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What Causes Palpitations, Tingling In Hands And Feet In A Diabetic Patient?
Question: Hi-I sometimes experience palpitations, occasionally accompanied by tingling in hands and feet. I've had echocardiograph and stress ecg tests, and the cardiologist says there's nothing wrong. I'm 58 years old. What might be the cause of this problem? I take medication for high blood pressure and type 2 diabetes, although both my blood sugar and blood pressure are now normal. Thanks for any help you can provide.
Brief Answer:
Common phenomenon
Detailed Answer:
Greetings and welcome to HCM. I carefully read your query.
A palpitation is a symptom that may be accompanied by breathlessnes, a heavy feeling on the chest and other non-specific symptoms, such as those you provided. It is caused whenever an extrasystole (premature heart muscle contraction or, popularly known, "skipped heart beat") happens. This means that a certain electrical impulse is generated from another partition of the heart muscle, and not by the natural pacemaker of the heart - the sinus node. What happens next?
The sinus node quickly "takes over" the situation, and produces the succeding, normal heart beat after a short pause, and this beat is commonly more forceful and is felt by the patient - a palpitation.
This is a phenomenon that may happen to everyone, including me, and may be produced by vigorous physical activity, periods of psychological stress, caffeine intake etc. I would like to reassure you that happening some times in a day, they do not have any significance. However, if they become often, a 24-hour Holter rhythm registration is recommended, to judge how many times they happen and what treatment should be started to supress and prevent them.
I hope my answer is of help. I am happy to help, if you have follow-up questions.
Best regards,
Dr. Meriton
Common phenomenon
Detailed Answer:
Greetings and welcome to HCM. I carefully read your query.
A palpitation is a symptom that may be accompanied by breathlessnes, a heavy feeling on the chest and other non-specific symptoms, such as those you provided. It is caused whenever an extrasystole (premature heart muscle contraction or, popularly known, "skipped heart beat") happens. This means that a certain electrical impulse is generated from another partition of the heart muscle, and not by the natural pacemaker of the heart - the sinus node. What happens next?
The sinus node quickly "takes over" the situation, and produces the succeding, normal heart beat after a short pause, and this beat is commonly more forceful and is felt by the patient - a palpitation.
This is a phenomenon that may happen to everyone, including me, and may be produced by vigorous physical activity, periods of psychological stress, caffeine intake etc. I would like to reassure you that happening some times in a day, they do not have any significance. However, if they become often, a 24-hour Holter rhythm registration is recommended, to judge how many times they happen and what treatment should be started to supress and prevent them.
I hope my answer is of help. I am happy to help, if you have follow-up questions.
Best regards,
Dr. Meriton
Above answer was peer-reviewed by :
Dr. Sonia Raina
That's good to know. Many thanks for your help.
Brief Answer:
Glad to have been of help
Detailed Answer:
Hi again.
I am glad to have been of help with my answer.
Kindly, close the discussion and rate the answer.
Wish you a good health,
Dr. Meriton
Glad to have been of help
Detailed Answer:
Hi again.
I am glad to have been of help with my answer.
Kindly, close the discussion and rate the answer.
Wish you a good health,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Sonia Raina
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