[30F] Experiencing recurrent heart palpitations

Patient Description

A 30-year-old female reports experiencing recurrent heart palpitations described as a fluttery sensation. These episodes have been occurring every other day for about an hour over several years. The palpitations are more noticeable when sitting or lying down and are not associated with exercise. The patient consumes caffeine in the mornings but stops in the afternoon. There is no significant stress or anxiety reported that might contribute to these sensations. The patient has no known heart conditions and has not undergone any heart-related tests. However, there is a family history of heart disease, with the patient's grandmother being diagnosed around the age of 50. No other symptoms are reported, and there are no known allergies.

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Arora's Assessment

What might be happening

Based on the information you have provided, here are some possible explanations for your heart palpitations:

  • Benign Heart Palpitations: These are often harmless and can be caused by stress, caffeine, or hormonal changes. Since you mentioned consuming caffeine, it might be contributing to your symptoms. Palpitations that occur when sitting or lying down are often benign, especially if they are not accompanied by other symptoms like dizziness or chest pain.

    • Typical management involves lifestyle modifications, such as reducing caffeine intake and managing stress.
  • Arrhythmias: These are irregular heartbeats that can sometimes cause a fluttering sensation. While many arrhythmias are benign, some can be more serious and require medical evaluation.

    • Diagnosis typically involves an electrocardiogram (ECG) or a Holter monitor to track your heart rhythm over time.
  • Thyroid Issues: An overactive thyroid (hyperthyroidism) can cause palpitations. This is usually accompanied by other symptoms such as weight loss, increased appetite, and nervousness.

    • Blood tests can help diagnose thyroid issues, and treatment may involve medication or other interventions.

What you can do

  1. Monitor Your Symptoms: Keep a journal of your palpitations using MDandMe, noting when they occur, their duration, and any potential triggers. This information can be valuable for your healthcare provider.
  2. Reduce Caffeine: Try reducing or eliminating caffeine to see if your symptoms improve.
  3. Relaxation Techniques: Practice stress-reduction techniques such as deep breathing, meditation, or yoga, which may help reduce the frequency of palpitations.
  4. Stay Hydrated: Ensure you are drinking enough water throughout the day, as dehydration can sometimes contribute to palpitations.

What you should look out for

Seek medical attention if you experience any of the following:

  • Palpitations accompanied by chest pain, shortness of breath, dizziness, or fainting.
  • A significant increase in the frequency or intensity of your palpitations.
  • Any new or concerning symptoms that develop.

Remember, while these suggestions can be helpful, it's important to consult with a healthcare professional for a formal diagnosis and personalized advice.

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1 mo ago

People Also Ask


Can caffeine consumption cause heart palpitations?

Yes, caffeine is a known stimulant that can cause heart palpitations in some individuals. Reducing or eliminating caffeine intake may help alleviate these symptoms.


What are benign heart palpitations and how can they be managed?

Benign heart palpitations are usually harmless and can be caused by factors like stress, caffeine, or hormonal changes. They can often be managed with lifestyle modifications such as reducing caffeine, managing stress, and staying hydrated.


How are arrhythmias diagnosed and are they serious?

Arrhythmias are diagnosed using tests like an electrocardiogram (ECG) or a Holter monitor, which track heart rhythm over time. While many arrhythmias are benign, some can be serious and require medical evaluation.


Could thyroid issues be causing my heart palpitations?

Yes, an overactive thyroid (hyperthyroidism) can cause heart palpitations, often accompanied by other symptoms like weight loss and nervousness. Blood tests can diagnose thyroid issues, and treatment may involve medication or other interventions.


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