What is it?
Palpitations are the sensation of a fast, strong or irregular heartbeat. They can arise from non-cardiac factors such as caffeine, stress, lack of sleep and thyroid problems, or may point to a disorder of the heart's electrical system.
The assessment covers how palpitations start and stop, their duration and accompanying symptoms. An ECG is taken; when symptoms are intermittent, the rhythm is monitored with a 24-hour or longer Holter recording. The heart's structure may be assessed with echocardiography.
Noting your symptoms during the recording makes it easier to match them with rhythm changes. Depending on the type of rhythm disorder, observation, medication or further treatment may be discussed; the path suited to you is decided together after testing, and the course differs between individuals.
Who is it assessed for?
- Those with palpitations that start and stop suddenly
- Those who feel their heart skipping or pausing
- Those with dizziness or near-fainting along with palpitations
- Those who received an irregular rhythm alert on a smartwatch or device
Step by step
- 1
History
Features and triggers of palpitations and current medicines are discussed.
- 2
ECG
A resting electrocardiogram is taken.
- 3
Rhythm recording
A Holter device is fitted if needed and a symptom diary is provided.
- 4
Assessment
The recording is compared with your symptoms and discussed with you.
- 5
Plan and follow-up
Observation, treatment or further investigation options are decided.
Questions
Can I carry on with daily activities while wearing a Holter?
Yes. You are encouraged to continue your usual routine; as the device should stay dry, you are told how to manage showering.
Can my smartwatch recordings be used?
They can give an idea of when symptoms occur. However, the assessment is based on ECG and medical rhythm recordings.
When should I go to the emergency department?
If palpitations come with chest pain, marked breathlessness, fainting or confusion, call 112.
This page is for general information and does not replace a medical examination. Results and the suitable approach vary from person to person.