Tips for Living With Uneven Heartbeats

Maybe it began with a sensation that your chest was tight or that your coronary heart had skipped a beat. Maybe…

Maybe it began with a sensation that your chest was tight or that your coronary heart had skipped a beat. Maybe it was the racing pulse that bought your consideration. For many individuals with uneven coronary heart beats these signs — or generally no signs in any respect — might sign that one thing is happening along with your coronary heart that wants medical consideration.

“More broadly known as arrhythmias, uneven or irregular heartbeats can be caused by electrolyte imbalances, certain medications, underlying heart disease, emotional stress or as a response to caffeine, tobacco or exercise,” says Dr. Brian Lima, director of cardiac transplantation on the Sandra Atlas Bass Heart Hospital, situated at North Shore University Hospital in Manhasset, New York, and creator of “Heart to Beat: A Cardiac Surgeon’s Inspiring Story of Success and Overcoming Adversity — the Heart Way.”

“The most common heart rhythm problem is atrial fibrillation, but there are other causes of uneven heart beats,” says Dr. Deepak L. Bhatt, government director of interventional cardiovascular packages at Brigham and Women’s Hospital Heart & Vascular Center and professor of medication at Harvard Medical School.

Atrial fibrillation is a fast, irregular coronary heart price trigger by disordered electrical signaling within the atria, or the higher chambers of the center. AFib causes the higher and decrease chambers of the center to fall out of synch and develop irregular beats. AFib can result in strokes, eye strokes, coronary heart assaults, cognitive impairment and different doubtlessly harmful problems.

Arrhythmias may happen within the decrease chambers of the center, additionally known as the ventricles. They might be associated to blockages, congenital deformities, accidents to the center tissue sustained after a coronary heart assault and a wide range of different situations and elements.

Uneven heartbeats are extra frequent in older adults and people with coronary heart illness, nevertheless it’s necessary to notice that there’s all kinds of causes and sorts of uneven heartbeats, says Dr. Jim Liu, a heart specialist at The Ohio State University Wexner Medical Center in Columbus. “If you think you have an uneven or irregular heartbeat, check with your doctor first. Depending on what the specific rhythm is, it could be something not serious or something that may need to be looked into more.”

[SEE: Signs of a Bad Heart: Don’t Overlook These Cardiac Symptoms.]


“The symptoms are pretty broad,” Liu says. In some instances, “people with irregular heartbeats or AFib have no symptoms at all.”

Symptoms of uneven heartbeats embrace:

— Heart palpitations.

— Chest tightness.

— Shortness of breath.

— Fainting.

— Dizziness or lightheadedness.

— Blurry imaginative and prescient.

— Sweating.

— Fatigue.

— Generalized weak spot

[Read: eight Incredibly Heart-Healthy Foods.]


Treatment of arrhythmias varies. Liu says he appears to be like at therapy of AFib “as a two-part approach. The first part is treating the AFib itself,” which implies drugs or surgical procedure to assist management the center price or rhythm.

“The second part of treating AFib is addressing the stroke risk,” Liu continues. “When someone is in AFib, the top chambers of the heart are beating so fast that they’re basically just quivering. As a result, blood can pool in certain places of the top chambers. If a blood clot forms, it can leave the heart and go to the brain to cause a stroke. This is the most devastating consequence of AFib.”

Therefore, “most patients with AFib will need to take a blood thinning medication to prevent strokes.” Not all sufferers will must be on a blood thinner, although. To assist make this choice, your physician will assess your stroke threat, age and different well being situations, corresponding to diabetes, hypertension or coronary heart failure, Liu explains.

Treatments usually embrace:

Smoking cessation. Smoking is unhealthy for the center, so smoking cessation assist is usually a serious part of therapy.

Dietary modifications. Moving to a heart-healthy food regimen is a brilliant approach to assist management and stop coronary heart illnesses and AFib.

Medications. Medications that assist regulate the center price or skinny the blood could also be helpful in treating uneven heartbeats.

Surgical procedures. Surgical procedures that ablate, or destroy, the cardiac tissue that’s inflicting the arrhythmia could also be used.

Electrical cardioversion. Some sufferers may want electrical cardioversion, a process that makes use of electrical energy to reset the center rhythm.

“AFib is a very common heart condition, and there are many different options for treating it,” Liu says. “What’s best for one person may not be the same for another. It’s important to talk to your doctor or cardiologist to determine what’s best and most appropriate for you.”

[See: The Best Diets for Your Heart.]

Tips for Living with Uneven Heartbeats

Though it is perhaps scary at first, you possibly can modify to residing with uneven heartbeats. And there are various life-style modifications you possibly can take to make that adjustment simpler and extra sustainable.

