Are Heart Palpitations Serious?


Are Heart Palpitations Serious?
Are Heart Palpitations Serious?

If you have the uncomfortable sensation that your heart is beating too fast, pounding too hard or skipping a beat, you may have heart palpitations. But are heart palpitations serious? Associate Professor Ching Chi Keong, Senior Consultant, Department of Cardiology and Director, Electrophysiology and Pacing, National Heart Centre Singapore (NHCS), a member of the SingHealth group, answers. (iStock photo)

Though heart palpitations are usually harmless, it is important to rule out any serious arrhythmias (abnormal heart rhythms) or pre-existing heart problems.

"Heart palpitations are a very frequent symptom in the general population and it may account for about 15 per cent of clinic consultations here at NHCS," says Assoc Prof Ching Chi Keong.

Related article: Heart failure in women often goes undetected, why?

Symptoms of heart palpitations

  • Fluttering in the chest

  • Pounding heartbeat

  • Slow heartbeat

  • Chest discomfort

  • Shortness of breath

  • Light-headedness

  • Fainting sensation

Related article: How to survive a heart attack when alone

Causes of heart palpitations

Heart palpitations are common in all age groups. "Heart palpitations among women and younger patients usually have a benign cause. Men and older patients are more likely to have palpitations caused by arrhythmias," says Assoc Prof Ching.

Benign heart palpitations can be triggered by:

  • Stress

  • Anxiety and panic attacks

  • Excessive caffeine or alcohol

  • Nicotine

  • Stimulant medications (weight loss pills, cough and cold medicine)

  • Fever

Related article: When heart palpitations become serious

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