Patient's Query
Hi doctor,
I got palpitations. I took Rivotril 5 mg and slept. The 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 have not happened for the past three months. My doctor advised me to continue the tablet and said nothing to worry about. But I am worried as to what could be the reason for my palpitations. I am disturbed by thinking that I will get a heart attack? I am sleepless now. Please help.
Thank you.
Hi,
Welcome to icliniq.com.
Palpitations in the absence of loss of consciousness, 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 if these palpitations are recurrent or not. On the background of a 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 disorders, and certain medications. I would suggest you upload your recent ECG if possible. Tell me if you have any of the above symptoms or precipitating factors?
I hope this helps.
Please revert so I can assist you further.
Thank you.
Patient's Query
Hi doctor,
Thank you for your reply.
My physician told me not to worry. He did not take an ECG and said it was not necessary. But I thought it happened due to the excess of tea that I had in the evening before. Only my heartbeat increased, and I got anxious. Now, it affects my sleep, too, as I keep thinking about it. There is a feeling like, am I suffering from a heart attack? Please guide me, doctor.
Thank you.
Hi,
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 tea, that 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 does episodes of palpitation lead to or predispose to heart attacks. I have already explained this to you in detail. Clonazepam helps in decreasing anxiety, and Propranolol decreases heart rate or chances of palpitation. The 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.
I hope this helps.
Please revert so I can assist you further.
Thank you.
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Answered byDr. Sukhvinder Singh
Medically reviewed byDr. K. Shobana
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