hyperthyroidism Symptom

Palpitations

Rapid or irregular heartbeat and heart pounding

Understanding Palpitations

Palpitations in hyperthyroidism result from excess thyroid hormones increasing heart rate and contractility. Patients may feel their heart racing, pounding, or skipping beats. This symptom can be distressing and requires medical attention.

What Causes Palpitations?

  • Increased sensitivity of heart to thyroid hormones
  • Increased heart rate (tachycardia)
  • Enhanced cardiac contractility
  • Increased sympathetic nervous system activity
  • Arrhythmias from thyroid hormone excess

When to Seek Medical Help

You should consult a thyroid specialist if you experience:

  • ⚠️Severe palpitations affecting daily activities
  • ⚠️Chest pain accompanying palpitations
  • ⚠️Shortness of breath with palpitations
  • ⚠️Fainting or dizziness with rapid heartbeat
  • ⚠️Palpitations at rest

How Is Palpitations Diagnosed?

TSH and Free T4/T3

Confirm hyperthyroidism diagnosis

ECG

Assess heart rhythm and rule out arrhythmias

Holter Monitor

24-hour heart rhythm monitoring if needed

Treatment Options

Beta-Blockers

Immediate symptom relief (propranolol, atenolol)

Antithyroid Drugs

Reduce thyroid hormone production

Radioactive Iodine

Definitive treatment for Graves disease

Lifestyle Management Tips

  • Avoid caffeine and stimulants
  • Reduce stress through relaxation techniques
  • Limit strenuous exercise until controlled
  • Maintain regular sleep schedule
  • Avoid sudden temperature changes

Quick Facts

Affects 60-90% of hyperthyroid patients
Beta-blockers provide rapid symptom relief
Palpitations resolve once thyroid controlled
Regular heart monitoring may be needed

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