How to Stop Heart Palpitations

Palpitations No More

Here are some of things included in the eBook, which you can download right now as a Pdf: Why no one else has offered you an effective solution so far. What the 3 most common reasons and treatment options are, and why they dont work. The 5 most common root causes of palpitations and how you can correct each one. How physical, mental, emotional problems can cause palpitations and how these can be prevented and corrected. How your diet can cause palpitations and how you can correct this to get results in as little as 24 hours. How a single little misalignment in your body can cause palpitations and other havoc, and how you can get this corrected. Learn how and why panic attacks develop and how you can use a simple technique to prevent them from occurring. and many other general health solutions.

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Click To Cure Cancer Clinical Cases

A 65-year-old African-American female presented to the emergency room complaining of worsening shortness of breath and palpitations for about I week. She reports feeling dizzy on and off for the past year, which dizziness is associated with weakness that has been worsening for the past month. She has been feeling too tired to even walk to her backyard and water her flower bed that she used to do all the time. She has been so dyspneic walking up the stairs at her home that she moved downstairs to the guest room about a week ago. Review of systems is significant for knee pain, for which she frequently takes aspirin or ibuprofen otherwise the review of systems is negative. She has no significant medical history and has not been to a doctor in several years. She had a normal well woman examination and screening colonoscopy about 5 years ago. She occasionally has an alcoholic drink and denies tobacco or drug use. She is married and is a retired shopkeeper. On examination, her blood...

N M OBrien and T P OConnor

Histamine toxicity can result in a wide variety of symptoms such as rash, urticaria, inflammation, nausea, vomiting, diarrhoea, abdominal cramping, hypotension, tingling sensations, flushing, palpitations and headache. In general, toxic symptoms are relatively mild and many patients may not attend a doctor. Thus, the exact prevalence worldwide of histamine toxicity is unclear. The prevalence of cheese-related toxicity is also unclear although several incidences have been reported in the literature. For most individuals, ingestion of even large concentrations of biogenic amines, such as histamine, does not elicit toxicity symptoms since they are rapidly converted to aldehydes by monoamine oxidase (MAO) and diamine oxidase (DAO) and then to carboxylic acids by oxidative deamination. These enzymes, present in the gastrointestinal tract, may prevent reduce the absorption of unmetabolised histamine into the bloodstream. However, if MAO and DAO are impaired due to a genetic defect or the...

Appetite Loss and Anorexia

Patients receiving THC for nausea and vomiting associated with cancer chemotherapy have often shown improved appetite after receiving THC, but the effect is unpredictable (Regelson et al., 1976). In a small study comparing THC with diazepam in patients with anorexia nervosa, THC did not improve caloric intake and three of the eleven patients who took the drug developed paranoia (Gross et al., 1980). The Food and Drug Administration approved the use of synthetic THC (dronabinol) for anorexia associated with weight loss in patients with AIDS, based on clinical studies in which the effect of THC was sustained for up to 5 months a placebo-controlled trial involving 139 patients with AIDS in the US and Puerto Rico was carried out for an initial period of 6 weeks. The patients in the active arm of the trial received 2.5 mg THC twice daily before meals. THC produced a significant increase in appetite compared to the placebo but no corresponding increase in weight gain. Side effects...

Choice Between Drugs And Electroconversion

6 To the layman, 'shock' treatment could be interpreted as frights (which stimulate the vagus, as described above), or as the electrical sort. Dr James Le Fanu describes a Belfast doctor who reported a farmer with a solution that covered both possibilities. He had suffered from episodes of palpitations and dizziness for 30 years. When he first got them, he would jump from a barrel and thump his feet hard on the ground at landing. This became less effective with time. His next 'cure' was to remove his clothes, climb a ladder and jump from a considerable height into a cold water tank on the farm. Later, he discovered the best and simplest treatment was to grab hold of his 6-volt electrified cattle fence although if he was wearing Wellington (rubber) boots he found he had to earth the shock, so besides grabbing the fence with one hand he simultaneously shoved a finger of the other hand into the ground.

