Do you have frequent skipped beats?
- Saneka Chakravarty, MD, FACC
- Jul 23, 2021
- 2 min read
Updated: Jun 5

Understanding Skipped Heart Beats
Our hearts perform a graceful dance, skipping a beat in the presence of loved ones or in moments of excitement and nervousness. But what if those skipped beats become a frequent occurrence? When does concern step in?
The Heart's Electrical System
Nestled within us, our heart possesses an intricate electrical system that orchestrates its rhythm with remarkable efficiency. Amidst this, smaller circuits sometimes get a tad overexcited – often due to adrenaline surges, but occasionally sparked by scar tissue, oxygen shortages, or electrolyte imbalances. This is what gives rise to the sensation of skipped beats.
Types of Skipped Beats
When the impulse springs from the upper chamber, it earns the title premature atrial contraction (PACs). When the lower chamber is involved, it's dubbed premature ventricular contraction (PVCs). Beyond skipped beats, other rapid heartbeat patterns may emerge, evoking a sense of a "racing heart." These include:
Supraventricular tachycardia
Atrial fibrillation
Ventricular tachycardia
These subjects will be explored in further detail elsewhere.
Associated Sensations
Amidst these rhythm variations, what other sensations might accompany skipped beats? Some liken it to their heart flip-flopping or pounding intensely. For others, there's a fleeting pause, perhaps urging a cough.
Lifestyle Modifications
Often, these sensations are benign, making fleeting appearances. Simple lifestyle shifts can work wonders, such as:
Prioritizing restful sleep
Staying hydrated
Moderating caffeine and alcohol intake
Mastering stress management techniques
When to Seek Treatment
Yet, there are times when these symptoms linger and disrupt daily life. When lifestyle tweaks fall short, it's a cue for treatment. This realm spans medications to the occasional ablation procedure in rare instances.
Signs of Concern
When should concern arise? It is essential to seek medical attention if you experience:
Dizziness or fainting
Chest discomfort or breathlessness
Underlying heart conditions
Symptoms that stretch across hours each day
FAQs
What causes skipped heartbeats?
Skipped heartbeats can be caused by various factors, including adrenaline surges, scar tissue, oxygen shortages, or electrolyte imbalances.
Are skipped beats always a cause for concern?
Not always. Many skipped beats are benign and can be managed with lifestyle changes. However, persistent symptoms should be evaluated by a healthcare provider.
What lifestyle changes can help reduce skipped beats?
Prioritizing sleep, staying hydrated, moderating caffeine and alcohol, and managing stress can significantly help reduce the occurrence of skipped beats.
When should I see a doctor for skipped beats?
Consult a doctor if you experience dizziness, fainting, chest pain, breathlessness, or if the symptoms persist for extended periods.
References
Huang, H., et al. (2015). "The role of lifestyle changes in the management of cardiac arrhythmias." Journal of Cardiovascular Electrophysiology.
Comments