An arrhythmia is an abnormal heart rhythm, where the heart beats irregularly, too fast or too slowly. A palpitation is a short-lived feeling of your heart racing, fluttering, thumping or pounding in your chest. An occasional palpitation that does not affect your general health is not usually something to worry about.
Palpitations are symptoms of everything from short or long-term stress to a variety of arrhythmias (irregular heartbeats). They may feel alarming, but do not always reflect a serious heart condition.
Listen to your heartbeat: Your heartbeat will be very erratic with AFib, while with palpitations it'll beat fast but in a steady pattern and slowly return to normal.
firmly place the index and middle finger of your right hand on your left wrist, at the base of the thumb (between the wrist and the tendon attached to the thumb) using the second hand on a clock or watch, count the number of beats for 30 seconds, and then double that number to get your heart rate in beats per minute.
Stress, exercise, medication or, rarely, a medical condition can trigger them. Although heart palpitations can be worrisome, they're usually harmless. Rarely, heart palpitations can be a symptom of a more serious heart condition, such as an irregular heartbeat (arrhythmia), that might require treatment.
Diagnosing arrhythmias
The most effective way to diagnose an arrhythmia is with an electrical recording of your heart rhythm called an electrocardiogram (ECG). If the ECG doesn't find a problem, you may need further monitoring of your heart.
Heart arrhythmias may feel like a fluttering or racing heart and may be harmless. However, some heart arrhythmias may cause bothersome — sometimes even life-threatening — signs and symptoms. However, sometimes it's normal for a person to have a fast or slow heart rate.
An electrocardiogram (EKG or ECG) is the most common test for diagnosing arrhythmias. An EKG records your heart's electrical activity. Your doctor may do an EKG during a stress test, which records your heart's activity when it is working hard and beating fast.
Your doctor may be able to detect an arrhythmia by listening to the heart with a stethoscope.
Palpitations can happen at any time, even if you're resting or doing normal activities. Although they may be startling, palpitations usually aren't serious or harmful. However, they can sometimes be related to an abnormal heart rhythm that needs medical attention.
Anxiety is a common cause of heart palpitations and usually isn't something to worry about. However, it is normal for your heartbeat to speed up in stressful situations, sometimes palpitations may become more frequent, intense, unpredictable, or impact your general functioning and well-being.
For most people, heart palpitations are a once-in-a-blue-moon occurrence. Others have dozens of these heart flutters a day, sometimes so strong that they feel like a heart attack. Most palpitations are caused by a harmless hiccup in the heart's rhythm. A few reflect a problem in the heart or elsewhere in the body.
Sustained heart palpitations lasting more than 30 seconds are considered a medical emergency. They could indicate pre-existing heart diseases such as coronary artery disease or heart valve disorders.
Palpitations might feel alarming but keep in mind that in most cases they aren't a sign of any problems with your heart. However, you should always get palpitation symptoms checked out with your GP or health professional. You may sometimes feel that your heart skips a beat or there is an extra beat.
DON'T ignore your arrhythmia — even if it's benign
Your physician might tell you that your arrhythmia is harmless and doesn't need to be treated. But that doesn't mean that you won't ever have symptoms. “Just having symptoms is reason alone to treat an arrhythmia,” says Erica.
If you have heart palpitations with severe shortness of breath, chest pain or fainting, seek emergency medical attention. If your palpitations are brief and there are no other worrisome signs or symptoms, make an appointment to see your health care provider.
An occasional abnormal heartbeat is not cause for serious concern. However, if symptoms last for long periods of time, are significant or come back time and again, it's important to seek medical attention. “If you have fainting, swelling in your leg, shortness of breath—seek medical attention right away,” Dr.
Both atrial fibrillation and anxiety can lead to irregular heart rhythms, known as arrhythmia. Anxiety may contribute to some heart conditions, including atrial fibrillation.
Anxiety Can Cause Arrhythmia
It is known that a person's heartbeat may speed up during times of stress (as a result of the fight or flight system), but an arrhythmia tends to be much more sudden and does not always come during times of intense anxiety.
The most obvious symptom of atrial fibrillation is heart palpitations – where the heart feels like it's pounding, fluttering or beating irregularly, often for a few seconds or possibly a few minutes.
Arrhythmias can be hard to diagnose, especially the types that only cause symptoms every once in a while. Doctors diagnose arrhythmias based on medical and family histories, a physical exam, and the results from tests and procedures.
Apple Watch customers have access to two software as medical device features to detect heart arrhythmias such as atrial fibrillation (AFib): the Irregular Rhythm Notification Feature (IRNF) and the ECG app.
Although you may detect an abnormal heart rhythm by checking your pulse or listening to your heart, the only way to confirm an atrial fibrillation diagnosis is to get an electrocardiogram (EKG or ECG) from your healthcare provider.