bring me if you would like to organize if you
have any concerns or thank you very much for listening and goodnight

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