Some people often hear the heart beat through their ear when their head is on the pillow. These are not necessarily significant problems. However, if you are aware of an irregular heartbeat, or moreover, you have symptoms associated with this, such as dizziness, lightheadedness, loss of consciousness or fainting, it is imperative that your symptoms are investigated urgently.
Tachy or Bradycardia?
A tachycardia occurs when the measured heart rate is greater than 120 beats/minute. A bradycardia is when the heart rate is less than 60 beats/minute. You may present with tiredness of chest discomfort rather than palpitations if the heart rate is too slow or too fast. Palpitations are often set off by anxiety and are made worse by stimulants. Reducing caffeine intake and alcohol intake may help whilst the specific diagnosis is made. Drug treatment is best avoided until a firm diagnosis is made.
Other potential conditions that could be causing palpitations include:
High Blood Pressure
Postural Orthostatic Tachycardia Syndrome (POTS)
Dr Saha will take a detailed history from you and perform an examination. After the examination has been performed it is likely that the following tests may be used to define the symptoms:
• 24/48 hours Holter monitor
Longer term monitoring including event recorders or implantable loop recorder for more infrequent symptoms.