I am worried about palpitations. Please advise.

Q. I am worried about palpitations. Please advise.

Answered by
Dr. Sukhvinder Singh
and medically reviewed by Dr. K Shobana
This is a premium question & answer published on Oct 20, 2015 and last reviewed on: May 31, 2023

Hi doctor,

Last wednesday night, I got palpitations. I took Rivotril 5 mg and slept. Next day I rushed to my physician. He prescribed me Ciplar 10 mg tablet and advised me to take one tablet daily after breakfast. Palpitations did not happen from past three months. My doctor advised me to continue the tablet and said nothing to worry. But I am worried as what could be the reason for my palpitations. I am disturbed by thinking that will I get heart attack? I am sleepless now. Please help.



Welcome to icliniq.com.

Palpitations in the absence of loss of consciousness or blackout or sudden fall are not considered as malignant. Occasional non-recurrent palpitations may not be significant at all. Hence you need to see if you have any of these alarming symptoms or these palpitations are recurrent or not. On the background of structurally normal heart, your normal ECG (electrocardiogram) and ECHO (echocardiogram) study (attachment removed to protect patient identity) with no other cardiac symptoms, absence of alarming symptoms and absence of recurrence, speak of a non-cardiac cause. These may be related to stress, thyroid disorder and certain medications. I would suggest you to upload your recent ECG if possible. Tell me if you have any of the above symptom or precipitating factor?

Hi doctor,

My physician told me not to worry. He did not take an ECG and said it is not necessary. But I thought it happened due to excess of tea that I had in the evening before. Only heart beat was increased and I got anxious. Now it affects my sleep too as I keep thinking it. There is a feeling like, "am I suffering from heart attack"? Please guide me doctor.



Welcome back to icliniq.com.

Repeated palpitations do not lead to heart attack but anxiety or stress may cause so. If you think that it was due to excess of tea which may be a possible reason. There is nothing to worry about heart attack, especially in the background of normal ECHO and normal stress tests. By no means episodes of palpitation lead to or predispose to heart attacks. I have already explained to you in detail. Rivotril (Clonazepam) helps in decreasing anxiety and Ciplar (Propranolol) decreases heart rate or chances of palpitation. Most important thing is that you must understand that you should not worry and keep thinking about this issue. Excessive anxiety and worry will cause you more harm than anything else. Try meditation or yoga and relaxation exercises.

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