1. Talk along with your physician.

If you observed you’ve gotten atrial fibrillation or one other coronary heart arrhythmia, “it’s vitally important to see a physician to help rule out or identify any undiagnosed heart disease that may be the underlying cause,” Lima says. “As a general principle applicable to everyone, adhering to a heart-healthy diet, avoiding smoking and other lifestyle modifications can significantly reduce the risk of developing arrhythmias and other forms of heart disease.”

“It can’t be overemphasized how important it is to seek medical attention right away” in case you have signs of irregular heartbeats, Lima continues. “Time is of the essence when it comes to many acute presentations of heart disease, and arrhythmias are certainly no exception.”

2. Modify your food regimen.

Many of use eat far an excessive amount of junk meals, however in case you have AFib or one other coronary heart arrhythmia, it’s essential clear up your food regimen. Select a heart-healthy food regimen and work along with your heart specialist and a nutritionist to be sure to’re getting the correct mix of vitamins.

three. Exercise as applicable.

Once your physician has given you the all clear to train, you must develop a daily routine and keep it up. The proper train will rely in your coronary heart situation, however staying energetic is likely one of the largest issues you are able to do to enhance your total well being. Plenty of cardio train, corresponding to brisk strolling, biking or swimming, may help you retain your coronary heart working easily. Exercise may provide help to management your weight, which is a contributing issue to the event of coronary heart arrhythmias.

four. Manage your weight.

Bhatt says “obesity has recently been reported as a risk factor in AFib.” For individuals who have atrial fibrillation, “when they lose weight, that can decrease the amount of atrial fibrillation recurrence. Weight loss is really important,” in controlling the situation however “wasn’t really appreciated as a potentially modifiable risk factor,” till lately. You can’t change your genetics,” he continues, “but you can try to maintain a good weight,” by food regimen and train.

5. Avoid alcohol.

Bhatt notes that extreme alcohol consumption, notably binge ingesting, is linked to coronary heart arrhythmias, and thus, you must keep away from alcohol in case you have a coronary heart arrhythmia or are liable to creating a situation that causes arrhythmias.

” Binge ingesting can precipitate atrial fibrillation. It can occur to a college-age scholar after heavy alcohol consumption on the weekend,” however it might probably additionally affect anybody at any age who drinks an excessive amount of in a single sitting. Liu notes that in cardiac circles, ” vacation coronary heart syndrome is a time period that describes AFib ensuing from elevated alcohol consumption” through the vacation season. Consider scaling again a bit even if you’re in a celebratory temper.

6. Get loads of sleep.

“Sleep hygiene is important” for addressing all kinds of situations however coronary heart situations particularly, Bhatt says. Staying up all night time, notably if such is achieved by the usage of stimulants corresponding to caffeine, can set off coronary heart arrhythmias. This threat might be compounded if alcohol is concerned. Bhatt says that if you’re going out for an evening in town, restrict your alcohol consumption and “don’t stay up all night. Try to get a good night’s sleep.”

7. Manage stress.

We’ve all bought stress in our lives today, and being stressed is a serious contributor to incidence of atrial fibrillation in many individuals. Find wholesome methods to destress and unwind, corresponding to yoga or meditation.

eight. Avoid caffeine.

Caffeine could cause the center price to extend, and in those that are inclined to atrial fibrillation and different situations that may trigger uneven heartbeats, caffeine could be a set off. “Not all data necessarily points to coffee as being a precipitant to atrial fibrillation,” Bhatt says, however extreme caffeine consumption has been related to dehydration, which has additionally been linked with AFib.

9. Take your drugs.

“It’s important to be adherent to medications that your doctor prescribes for AFib,” Liu says. “These medications usually help prevent AFib from occurring or prevent your heart form beating too fast when in AFib.”

9. Don’t smoke.

If you’re nonetheless smoking, that’s possible contributing to or worsening your coronary heart illness. Quitting is tough, however following a formalized, doctor-prescribed smoking cessation program could provide help to kick the behavior for good.

10. Manage different situations.

Liu notes that many underlying situations can contribute to or exacerbate AFib and different coronary heart rhythm issues. For instance, sleep apnea is a serious contributor to AFib. It might be handled that can assist you get a greater night time’s relaxation and cut back your threat of AFib.

11. Stick with it.

Liu notes that generally, “AFib can be a stubborn condition, and patients may find that they get recurrent episodes for no apparent reason. If this is the case for you, don’t get discouraged. Talk to your doctor or cardiologist,” as there are many therapy choices out there.

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