Is heart palpitations a heart disease?

Written by Chen Ya
Geriatrics
Updated on September 01, 2024
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Palpitations are one of the main symptoms of cardiovascular disease, but they should not be equated with it. Some palpitations do not accompany arrhythmias and can also occur in normal people, especially when lying on the left side, which might be noticeable. It is commonly seen in normal individuals who are nervous and sensitive, as well as in some anxious people. Normal people might experience palpitations during intense exercise; these could be due to sinus tachycardia or a high-output circulatory state, but most other cases should be evaluated to exclude heart disease.

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Written by Cai Li E
Cardiology
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How long does heart disease generally hurt?

1. Chest pain caused by angina due to coronary heart disease is located in the middle to lower third of the sternum, with unclear boundaries. It is often triggered by physical activities or emotional excitement and may radiate to the throat, lower jaw, left shoulder, and inner side of the left arm. The pain lasts for a few minutes to more than ten minutes, typically between three to five minutes, and rarely exceeds half an hour. It can be relieved by rest or by taking nitroglycerin under the tongue. The nature of the pain is feelings of stuffiness, pressure, or constriction, and may also feel like a burning sensation, but is not sharp like needle pricks or cuts. 2. The location and nature of the chest pain in acute myocardial infarction are the same as with angina, but it lasts longer, is more severe, and its triggers are less evident. It can occur even while at rest, accompanied by symptoms such as sweating, nausea, vomiting, heart palpitations, and difficulty breathing. Unlike with angina, regular rest or taking nitroglycerin under the tongue does not completely alleviate the pain.

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Written by Li Hai Wen
Cardiology
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How to relieve vomiting caused by heart disease?

Treatment for vomiting caused by heart disease must depend on its cause. First, if caused by heart failure, as the symptoms of heart failure worsen, including right-sided heart failure, patients may experience nausea, vomiting, and bloating after eating. The key in these cases is to correct heart failure, perhaps with intravenous diuretic medications or the newer diuretic drug tolvaptan, which can alleviate symptoms of vomiting caused by heart failure. Secondly, digoxin toxicity can cause vomiting if patients with heart failure are taking too much or have been on digoxin for a prolonged period. The primary action in these instances is to discontinue the digoxin medication promptly. Thirdly, if associated with gastritis, treatment would involve medications to stop vomiting and oral omeprazole to protect the stomach lining. (Medications should be taken under medical supervision.)

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Written by Li Tao
Pulmonology
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Symptoms of cor pulmonale

Cor pulmonale refers to a disease characterized by increased pulmonary vascular resistance due to pathologies of the bronchi, lung tissue, chest wall, and blood vessels of the lungs, leading to pulmonary arterial hypertension and structural and functional changes in the right ventricle. The common clinical symptoms of cor pulmonale include coughing, expectoration, shortness of breath, significant palpitations, and breathing difficulties after physical activity, reduced work capacity, and exacerbation of the above symptoms during acute infection phases. Some patients may experience chest pain and hemoptysis. The second set of symptoms relates to heart and lung function, manifesting during the decompensation phase. For instance, some patients may develop respiratory failure, and experience headaches, decreased appetite, drowsiness, significant edema in the lower extremities, and further symptoms such as arrhythmias, anorexia, abdominal distension, and nausea.

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Written by Xie Zhi Hong
Cardiology
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Is hyperthyroid heart disease dangerous?

Hyperthyroidism can repeatedly cause an increase in heart rate and metabolism, which is quite active, causing a long-term overload of heart function, leading to the formation of hyperthyroid heart disease, a chronic pathological change process. In the middle and early stages, it generally does not pose a life-threatening risk, only manifesting symptoms such as palpitations, tightness after activity, breathlessness, or chest tightness, which can improve with rest. However, if hyperthyroidism is not cured for a long time, or if hyperthyroid heart disease is not treated in time, it can lead to severe heart failure. If there is a severe decline in heart pump function, causing the ejection fraction to be below 30%, it can easily cause sudden pump failure or severe arrhythmias, such as ventricular tachycardia or fibrillation, posing a life-threatening risk to the patient.

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Written by Zhang Yue Mei
Cardiology
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Is rheumatic heart disease serious?

Rheumatic heart disease is a type of organic heart disease caused by an abnormal immune response, leading to pathological changes in the heart valves, which pose significant risks to the body. Due to valve insufficiency or stenosis, rheumatic heart disease causes changes in hemodynamics, leading to heart failure and pulmonary edema. These are severe conditions for patients and require timely treatment and correction. If effective dietary therapy is not administered, especially for pulmonary edema, it can be life-threatening.