It may not be monitored due to various circumstances such as the doctor would not have been able to record the palpitation when it had occurred. In case of Vandana, since Dr. Keshav could not diagnose her at the time of the event, he installed a device, available at the hospital, to her chest that monitors the heart rates for 24 hours in a day for a week or fortnight. It is completely harmless and the patient would have it on them at all the times even while bathing and sleeping. It monitors and records the heart events. In case of an unusual event, it is forwarded directly to the physician or the doctor through web-based interface via GPRS, to alert them on the same. Likewise, an event was recorded when Vandana’s device alerted Dr. Keshav R after which she was diagnosed for heart palpitations and was treated for the same.
A normal resting adult heart beats’ average rate is 60 to 100 times per minute. The electrical signals originating from the pace maker of the heart, SA node, governs the heart rate, i.e. how fast the heart beats. The patients are first checked if the palpitations are occurring due to arrhythmia because the treatment for the same may vary. Tests for arrhythmias include resting electrocardiogram (EKG), 24-hour rhythm monitoring (Holter), echocardiogram and a treadmill exercise test. Sometimes, cardiac cathetertization with angiograph is performed to diagnose any ailment in the coronary arteries or in the valves which might be the cause for triggering the arrhythmia. Apart from these, level of thyroid hormone, potassium, magnesium and medications are checked since excess of thyroid hormone and fluctuations in potassium and magnesium levels might prompt arrhythmia.
A documented diagnosis of palpitations needs medication. In many cases, if palpitations are recurring and affecting the routine life of a person electrophysiology study is recommended which is an invasive study to find the cause of palpitation and treat it.