Answers To Case 51 Thyroid Storm in Pregnancy

Summary An 18-year-old G2 PI at 35 weeks' gestation is taking PTU for Graves' disease. She has a 1-day history of palpitations, nervousness, sweating, and diarrhea. On examination, her blood pressure is 150 110, heart rate 140 bpm, respiratory rate 25 min. and temperature 100.8 F. The patient appears anxious, disoriented, and somewhat confused. The thyroid is mildly tender and enlarged. Deep tendon reflexes are 4+ with clonus. She has leukocytosis.

Malignant Phaeochromocytoma

Recurrence or persistence of symptoms in patients who have previously undergone surgery for phaeochromo-cytoma may indicate malignancy. Symptoms include hypertension (sustained or paroxysmal), headaches and palpitations. Recurrent or distant metastatic disease may be confirmed by measuring urinary catecholamines and metabolites (metanephrines and vanillyl mandelic acid) levels in an acidified 24 hour collection.

Differences Between Human And Animal Insulins

There is some evidence of a lessened awareness of hypoglycaemia with human insulin, i.e. the counter-regulatory physiological responses to animal and human insulin may differ. It is claimed that with human insulin patients experience less adrenergic symptoms (sweating, tremor, palpitations), which are such a useful warning, although the neurological (neuroglycopenic) symptoms (dizziness, headache, inability to concentrate) are unchanged. It now seems likely that the reduced awareness is a paradoxical response to improved glycaemic control. Thus patients with a normal level of glycosylated haemoglobin (HbAlc) show no reduction in glucose uptake in the brain during episodes of hypoglycaemia that trigger a symptomatic and neuroendocrine response in patients with elevated levels of HbAlc (see Boyle et al 1995, in Guide to Further Reading).

Cardiovascular Effects

One of the most common adverse effects of cannabis is sinus tachycardia which can last for several hours. Sometimes users complain of palpitations. Heart rate is typically increased by 20-50 depending upon individual circumstances. The exact mechanism is not clear, but the effect is antagonised by the beta-adrenergic blocker, propranolol. Cannabis causes release of adrenaline, has antimuscarinic properties and can increase peripheral blood flow. Tachycardia could be mediated by these mechanisms acting in concert all of them involve the adrenergic system. Tolerance to tachycardia does occur to some extent after chronic use, but the response is never completely lost. There are remarkably few reports of cannabis-induced arrhythmias, although premature ventricular beats are occasionally observed.

Bilateral Visual Field Obliteration

A 28-year-old housewife presents to your office for a 6-week-postpartum checkup. She complains of fatigue greater than expected and palpitations. Her hair is falling out as well. She denies sadness or depression symptoms. Before this, she had not had any medical problems. She is breast-feeding her child and is not on any birth control. She had her first period since giving birth last week. A pregnancy test done in the office is negative. What is your most likely diagnosis

The Peripheral Vascular System Multiple Choice

A 60-year-old homemaker presents to your office complaining of swelling to her left lower leg. She states that it has been developing over the last few weeks since her surgery for ovarian cancer. She has a past medical history significant for four spontaneous vaginal deliveries and the recent diagnosis of ovarian cancer. She denies any drug, tobacco, or alcohol use. On review of systems, she denies any chest pain, palpitations, or shortness of breath. On exam, you note that not only are her leg and ankle swollen but so are her toes. The skin appears to be thicker than usual, but there are no signs of ulceration. What cause of peripheral edema is the most likely in her case

Warrelated fatigue syndromes

Fatigue syndromes occurring during or after active combat also attracted attention at the turn of the century (Greenberg 1990 Hyams, Wignall and Roswell 1996). At the same time that ideas about neurasthenia were being formulated, another American physician described a very similar disease episode afflicting soldiers of the American Civil War, which he labelled 'irritable heart' (Da Costa 1871). The illness usually began with gastrointestinal upset followed by functional impairment aggravated by symptoms of exertional fatigue, disturbed sleep, dizziness, shortness of breath and sudden palpitations. Da Costa's emphasis on the last three symptoms suggests a substantial overlap with contemporary descriptions of panic and anxiety disorders. It is possible that some of the other symptoms reflected malnutrition, infections, stress or exhaustion. However, like neurasthenia, there were no consistent biological signs of disease and most irritable heart patients appeared to be in reasonable...

