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What Makes Heart Arrhythmias Different From Heart Palpitations

Double exposure image showing a man experiencing chest pain from heart palpitations or arrhythmia.
July 22, 2024
by Dr. Karthigesan

People often confuse heart palpitations with heart arrhythmias. While some might use these terms as if they mean the same, the truth is that they refer to distinct heart rhythm experiences. This article will help clarify these distinctions, enhancing your ability to effectively manage and safeguard your heart health.

Let us delve into the nuances of setting these two apart and the various heart rhythm treatments that can help your heart beat at the right pace.

A Deeper Look Into Heart Palpitations

Ever noticed your heart seemingly leap or miss a beat out of the blue? This phenomenon, termed palpitations, can be both startling and confusing. Such experiences, where your heart appears to flutter, pound, or deviate from its usual rhythm rapidly, can happen whether you are at rest or active. While typically harmless, they occasionally hint at deeper heart issues.

Symptoms of Heart Palpitations

Palpitations can manifest in diverse forms, such as an unusually rapid, uncontrollable fluttering or a forceful pounding of the heart. Accompanying symptoms might include:

  • Chest discomfort
  • Dizziness
  • Breathlessness
  • Excessive sweating
  • Nausea
  • Abnormal sense of tiredness.

Monitoring these symptoms is crucial, particularly if they are repetitive or intense. Experiencing palpitations alongside significantly impactful symptoms necessitates immediate medical intervention.

You ensure your heart remains in prime condition by staying attuned to your body and seeking medical counsel when needed. This proactive stance addresses palpitations and fosters a broader comprehension of your heart's health.

Causes of Heart Palpitations

Most often, heart palpitations occur without any obvious cause. However, several elements can provoke palpitations, from emotional turmoil to stimulant consumption like caffeine. Emotional distress often leads to a heightened heart rate and more robust heart contractions. Excessive physical exertion, sudden withdrawal of certain medications, and excessive intake of nicotine and alcohol can result in palpitations.

Medications for asthma, hypertension, and depression can also trigger palpitations. Consult your doctor if you suspect the same.

How to Manage Palpitations

It is easy to manage palpitations as long as they do not indicate an underlying cardiovascular issue. You can:

  • Engage in regular physical activity
  • Reduce caffeine consumption
  • Quit smoking and drinking
  • Adopt stress-reducing techniques.

However, you must consult your doctor if your palpitations intensify or persist despite simple measures.

Also Read : Arrhythmias & Cardiac Arrest: Understanding the Highly Risky Connection

Understanding Arrhythmia in Detail

Any irregularity in the heartbeat is called an arrhythmia. The normal heartbeat is a steady lub-dub generated by electrical impulses that cause the heart to contract and pump blood throughout the body.

Any disruption to these signals can cause the heart to beat too fast, too slow, or in an erratic pattern. While the idea of an irregular heartbeat may sound concerning, not all arrhythmias are ominous. Many are benign, symptom-free, or do not necessitate immediate medical action. However, specific forms, like ventricular fibrillation, present considerable dangers and could be fatal.

Symptoms of Arrhythmia

Arrhythmia symptoms may entail unexpected palpitations that feel more intense or distinct from the usual fluttering tied to anxiety or excitement. You might experience dizziness or even fainting episodes, signs that your heart is not circulating blood as it should. Other symptoms:

  • Tiredness
  • Fluttering in the chest
  • Shortness of breath
  • Excessive sweating

While simple palpitations often stem from stress, caffeine, or hormonal shifts and typically resolve independently, arrhythmia symptoms might not be as fleeting. Arrhythmias can induce a continuous sense of discomfort or unease, with more pronounced symptoms that can significantly interfere with daily activities. The severity and persistence of these symptoms are crucial indicators that what you are experiencing might surpass mere palpitations.

Treatment For Arrhythmia: Medical & Catheter based Interventional Options

Here is a glimpse into the treatment avenues for arrhythmia:

  • Medications

Treating arrhythmias often begins with medication. Your doctor may start you on antiarrhythmic drugs to normalise your heart rate and prevent arrhythmia episodes. You may require additional medications depending on the nature and severity of your symptoms. Your doctor may recommend:

  • Blood thinner for clot and stroke prevention
  • Beta-blockers for heart rate management
  • Calcium channel blockers to regulate heart rhythm
  • Interventional Procedures

Severe arrhythmia cases may require interventions like electrical cardioversion, catheter ablation, and implantable devices like pacemakers and defibrillators. Doctors may recommend catheter ablation to remove or inactivate the heart's electrical malfunctioning areas. Also, defibrillation may be given in emergencies to reset a chaotic heart rhythm and prevent sudden cardiac arrest.

Lifestyle Modifications for Management of Arrhythmia

Modifying your lifestyle can significantly influence arrhythmia management.

  • Reduce your caffeine intake.
  • Give up smoking and alcohol.
  • Practice stress-reduction techniques.
  • Indulge in regular physical activity.
  • Manage your weight.

Similarities Between Heart Palpitations & Arrhythmias

Basically, heart palpitations and arrhythmias are two different conditions. However, they share certain common aspects:

  • Both conditions involve irregular heartbeats manifesting as thumping or jumping sensations in the chest.
  • Both conditions cause the same symptoms, like dizziness, breathlessness, and mild to extreme fatigue.
  • Palpitations and arrhythmias are triggered by stress, alcoholism and dehydration.

Heart Arrhythmias Vs. Palpitations: the Differences

At the end of the day, it is important to remember that both conditions are different.

  • Heart palpitations are generally harmless. Some arrhythmias may also be harmless, but most often, they signal an underlying heart condition that may be serious.
  • Heart palpitations may be temporary and get better without medications. Arrhythmias, however, require medical intervention to prevent serious consequences.
  • Arrhythmias often manifest as rapid or slow heartbeats, dizziness, and shortness of breath. Palpitations are more like a jumping or shaking sensation in the chest.

Care For Your Heart With the Right Measures

Knowing when palpitations are merely a reaction to temporary factors or a symptom of deeper heart rhythm issues like arrhythmias empowers you to take timely action. In heart health, being well-informed is your strongest defence. Regular monitoring, lifestyle adjustments, and understanding your body's cues play crucial roles in keeping a healthy heart rhythm.

For those concerned about their heart health, seeking advice from an experienced interventional cardiologist can be invaluable. Our dedicated team is here to help you navigate the complexities of heart care, ensuring your heart remains healthy and functions optimally.

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Dr. Karthigesan

Dr Karthigesan A.M is an Electrophysiologist in Chennai, and a Senior Consultant Cardiologist, practising at the renowned Apollo Hospital in Chennai. He also conducts frequent consultations at Apollo's branches in Madurai, Trichy, and Guwahati. He holds an international certification in Cardiac Electrophysiology, making him an expert in his field.
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