| Cardiologists call these
disturbances in normal heart rhythms arrhythmias, and they can originate anywhere
in the electrical pathway from the sinus node to the atria to the ventricles. Sometimes
these disturbances are brief, sometimes sustained. Some can be alarming; others pass
unnoticed.
"Many arrhythmias arise from external factors
such as tobacco, stimulants, illegal drugs and certain medications," says Mark E.
Josephson, M.D., professor of medicine at Harvard Medical School and director of
Harvard-Thorndike Electrophysiology Institute and Arrhythmia Services at Beth Israel
Hospital in Boston. "Some are associated with serious underlying conditions such as
thyroid disease, anemia, coronary heart disease or heart failure. But a great many are
simply normal occurrences in healthy hearts while sleeping, exercising or undergoing
stress or emotion."
When a drummer misses a beat or two or the band
plays a bit too loudly, you may not notice or even care. The same is true with heart
palpitationsa sensation that the heart is pounding, skipping a beat or throwing in
extra beats.
"Palpitations are just electrical misfires,
often anxiety or stress-related, that everyone experiences from time to time, and unless
they occur with great frequency, they are often harmless and insignificant," says
Lou-Anne Beauregard, M.D., assistant professor of medicine at Cooper Hospital/University
Medical Center in Camden, New Jersey. |
- WHEN TO SEE YOUR DOCTOR
| You experience
skipped beats, extra beats, flip-flops or pounding of the heart several times a week or
more. |
| Your heart fluctuates wildly from less
than 50 beats to more than 100 beats per minute. |
| See your doctor immediately if your
heartbeat takes off chaotically at rates well above 100 beats per minute when you're not
even exerting yourself. |
|