[34F] Experiencing heart palpitations with associated symptoms

Patient Description

A 34-year-old female is experiencing heart palpitations that are more pronounced when sitting or lying down, with a sensation of the heart beating harder felt in the neck, sometimes prompting a cough. Additionally, the patient reports tingling in the hands and slightly blurred vision. The palpitations are currently the most bothersome symptom. The patient is not pregnant.

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Arora's Assessment

What might be happening

Based on the symptoms you've described, here are a few possible conditions:

  • Anxiety or Panic Disorder: Stress and anxiety can often lead to physical symptoms such as heart palpitations, tingling hands, and blurred vision. These symptoms can be quite distressing but are typically not dangerous.

    • Treatment often includes cognitive-behavioral therapy, medications, and lifestyle changes such as regular exercise, a healthy diet, and reducing caffeine intake.
  • Hyperthyroidism: This condition, where the thyroid gland produces too much thyroid hormone, can cause a variety of symptoms including heart palpitations, tremors, and sometimes blurred vision.

    • Treatment typically involves medication to reduce thyroid hormone production, and in some cases, surgery may be necessary.
  • Heart Arrhythmias: These are conditions where the heart beats irregularly, too fast, or too slow. Some arrhythmias can cause the sensation of a pounding heart (palpitations) and may be more noticeable when you're resting.

    • Treatment can range from lifestyle changes to medications, procedures, or even surgery, depending on the type and severity of the arrhythmia.

What you can do

It's important to consult with a healthcare professional who can evaluate your symptoms and medical history to make a proper diagnosis. In the meantime, here are a few things you can do:

  1. Limit caffeine and alcohol: These substances can trigger heart palpitations in some people.
  2. Stay hydrated: Dehydration can also cause heart palpitations.
  3. Practice stress management techniques: This can include things like yoga, meditation, or other relaxation exercises.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

  • Severe chest pain or discomfort
  • Trouble breathing or shortness of breath
  • Fainting or loss of consciousness
  • Severe or worsening palpitations

Please remember, while I strive to provide accurate information, I'm not a doctor. Always consult with a healthcare professional for a formal diagnosis and treatment.

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11 mo ago

People Also Ask


What are common causes of heart palpitations when sitting or lying down?

Common causes of heart palpitations when sitting or lying down include anxiety, stress, caffeine intake, certain medications, and heart arrhythmias. It's important to consult a healthcare professional for an accurate diagnosis.


Can anxiety cause physical symptoms like tingling in the hands and blurred vision?

Yes, anxiety can cause a range of physical symptoms, including heart palpitations, tingling in the hands, and blurred vision. These symptoms are often related to the body's stress response.


How is hyperthyroidism diagnosed and treated?

Hyperthyroidism is diagnosed through blood tests that measure levels of thyroid hormones. Treatment options include medications to reduce hormone production, radioactive iodine therapy, or surgery in some cases.


What lifestyle changes can help manage heart arrhythmias?

Lifestyle changes that can help manage heart arrhythmias include reducing caffeine and alcohol intake, staying hydrated, maintaining a healthy diet, exercising regularly, and practicing stress management techniques like yoga or meditation.


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