Isolated Implantable Cardioverter Defibrillator Discharge

Icd Egm Svt

The goal of the physician presented with the patient who has had an ICD shock is to establish whether the therapy was appropriate. A full account of the events leading up to the shock should be elicited, including activities, medical compliance, use of new medications, syncope, palpitations, exposure to EMI, angina, and heart failure. Shocks preceded by syncope or presyncope are almost always appropriate. Shocks associated with heavy exertion, motion of the arm ipsilateral to the ICD, or exposure to electromagnetic current sources should raise suspicions of sinus tachycardia, lead noise, or EMI interference, respectively. Because approximately 40 of the shocks for ventricular tachycardia are asymptomatic, the absence of symptoms before the shock does not indicate a nonar-rhythmic etiology.22 Interrogation of the device therapy log is most useful in determining the cause of the shock. For ventricular tachycardia episodes, the stored electrograms will usually confirm the diagnosis by...

TABLE 163 Anxiety Disorders

A panic attack is a discrete period of intense fear or discomfort that develops abruptly and peaks within 10 minutes. It involves at least four of the following symptoms (1) palpitations, pounding heart, or accelerated heart rate, (2) sweating, (3) trembling or shaking, (4) shortness of breath or a sense of smothering, (5) a feeling of choking, (6) chest pain or discomfort, (7) nausea or abdominal distress, (8) feeling dizzy, unsteady, lightheaded, or faint, (9) feelings of unreality or depersonalization, (10) fear of losing control or going crazy, (11) fear of dying, (12) paresthesias (numbness or tingling), (13) chills or hot flushes.

Clinical Approach

Respiratory distress is an acute emergency and necessitates rapid assessment and therapy. Oxygen is the most important substrate for the human body, and even 5 or 10 min of hypoxemia can lead to devastating consequences. Hence, a quick evaluation of the patient's respiratory condition, including the respiratory rate and effort use of accessory muscles, such as intercostal and supraclavicular muscles anxiety and cyanosis may indicate mild or severe disease. (Figure 22-1 shows one algorithm for evaluating dyspnea in pregnancy). The highest priority is to identify impending respiratory failure, because this condition requires immediate intubation and mechanical ventilation. Pulse oximetry and arterial blood gas studies should be ordered while information is gathered during the history and physical. A cursory and targeted history directed at the pulmonary or cardiac organs, such as a history of reactive airway disease, exposure to anaphylactoid stimuli such as penicillin or bee sting,...

Measurement of symptoms

Symptoms of hypoglycaemia were first reported in relation to tumours of the pancreas (Wilder 1927). As early as 1927, the symptoms of hypoglycaemia were recognised as forming two groups the first occurring during mild reactions comprising anxiety, weakness, sweating, hunger, tremor and palpitations and the second more severe group including mood changes, speech and visual disturbances, drowsiness, convulsions and coma (Harrop 1927). It was also noted that some patients did not experience the usual symptoms of hypoglycaemia until their blood glucose had reached much lower concentrations (Lawrence 1941). Symptom profiles provoked by hypoglycaemia are idiosyncratic and vary in character, pattern and intensity between individuals and even within individuals over time (Pennebaker et al. 1981).


