Palpitation Evaluation
Detailed history, ECG, and rhythm analysis with Holter when indicated.
Areas of Expertise
Palpitation Diagnosis and Treatment in Izmir
Palpitation is the uncomfortable awareness of one's own heartbeat. While often benign, it can sometimes signal an underlying arrhythmia. Prof. Dr. İstemihan Tengiz provides comprehensive evaluation of palpitations at Medicana International Izmir Hospital, including Holter monitoring, ECG, echocardiography, and advanced electrophysiological studies when needed.
What causes palpitations and when are they serious?
Palpitations can occur when the heart beats too fast, too slow, or irregularly. Stress, anxiety, caffeine, alcohol, smoking, fatigue, fever, and anemia are common temporary causes. In these cases, palpitations usually resolve on their own and do not indicate underlying heart disease.
However, palpitations can sometimes signal an electrical problem in the heart. Atrial fibrillation, supraventricular tachycardia, and premature ventricular contractions can all cause palpitations. Palpitations accompanied by fainting, chest pain, or severe shortness of breath require prompt evaluation.
The seriousness of palpitations largely depends on whether underlying heart disease exists. Patients with prior heart attacks, heart failure, or valve disease should take palpitations more seriously.
How is the diagnosis made?
Evaluation begins with a detailed history and physical examination. The timing, duration, nature, and triggers of palpitations are carefully documented. A 12-lead ECG provides immediate information about the current rhythm.
If palpitations are not daily, a 24-hour Holter monitor is used. For less frequent episodes, an event recorder or 7-14 day extended Holter may be prescribed. Echocardiography assesses heart structure, valve function, and pumping strength. Thyroid function tests, blood count, and electrolyte levels also aid in diagnosis.
Treatment options
Treatment depends on the underlying cause. Benign palpitations often respond to lifestyle modifications (reducing caffeine, stress management, regular sleep). If an arrhythmia is detected, medication therapy or electrophysiological studies with ablation may be recommended.
Chronic arrhythmias like atrial fibrillation may require blood thinners to reduce stroke risk. Beta blockers or calcium channel blockers help control rapid heart rates. All treatment options are individualized based on age, comorbidities, and arrhythmia type.
Procedures Performed
24-Hour Holter Monitoring
Continuous cardiac rhythm recording during daily activities.
Echocardiography
Structural and functional assessment of the heart.
Atrial Fibrillation Management
Rhythm control, rate control and anticoagulation therapy.
Supraventricular Tachycardia
Diagnosis and treatment of sudden rapid heartbeats.
Frequently Asked Questions
When should I go to the emergency room for palpitations?
If palpitations are accompanied by chest pain, severe shortness of breath, fainting, dizziness, or confusion, seek emergency care immediately.
Can stress cause palpitations?
Yes, stress and anxiety can accelerate heart rate and cause palpitations. While usually benign, evaluation is recommended to rule out underlying arrhythmia.
Is palpitation normal during pregnancy?
Increased blood volume and hormonal changes during pregnancy commonly cause palpitations. However, any palpitation with fainting or shortness of breath should be evaluated.
What tests are done for palpitations?
ECG, Holter monitoring, echocardiography, thyroid function tests, and blood count are the basic tests. Event recorders may be used for infrequent episodes.
Content reviewed by Prof. Dr. İstemihan Tengiz. Last reviewed:
The information on this page is for general information only and is not a substitute for medical advice. Please consult your physician about your symptoms.