Heart Palpitations: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate palpitations (heart palpitations):

Leading symptoms

  • Too fast heartbeat
  • Too strong heartbeat
  • Irregular heartbeat

These symptoms are felt by the affected person himself. The symptoms may be intermittent (intermittent) or persistent.

Warning signs (red flags)

  • Sudden tachycardia (heartbeat too fast: > 100 beats per minute) as well as vertigo (dizziness), syncope (momentary loss of consciousness), dyspnea (shortness of breath), and angina pectoris (“chest tightness”; sudden pain in the heart area) → think: supraventricular tachycardia (SVT)

General comment.

If three of the following four variables, which are independent predictors (predictor variables), are true in a patient with palpitations, the risk for the presence of a cardiac cause is 71%:

  • Male sex
  • Description of an irregular heartbeat
  • History of heart disease
  • Duration of palpitations for at least five minutes