Heart palpitations what to do at home, first aid

If you find yourself with such symptoms, then do not fuss and panic. On the contrary, you need to calm down, drink a glass of water, ventilate the room and lie down. In the supine position, the pulse will decrease. And then call an ambulance to rule out complex pathological consequences. Especially if there was a swoon, and the weakness did not go away, and sedative drugs did not lead to improvement.

At home, you can apply one of the following: 30 drops of tincture of valerian, motherwort, valocordin or their analogues.

Pathological processes include the treatment of diseases that cause a rapid pulse. Here you can’t do without the help of doctors. You will be offered a thorough examination and comprehensive treatment.

To identify pathologies, you may be prescribed:

  1. Special monitoring study (it involves monitoring the state of the body during the day).
  2. Cardiograms with and without exercise.
  3. Ultrasound of the heart and thyroid gland.
  4. Blood chemistry.
  5. Examinations to exclude cancer.

The main task of the doctor is to find and eliminate the cause of the unwanted symptom. The choice of a specific method of therapy depends on the patient’s age, regularity of increasing heart rate, his general state of health and blood pressure at the time of a heart attack. For mild disorders, experts prescribe sedatives and recommend the normalization of sleep and rest.

The following medications have been well proven to reduce high heart rate:

  • Persen;
  • Valocordin
  • tincture of motherwort or valerian;
  • Relanium.

If such treatment does not help, then a course of electropulse therapy is required. The technique allows you to act only on the heart and not affect other organs. It is administered under short-term intravenous anesthesia. After the procedure, the patient is taken to the ward for waking up and for 2-3 days follows a strict bed rest. During this period, he is given antiarrhythmic drugs and drugs that improve metabolic processes in the myocardium.

Do not wind up yourself ahead of time and do not panic. If you find out that you have an increased heart rate, lie down, open the window and drink water and try to calm down. So far, nothing terrible has happened.

In order to exclude serious pathologies, you should go through:

  • Daily monitoring survey by Holter;
  • Make a cardiogram using the load and excluding it;
  • Ultra – sound examination of the thyroid gland and heart and X-ray;
  • Take a blood chemistry and hormone test.

Only after doing these necessary studies, your doctor can diagnose the disease and control it. To relieve symptoms, medications are prescribed, antiarrhythmic action, in the form of corvalol or valocardine. With a rapid heartbeat, they should be consumed in 30 drops, at the time of exacerbation. With restrictions, and only after prescribing by a doctor, stronger drugs, such as anaprilin or veropamil, are also taken.

If a malfunction of the hormonal system is diagnosed and the thyroid gland is affected, treatment is carried out with special hormones in an individual course.

In vegetovascular dystonia, beta-blockers and sedative drugs are usually prescribed.

Heart rate readings are very important in determining a person’s health status. They indicate possible deviations in the work of the heart, blood vessels and throughout the body. The cause of a high pulse may be a stressful situation or a violation of permissible physical activity. But in some cases, this phenomenon signals serious pathological changes that require immediate examination and subsequent treatment.

It is unlikely that a healthy person will be bothered by this issue. But you should know that from 60 to 90 beats per minute is considered normal. Frequency largely depends on the characteristics of the functioning of the body systems, as well as on the age and occupation.

So, for example, women have 6–9 more strokes than men of the same age group. In athletes, these indicators can be 40-50 units, since the heart muscle is developed quite well.

Intensive metabolism in children up to a year explains the high rates – 120-140. With age in a child, the frequency of fluctuations gradually changes; at 14, it reaches 75-85 strokes within 60 seconds.

For older people, the pulse may be below 60.

At any age (except for children), a pulse above 90 indicates tachycardia, that is, the inability of the heart muscle to carry out normal blood circulation. A pulse exceeding 120 beats is considered especially dangerous. Such manifestations should be the reason for going to the doctor in order to prevent the development of complex diseases.

Heart palpitations, when the heart rate per minute of 90 beats or more is called tachycardia. Tachycardia is not an independent disease, but only a separate manifestation, symptom.

In medicine, two types of tachycardia are conditionally distinguished:

Physiological tachycardia can only be evidence of intense emotional or physical stress. Most often, this is a natural reaction of the body to various external stimuli, contributing to an increase in blood flow to certain organs.

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Causes of physiological tachycardia:

  • emotional stress – any positive or negative emotions;
  • physical activity – from simple climbing stairs to intensive training in the gym;
  • the use of tonic agents – strong tea, coffee, alcohol, energy drinks, smoking;
  • the use of drugs – atropine, corticosteroids, etc .;
  • climatic effects – heat, high humidity, stuffiness.

