[55F] Experiencing heart palpitations and variable resting heart rate

What might be happening

Based on the information you have provided, possible diagnoses include:

• Arrhythmias: These are abnormal heart rhythms that can cause the heart to feel like it's racing, skipping beats, or fluttering. Arrhythmias can be caused by many things, including heart disease, stress, and certain medications. Some arrhythmias can be serious or even life-threatening.

  • Diagnostic tests for arrhythmias typically include an electrocardiogram (ECG), Holter monitoring, and an event recorder. Treatment depends on the type and severity of the arrhythmia, but can include medication, lifestyle changes, and in some cases, surgery or a pacemaker.

• Anxiety: Stress and anxiety can also cause heart palpitations. If you've been feeling overwhelmed or stressed recently, this could be contributing to your symptoms.

  • Treatment for anxiety typically involves a combination of therapy, medication, and lifestyle changes.

• Gastroesophageal reflux disease (GERD): This is a condition where stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus and cause heart palpitations.

  • Treatment for GERD typically involves lifestyle changes and over-the-counter medication. If these aren't enough, prescription medications or surgery might be an option.

What you can do

1. Schedule an appointment with your doctor: Given your symptoms, it's important to get a proper diagnosis. Your doctor can order the necessary tests and refer you to a specialist if needed.
2. Monitor your symptoms: Keep a record of when your palpitations occur, what you're doing at the time, and how long they last. This can help your doctor determine a cause.
3. Try stress management techniques: If stress or anxiety seems to be contributing to your symptoms, techniques such as deep breathing, yoga, and meditation may help.

What you should look out for

Seek immediate medical attention if your heart palpitations are accompanied by:

• Severe shortness of breath
• Chest pain
• Fainting

Remember, I'm an AI and this advice is based on the information you've provided. It's always important to consult with a healthcare professional for an accurate diagnosis.