What To Do When Experiencing Heart Palpitations

If you're experiencing heart palpitations, it's important to undergo proper evaluation to determine the underlying cause. Here are several diagnostic methods commonly used to assess heart rhythm and overall cardiac health:

1. Self-Monitoring of Pulse

Checking your pulse is a simple and effective first step. When you feel palpitations, take a moment to count your pulse for one minute. This will help you determine your heart rate and whether it's regular or irregular. Monitoring your pulse can provide valuable information to share with your doctor.

2. Electrocardiogram (ECG) Testing

Visiting a healthcare facility for an ECG is one of the most common diagnostic steps. This test records the electrical activity of the heart and can detect abnormal rhythms. However, since palpitations can be intermittent, a standard ECG might not capture the event. In such cases, your physician may recommend a Holter monitor or event recorder for continuous monitoring over 24 hours or even up to a week.

3. Implantable Loop Recorder for Complex Cases

If palpitations are accompanied by fainting or occur infrequently, more advanced monitoring may be needed. An implantable cardiac monitor can be placed under the skin to continuously record heart activity. This device is especially useful for detecting irregularities that may be linked to episodes of syncope (fainting), helping doctors identify the root cause of your symptoms.

4. Invasive Diagnostic Procedures

In some cases, further investigation through invasive testing may be necessary. A procedure known as an electrophysiology study (EPS) involves inserting catheters into the heart via a vein to stimulate and evaluate the heart's electrical system. This allows specialists to pinpoint the exact source of arrhythmias and determine the best course of treatment.

If you're experiencing frequent or concerning heart palpitations, it's crucial to consult with a healthcare professional. Early diagnosis and appropriate management can significantly improve outcomes and help maintain long-term heart health.