Cardiovascular diseases or functional disorders of other body systems, for example, autonomic, endocrine, can cause pathological tachycardia.

The main “extracardiac” reasons:

  • dehydration,
  • great blood loss
  • anemia,
  • adrenal gland tumor
  • hyperthyroidism
  • psychosis,
  • neurosis,
  • fever with angina, tuberculosis or any other infectious disease.

Often the cause of an increase in heart rate is pain syndromes of any origin, fever.

Most cardiovascular diseases can also trigger the development of tachycardia:

  • chronic heart failure;
  • myocardial infarction;
  • myocarditis, endocarditis, pericarditis and other inflammatory heart diseases;
  • heart defects – congenital, acquired;
  • additional bundles of holding.

In the case of idiopathic tachycardia, it is not possible to establish the obvious causes of rhythm disturbance.

The primary source of heart contraction is excessive excitement of certain parts of the heart. Normally, the formation of an electric pulse occurs in the sinus node, subsequently spreading to the myocardium.

In the presence of pathologies, the nerve cells located in the ventricles and atria become the primary sources. It is on the determination of the primary sources of heart contraction that the classification of tachycardia is based.

Doctors distinguish several types of tachycardia:

It may indicate impaired hemodynamics or the functions of the endocrine, autonomic nervous systems and other diseases.

Sinus tachycardia is characterized by a correct heart rate and a gradual increase in the number of heart contractions to 220 beats per minute. It may be inadequate or adequate. The first is a rare disease of unknown origin, manifested in a state of rest, accompanied by a lack of air.


Sinus tachycardia can be asymptomatic or accompanied by minor symptoms:

  • frequent dizziness
  • feeling of lack of air,
  • weakness,
  • shortness of breath,
  • insomnia,
  • fatigue
  • decreased appetite
  • persistent heart palpitations,
  • decreased performance and decreased mood.

The degree of symptoms depends on the threshold of sensitivity of the nervous system and on the underlying disease. For example, in heart diseases, an increase in heart rate becomes a cause of deepening symptoms of heart failure, an attack of angina pectoris.

Sinus tachycardia is characterized by a gradual onset and end. A decrease in cardiac output is accompanied by a violation of the blood supply to tissues and various organs.

Long-term sinus tachycardia is accompanied by a decrease in diuresis, a decrease in blood pressure, cooling of the extremities is observed.


The purpose of diagnostic measures is the differentiation of sinus tachycardia and the identification of causes.

  • ECG – determination of rhythm and heart rate;
  • Daily ECG monitoring – identification and analysis of all types of cardiac arrhythmias, changes in cardiac activity during normal patient activity.
  • Cardiac MRI, Echocardiography – detection of intracardiac pathologies.
  • EFI – study of the propagation of an electrical impulse through the heart muscles to determine cardiac conduction disturbances, tachycardia mechanism.

To exclude blood diseases, pathological activity of the central nervous system, endocrine disorders, additional research methods are carried out – brain EEG, a general blood test, etc.


The treatment technique is determined by the cardiologist and other specialists, depending on the causes of its occurrence.

With physiological sinus tachycardia, drug treatment is not required. It is only necessary to eliminate the factors that cause an increase in heart rate – the use of alcohol, drinks containing caffeine, spicy foods, nicotine (smoking), chocolate. Intensive physical and psycho-emotional stress should also be avoided.

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Why does the pulse increase in a calm state?

If heart contractions are elevated constantly and do not decrease, this is a clear sign of the onset of the disease. This phenomenon requires treatment. With a high pulse, a person has shortness of breath and darkening in his eyes, his hands are shaking, and his head begins to hurt. When the heart rate is constantly elevated, the risk of a heart attack or stroke increases. Because of this phenomenon, a shock condition from the intermittent work of the heart often develops. The sources of this condition are:

  • diseases of the heart and blood vessels;
  • oncology;
  • various infections;
  • thyroid disease;
  • continuous use of drugs.

There are actually enough reasons, they can be both a temporary phenomenon and a serious threat to health, sometimes requiring the prompt intervention of doctors and urgent treatment.

  • From excessive physical activity of the body;
  • Mental fatigue during long work;
  • Elevated emotions or intense fear;
  • Nervous excitement, stress;
  • Drug or alcohol intoxication and caffeine use;
  • Dehydration, various types of poisoning and toxicosis;
  • Eating high in fat;
  • Reception of medicines.
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If such causes disappear, then the frequency of strokes is normalized, but if it does not decrease, but is characterized by not passing and overestimated parameters, then there is reason to believe that pathological changes are taking place inside. Such as the:

  • Diseases of the cardiovascular and circulatory system;
  • Oncology-related diseases;
  • Infectious lesions;
  • Endocrine diseases.