Anagreiide It is an oral quinazoline derivative that has a profound effect on the maturation of megakaryocytes, resulting in a reduction of platelet production. It controls thrombocytosis in 66 of patients with PV or ET. Time to response is between 17 and 25 days. It is also reported to cause a minimal decrease in hematocrit. The initial dose should be 0.5 mg orally twice daily. Typically, steady state doses are 2.2-2.5 mg daily. The most significant side effects include palpitations, fluid retention, dizziness, and headaches these are related to the drug's vasodilatory and inotropic properties. They can be minimized by initially starting with a low dose, such as 0.5 mg twice daily, and gradually increasing the dose until control of the platelet count is achieved. Patients with lactose intolerance may have diarrhea due to packaging of anagrelide with lactose. Patients with PV treated with anagrelide in one study developed acute leukemia at a rate of 2.6 (13 of 455). However, all the...


Subjects become euphoric and fatigue is postponed. Although physical and mental performance may improve, this cannot be relied on subjects may be more confident and show more initiative, and be better satisfied with a more speedy performance that has deteriorated in accuracy. On the other hand there may be anxiety and a feeling of nervous and physical tension, especially with large doses, and subjects develop tremors and confusion, and feel dizzy. Time seems to pass with greater rapidity. The sympathomimetic effect on the heart, causing palpitations, may intensify discomfort or alarm. Amfetamine increases the peripheral oxygen consumption and this, together with vasoconstriction and restlessness, leads to hyperthermia in overdose, especially if the subject exercises. Cardiovascular system. Both caffeine and theophylline directly stimulate the myocardium and cause increased cardiac output, tachycardia and sometimes ectopic beats and palpitations. This effect occurs almost at once after...

Alkyl Nitrites

The alkyl nitrites are volatile yellowish clear liquids that have a distinctive sweet smell. All the nitrites have vasodilatory properties and are used as a euphoric relaxant within the dance culture and to relax the anal sphincter and enhance sexual performance. The effect of inhaling the vapor, usually from the bottle or poured onto a cloth, is instantaneous and short-lived, resulting in a rush, but adverse effects, such as dizziness, flushing, tachycardia and palpitations, headache, cold sweats, and hypotension, may occur (115,116). Swallowing of volatile nitrites as opposed to inhaling them may result in severe methemoglobinemia (117).


Adverse effects include constipation, dry mouth and insomnia which occur in 10 of users. Less commonly, nausea, tachycardia, palpitations, raised blood pressure, anxiety, sweating and altered taste may occur. Blood pressure should be monitored closely throughout its use (twice weekly in the first 3 months). Contraindications include severe hypertension, peripheral occlusive arterial or coronary heart disease, cardiac arrhythmia, prostatic hypertrophy and those with severe hepatic or renal impairment. It should not be used to treat obesity of endocrine origin or those with a history of major eating disorder or psychiatric disease. Concomitant use with tricyclic antidepressants should be avoided (CNS toxicity).


Principle 131i Treat Hyperthyroidism

Hyperthyroidism usually presents with progressing nervousness, palpitations, weight loss, fine resting tremor, dyspnea on exertion, and difficulty with concentration. Physical findings include a rapid pulse rate and elevated blood pressure, with the systolic pressure increased to a greater extent than the diastolic pressure, creating a widened pulse-pressure hypertension. Examination findings can include atrial fibrillation and a fine resting tremor.

Properties and Uses

Camphor possesses stimulant, carminative, and aphrodisiac properties, and is widely used in traditional medicine, both externally and internally. Its primary action is that of a diffusible stimulant and diaphoretic its secondary action is that of a sedative, anodyne, and antispasmodic. In large doses it is an acro-narcotic poison. Camphor has been extensively used in the advanced stages of fevers and inflammation, insanity, asthma, angina pectoris, whooping-cough, palpitations connected with hypertrophy of the heart affections of the genito-urinary system, comprising dysmenorrhoea, nymphomania, spermatorrhoea, cancer, and irritable states of the uterus chordee, incontinence of urine,


