Skipping of Heart Beat: Understanding the Phenomenon, Causes, and Treatment Options

Azadeh Beheshtian | Jun 17, 2024

Have you ever experienced a sudden, brief pause or skipping of heart beat followed by a stronger-than-usual beat or an irregular heartbeat? This sensation of skipped heartbeats, often described as heart palpitations, can be unsettling and may leave you wondering about your heart health. In some cases, it can even be accompanied by chest pain. In medical terms, this phenomenon is known as an abnormal heart rhythm. While skipped beats are often harmless and may occur in healthy individuals, they can sometimes indicate an underlying heart disease or other cardiovascular disease that requires medical attention.

What Are Heart Palpitations? Heart palpitations are the perception of an abnormal heart rhythm characterized by irregular heartbeats, a fluttering sensation, pounding heartbeat, or a racing heart rate. The heart’s normal rhythm is controlled by electrical impulses that originate in the sinoatrial (SA) node, often referred to as the heart’s natural pacemaker. When an irregularity in these electrical signals occurs, it can lead to skipped beats or an irregular heart rhythm.

Causes of Skipped Heartbeats:

1. Premature Heart Contractions: These include premature atrial contractions (PACs) and premature ventricular contractions (PVCs), also called premature ventricular contractions. PACs are extra beats that originate in the heart’s upper chambers (atria), while PVCs originate in the lower chambers (ventricles), causing the heart to skip a beat before the next beat.
2. Atrial Fibrillation: This is an irregular heart rhythm that originates in the atria, leading to an irregular and often rapid heartbeat or heart palpitations.
3. High Blood Pressure: Uncontrolled high blood pressure can strain the heart muscle and increase the risk of heart palpitations, skipped beats, or other arrhythmias.
4. Thyroid Disease: Both an overactive thyroid (hyperthyroidism) and an underactive thyroid can contribute to heart rhythm disturbances like heart skipping, palpitations, or a faster-than-normal resting heart rate.
5. Stress and Anxiety: Heightened stress and anxiety can trigger the body’s fight-or-flight response, causing heart palpitations, a racing heart rate, or a feeling of skipping a beat during panic attacks.
6. Stimulants: Caffeine, nicotine, illegal drugs, diet pills, and energy drinks can affect the heart’s rhythm and lead to skipped heartbeats or heart palpitations.
7. Congenital Heart Defects: Some people are born with structural abnormalities in their heart’s structure that can cause irregular heartbeats, heart skipping, or other arrhythmias.
8. Other Medical Conditions: Skipped heartbeats can also be caused by factors like sleep apnea, excessive alcohol consumption, electrolyte imbalances, anemia, and hormonal changes (particularly during menstruation, pregnancy, or menopause in women).
9. Underlying Heart Conditions: In some cases, skipped heartbeats may be a symptom of an underlying heart problem, such as supraventricular tachycardia (SVT), atrial fibrillation, or structural heart diseases like valve disorders or cardiomyopathy.

Symptoms of Skipped Heartbeats

In addition to the sensation of a skipped heartbeat, irregular heartbeat, or heart palpitation, other symptoms may include:

• Shortness of breath
• Dizziness or lightheadedness
• Chest discomfort or pain
• Fatigue
• Sweating

It is important to note that the presence and severity of these symptoms can vary from person to person.

When to Seek Medical Attention

Most skipped heartbeats or heart palpitations are harmless and do not require treatment. However, if you experience frequent heart palpitations, a prolonged irregular heart rhythm, or if your skipped heartbeats are accompanied by other symptoms like chest pain, shortness of breath, or dizziness, it is essential to seek medical attention. These could be signs of a more serious arrhythmia or underlying heart disease.

Immediate or emergency medical attention is necessary if you experience the following:

• Severe chest pain
• Difficulty breathing
• Fainting or near-fainting episodes
• Signs of a heart attack (chest pain, shortness of breath, sweating, nausea)

Diagnosis and Treatment

If you experience persistent or concerning skipped heartbeats, your doctor will likely perform a thorough evaluation to determine the underlying cause. This may include:

1. Physical examination: Your doctor will check your pulse, blood pressure, and listen to your heart’s rhythm.
2. Electrocardiogram (ECG): This test records the electrical activity of your heart and can help identify abnormal rhythms.
3. Holter monitor or event recorder: These portable devices record your heart’s activity over an extended period, typically 24 to 48 hours, to detect intermittent heart palpitations or skipped beats.
4. Echocardiogram: This ultrasound imaging test provides a detailed view of your heart’s structure and function.
5. Stress test: This evaluation assesses your heart’s response to physical activity and can help detect exercise-induced palpitations or arrhythmias.

