Causes of morning heart palpitations

Question

Hi, I have been having palpitations all morning and am worried to what might be causing this.

Answer ( 1 )

  1. Hello Coppellia,

    I have just received your email.

    Your current concern is palpitations all morning.

    There a few things I need to ask before running into final conclusions:
    – may I know your gender?/age?
    – any recent stressful situation?
    – anemia or any other chronic disease?
    – are you taking any medication on regular basis?
    – is this the first time you have experienced heart palpitations?
    – any personal history of heart disease?
    – do you skip meals?
    – have you checked your blood pressure and sugar levels? May I know the results?

    As you can see, having palpitations means something is not going right with your cardiovascular system. We should check this system itself first through Holter monitoring, EKG and echocardiogram.

    If everything is ok, then, we should look for other probable causes like:
    – anemia?
    – skipped meals
    – drops in blood sugar levels
    – changes in blood pressure
    – and what’s most important is going through a stressful situation.

    I advise to sit down, and check your blood pressure and sugar levels. If you do not have any at home, can go at your local drug store. They will help there.

    Next, take a glass with sugary water and chamomile tea. Avoid caffeinated drinks.
    Sit down or lay down with legs raised more than your head and see if this helps.

    Some vagal maneuvers can help:
    1. Valsalva Maneuver: hold your nose, close your mouth and try to blow air as much as you can for 10 seconds.
    2. Cold water treatment: this is very simple, just apply ice pack on your face for 15 seconds.
    3. Coughing can be another way to help slow down heart palpitation.

    Basically, what all these maneuvers can do is to affect the vagus nerve, the one running from your brain to your belly. This nerve sends signals to the atrioventricular node which is a cluster of cells at the bottom of your heart’s upper right chamber. This is responsible to control your heartbeat. So, after taking the signals from the sinoatrial node, it helps slow them down before passing to the lower chambers. This results in reduced heart rate and no palpitation.

    Try them and let me know how it goes.
    Dr.Albana

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