A 39-year-old man is brought to the emergency room by ambulance after he was found wandering in the street in a disoriented state. He is confused and agitated, and further history is obtained from his wife. She reports that for the last several months he has been complaining of intermittent headaches and palpitations, and he had experienced feelings of lightheadedness and flushed skin when playing basketball. Three weeks ago, he was diagnosed with hypertension and was started on clonidine twice per day. He took the clonidine for 2 weeks, but because the drug made him feel sedated, he was instructed by his physician 5 days ago to stop the clonidine and to begin metoprolol twice daily. On examination, he is afebrile, with heart rate 110 bpm, respiratory rale 26 breaths per minute, oxygen saturation 98 , and blood pressure 215 132 mmHg, equal in both arms. He is agitated and diaphoretic, and he is looking around the room but does not appear to recognize his wife. His pupils are dilated...

Ancient Anatomy

What emerged from the work of Alexandrian anatomists was a major revolution in the understanding of the body and its relationship to the mind. In Homer, writing in the eighth century bc, there is no general term for body or for mind. Moreover Homer has no way to say that someone made up their mind he talks about the gods deciding what they should do. By the time we get to Aristotle in the fifth century bc soul and body are contrasted terms, and deliberation is a capacity of the soul. Moreover, the soul acts through the body, but some actions are deliberate, and some actions (e.g. breathing) take place without thought. After Herophilus there are two systems in the body. On the one hand the brain, the nerves, and the muscles (the word now becomes of crucial importance) control voluntary movement. On the other hand the heart, the arteries, and the veins represent systems over which the mind has no control, systems of involuntary action. This involved distinguishing terms that, for the...

Clinical Pearl

Review of Systems A systematic review should be performed but focused on the life-threatening and the more common diseases. For example, in a young man with a testicular mass, trauma to the area, weight loss, and infectious symptoms are important to note. In an elderly woman with generalized weakness, symptoms suggestive of cardiac disease should be elicited, such as chest pain, shortness of breath, fatigue, or palpitations.

Alcohol Withdrawal

Caused by CNS and sympathetic hyperactivity, often referred to as the shakes or jitters, and can occur even when patients still have a significant blood alcohol level. In addition to the typical 6- to 8-Hz tremor, which can be violent or subtle, insomnia, anxiety, gastrointestinal upset, diaphoresis, and palpitations can occur. Tremor typically diminishes over 48-72 hours, but anxiety, easy startling, and other symptoms can persist for 2 weeks.


Like CFS, neurasthenia was associated with numerous other somatic complaints including headaches, general weakness, heart palpitations, gastrointestinal discomfort and muscle pain (Wessely 1990). As any form of exertion was seen to exacerbate the condition, rest was the advocated cure. In advising how to deal with neurasthenia it was stressed that 'any unnecessary expenditure of energy, must be averted, any superfluous task, any wasting of force' (Hartenberg cited in Shorter 1992 226). This advice is not dissimilar to the 'aggressive rest therapy' frequently prescribed for CFS sufferers in self-help manuals.


A 65-year-old woman who has developed worsening dyspnea and palpitations over a 1-week period of time needs to be evaluated for cardiac and respiratory problems despite the gradual onset of symptoms. Specifically, in a postmenopausal woman, signs and symptoms of angina or acute myocardial infarction may not always have a typical presentation. That the patient has been feeling weak and has conjunctival pallor warrants testing for anemia. As evaluation with serial cardiac enzymes and EKGs is part of the work-up. admission into the hospital is appropriate.

Some poisonings

Excessive use of sodium nitroprusside for severe hypertension.9 The symptoms of acute poisoning are due to tissue anoxia, with dizziness, palpitations, a feeling of chest constriction and anxiety characteristically the breath smells of bitter almonds. In more severe cases there is acidosis and coma. Inhaled hydrogen cyanide may lead to death within minutes but when it is ingested as the salt several hours may elapse before the patient is seriously ill. Chronic exposure damages the nervous system causing peripheral neuropathy, optic atrophy and nerve deafness.