A constantly high pulse, tachycardia, is usually accompanied by symptoms in which it is felt: weakness, darkness in the eyes, ringing in the ears, palpitations, cold sweat. Such symptoms cannot be ignored, they can lead to sad consequences, and a person may be taken aback:

  • Cerebral stroke;
  • Acute heart failure;
  • Shock associated with cardiac arrhythmia.

Do not bring your health to a crisis point, and do not expose the body to dangerous conditions.

The reasons for the increased heart rate can be caused not only by internal factors, but also by external ones:

  • You have recently experienced severe stress or nervous tension.
  • The pulse increases during a period of intense physical activity.
  • You ate more than normal.
  • A constantly high heart rate can be if you are overweight.
  • You spent all day on your feet (fatigue).
  • The presence of heart disease.
  • Taking certain medications can also lead to increased heart rate.
  • The body lacks vitamins belonging to group B.
  • A sharp adrenaline rush.
  • Pregnancy. During this period, it is perfectly normal that the pulse rate of the fair sex is higher than usual.

A high heart rate (130 and above) at rest for a long time weakens the heart muscle. She starts to work badly. To restore, they resort to electrical stimulation or drug therapy.

The heart muscle, like others, requires training. Athletes, at rest, have a heart rate of less than 60 beats per minute.

It turns out that a rapid pulse does not always indicate a problem in the child’s body. During stress or fright, with strong physical exertion, emotional excitement and other characteristics of a person, an increase in heart rate is considered a normal situation. A pulse of 120 beats per minute in a child of 8 years after a morning run is not at all scary. After 10-15 minutes, the heart will return to normal and there will be no reason for unrest.

Often, a physiological increase in heart rate is recorded in women during pregnancy, with excessive consumption of caffeinated drinks or during a fever, when body temperature exceeds 39 degrees.

The pathological causes of high heart rate, that is, more than 100 beats, are as follows:

  • violation of the optimal rest regimen;
  • excess weight;
  • intoxication;
  • problems with the endocrine system;
  • anemia;
  • acute diseases of a viral nature;
  • osteocondritis of the spine;
  • bad habits;
  • heart disease;
  • the use of potent medications;
  • avitaminosis;
  • vegetative-vascular dystonia.

You can understand the increase in heart rate when walking, running or a strong emotional shock, however, why the heart rate rises even in a relatively calm state, for example, after eating. This is due to increased blood flow to the stomach, which after filling begins to digest food. In such cases, the heart rate exceeds the norm by no more than 5-6 beats per minute. If, after eating, the indicators are significantly increased, then you should immediately consult a doctor to undergo a thorough examination.

When tachycardia catches a teenager in a calm state, then this is a sign of the possible presence of the following diseases:

  • thromboembolism;
  • abnormalities of the development of the cardiovascular system;
  • chronic kidney or liver disease;
  • hyperthyroidism;
  • anemia, etc.

105 heart beats at a rate of 80 at rest – this is a serious reason to send a teenager to a specialist. Against the background of impaired blood circulation, a child may experience dizziness, headache, shortness of breath, or trembling in the limbs. How to help him with this?

Possible complications

In order to avoid irreversible consequences, everyone should know the danger of a high pulse. Regardless of the cause of the increased heart rate, the presence of high rates can provoke:

  • blood clots in the heart cavity, which is dangerous for the development of a stroke;
  • heart ventricular failure;
  • arrhythmic shock;
  • syncopal conditions;
  • sudden death due to cardiac arrest.

All diseases are quite serious. Therefore, with the first symptoms, one should not discuss what to do at a high pulse rate and swallow tablets unsystematically, but should be examined immediately. This can prevent severe pathological diseases.

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Svetlana Borszavich

General practitioner, cardiologist, with active work in therapy, gastroenterology, cardiology, rheumatology, immunology with allergology.
Fluent in general clinical methods for the diagnosis and treatment of heart disease, as well as electrocardiography, echocardiography, monitoring of cholera on an ECG and daily monitoring of blood pressure.
The treatment complex developed by the author significantly helps with cerebrovascular injuries and metabolic disorders in the brain and vascular diseases: hypertension and complications caused by diabetes.
The author is a member of the European Society of Therapists, a regular participant in scientific conferences and congresses in the field of cardiology and general medicine. She has repeatedly participated in a research program at a private university in Japan in the field of reconstructive medicine.