Treatment for skipped heartbeats depends on the underlying cause. In many cases, lifestyle changes such as reducing caffeine and alcohol intake, managing stress through relaxation techniques or breathing exercises, and getting sufficient sleep can help alleviate symptoms and prevent palpitations. If an underlying heart condition is identified, your doctor may prescribe medications, such as beta-blockers or antiarrhythmic drugs, to regulate your heart’s rhythm. In some cases, more advanced treatments like catheter ablation or implantable cardioverter-defibrillators (ICDs) may be necessary to manage more serious arrhythmias or prevent heart failure.

While skipped heartbeats or heart palpitations can be unsettling, they are often temporary and nothing to worry about. However, it is essential to be aware of your body’s signals and seek medical advice if you experience persistent, severe, or recurring symptoms. By understanding the causes and taking appropriate measures, you can help prevent and manage heart palpitations and maintain a regular, healthy heart rhythm.

Coping with Skipped Heartbeats

Experiencing skipped heartbeats can be unsettling and may cause anxiety or fear. However, it is important to remember that most cases of heart palpitations are benign and nothing to worry about. If you are prone to skipped heartbeats, there are several strategies you can employ to cope with the sensation and reduce their frequency:

1. Practice relaxation techniques: Deep breathing exercises, meditation, or yoga can help reduce stress and anxiety, which may trigger heart palpitations.
2. Maintain a healthy lifestyle: Engage in regular physical activity, eat a balanced diet, and avoid excessive caffeine, alcohol, and stimulants to promote heart health.
3. Stay hydrated: Drink plenty of water throughout the day to prevent dehydration, which can sometimes lead to skipped heartbeats or irregular heart rhythms.
4. Keep a symptom diary: Recording the timing, duration, and any associated symptoms of your skipped heartbeats can help your doctor identify potential triggers and develop an appropriate treatment plan.
5. Communicate with your healthcare provider: If you have concerns about your skipped heartbeats or experience any new or worsening symptoms, do not hesitate to reach out to your doctor for guidance and support.

While skipped heartbeats or heart palpitations can be unsettling, they are often temporary and nothing to worry about. However, it is essential to be aware of your body’s signals and seek medical advice if you experience persistent, severe, or recurring symptoms. By understanding the causes and taking appropriate measures, you can help prevent and manage heart palpitations and maintain a regular, healthy heart rhythm.

Final Thoughts

Skipped heartbeats or heart palpitations are a common experience that can be caused by various factors, ranging from lifestyle factors like caffeine, nicotine, illegal drugs, and excessive alcohol to underlying heart conditions. While occasional skipped beats or irregular heartbeats may be nothing to worry about, frequent heart palpitations, a prolonged irregular heart rhythm, or palpitations accompanied by other symptoms like chest pain, shortness of breath, or dizziness should be evaluated by a doctor for medical attention. By understanding the potential causes, such as premature atrial contractions, premature ventricular contractions, atrial fibrillation, congenital heart defects, high blood pressure, thyroid disease, and other heart diseases, you can take proactive steps to maintain your heart health.

Factors like stress, anxiety, panic attacks, and dehydration can also contribute to heart palpitations or a feeling of heart skipping. If you experience concerning symptoms like a rapid heartbeat, pounding heartbeat, or irregular beats, it is crucial to see a doctor, as these could be signs of more serious arrhythmias or underlying heart conditions that require treatment, such as antiarrhythmic drugs, catheter ablation, or lifestyle changes. Remember, if you have any doubts or concerns about your heart’s rhythm, irregular beats, or skipped heart beats, it is always best to consult with your healthcare provider for personalized advice, diagnosis, and care to promote overall heart health and well-being.

Don’t Ignore Persistent Skipped Heartbeat – Get Personalized Care Today

If you’re experiencing frequent or concerning heart palpitations, skipped heartbeats, or other abnormal heart rhythms, it’s crucial to seek medical attention. At Avicenna Cardiology, our team of experienced cardiologists.

Whether your skipped heartbeat are accompanied by chest pain, shortness of breath, dizziness, or other concerning symptoms, we’ll work diligently to determine the underlying cause and develop a personalized treatment plan tailored to your specific needs.

Don’t ignore the signs – take control of your heart health today. Schedule a consultation with the experienced team at Avicenna Cardiology by visiting our website.

FAQ Section: Skipped Heartbeats and Heart Palpitations