[65F] Experiencing heart palpitations, headache, and nausea

Patient Description

A 65-year-old female presents with sudden onset heart palpitations described as fluttering and pounding, accompanied by a headache and nausea. The symptoms began approximately 3.5 hours ago, with the palpitations and shortness of breath preceding the nausea. The patient is concerned about the possibility of atrial fibrillation. She is already on continuous oxygen therapy at 3.5L due to pre-existing conditions. There is no reported chest pain or discomfort. The patient has experienced similar palpitations in the past, which resolved before medical evaluation in the ER. No recent changes in medication or new medications have been reported. The patient denies any significant stress or anxiety contributing to the symptoms.

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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 symptoms:

  • Atrial Fibrillation (AFib): This is an irregular and often rapid heart rate that can lead to poor blood flow. It can cause heart palpitations, shortness of breath, and fatigue. Given your concern about AFib, it is a possibility, especially since you are experiencing palpitations and shortness of breath. Diagnosis typically involves an ECG (electrocardiogram) to monitor your heart's electrical activity.

  • Anxiety or Panic Attack: These can cause sudden heart palpitations, shortness of breath, and nausea. However, since you mentioned not feeling particularly stressed, this might be less likely.

  • Electrolyte Imbalance: Imbalances in electrolytes like potassium or magnesium can lead to palpitations and other symptoms. Blood tests can help determine if this is the case.

  • Other Cardiac Arrhythmias: Besides AFib, other types of irregular heartbeats could cause similar symptoms. These would also be evaluated with an ECG.

What you can do

  1. Seek Medical Attention: It's important to consult a healthcare professional to evaluate your symptoms, especially since they are new and concerning. They can perform necessary tests like an ECG or blood tests to determine the cause.

  2. Monitor Your Symptoms: Keep track of when your symptoms occur, how long they last, and any potential triggers. This information can be valuable for your healthcare provider.

  3. Use MDandMe: Consider using MDandMe to journal your symptoms, track your progress, and share your medical notes with your healthcare provider. This can help in managing your condition effectively.

  4. Stay Hydrated and Rest: Ensure you are drinking enough fluids and getting adequate rest, as dehydration and fatigue can sometimes exacerbate symptoms.

What you should look out for

  • Seek Immediate Care If:
    • You experience chest pain or pressure, which could indicate a more serious heart condition.
    • Your symptoms worsen or do not improve with rest.
    • You feel faint, dizzy, or have a loss of consciousness.

Remember, while this information can be helpful, it is not a substitute for professional medical advice. Please consult with a healthcare provider for a formal diagnosis and appropriate treatment.

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1 mo ago

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People Also Ask


What are the common symptoms of atrial fibrillation?

Common symptoms of atrial fibrillation include heart palpitations, shortness of breath, fatigue, dizziness, and sometimes chest pain. It is characterized by an irregular and often rapid heart rate.


Can anxiety or panic attacks cause heart palpitations?

Yes, anxiety or panic attacks can cause heart palpitations, along with symptoms like shortness of breath, nausea, sweating, and a feeling of impending doom. However, these symptoms are usually accompanied by a sense of anxiety or stress.


How can electrolyte imbalances affect heart rhythm?

Electrolyte imbalances, particularly involving potassium, magnesium, calcium, and sodium, can disrupt the electrical impulses that regulate heartbeats, potentially leading to arrhythmias or palpitations.


What should I do if I experience sudden heart palpitations?

If you experience sudden heart palpitations, it's important to stay calm and try to rest. Monitor your symptoms and seek medical attention, especially if they are accompanied by chest pain, dizziness, or fainting. An ECG and blood tests may be needed to determine the cause.


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