Heart palpitations in the perimenopause & menopause years | Felice Gersh, MD
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- เผยแพร่เมื่อ 27 มิ.ย. 2024
- Heart palpitations are a common but under-discussed symptom of perimenopause and menopause. You may feel like your heart is racing, fluttering, or even skipping a beat.
Hormones play a critical role in the maintenance of the cardiovascular system, the ability of the heart to create and use energy, and the autonomic nervous system, which controls heart beat.
In this talk, I cover:
* What are heart palpitations?
* How do changing hormones during the menopause transition affect the heart?
* Can heart palpitations be a sign of heart disease or a heart attack?
* When should I see a doctor?
* Does experiencing heart palpitations increase my risk of developing future health problems?
* Does HRT and/or pharmaceuticals treat heart palpitations? What works best?
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---- Contents of this video --------------------------
00:00 - What are palpitations?
01:24 - beta blockers
02:27 - the role of hormones
03:18 - the autonomic nervous system
06:32 - stress and peri-/menopause
07:50 - the vascular system
09:31 - magnesium
10:25 - atrial fibrillation
11:32 - diagnostic tests
13:25 - HRT (hormone replacement therapy)
Oh gee. I’m 68 and suffered with severe palpitations for several years through menopause. Ended up in ER several times and they detected trigeminal ectopic beats (losing every 3 heartbeat). Sent to a cardiologist who said all heart, bloods and arteries were great. He gave me beta blockers which did nothing and then tried calcium blockers which did have some positive impact but eventually the benefits ceased. I was having thousands of ectopic beats per day - totally debilitating, interfered with everything I did and kept me in a state of anxiety so that I developed panic attacks. I finally got onto a herbal m,edication that seemed to work, but by then I hit menopause (55 years old) and they seemed to ease right away. I was told by an ER doctor that I could be very sensitive to caffeine and suggested I drink decaf tea (I don’t drink coffee) and quit chocolate. That seemed to help tremendously. Going to ER was a nightmare, Once they determined there was “nothing wrong” they sent me home and said just have to deal with it.
Thank you Felice! I have struggled explaining why HRT is not a heart risk, and this encapsulates it so eloquently. You're a treasure!
Felice, you are a priceless gift to women. I am binge watching, I have learnt so much and am finding clarification to all my longstanding questions that no one else has explained satisfactorily ❤
I had every symptom there was. Bioidentical hormones helped me greatly. So thankful.❤
What a fabulous explanation of the function of estradiol and irregular heart rate (I was diagnosed with Afib 6 months ago(). My Echo showed a perfectly normal heart - no mitral prolapse. I am 67 and took progesterone 20 years ago, after testing low... I am going to re-test my hormones again and supplement (I'm sure that I need it) to remedy my Afib - THANK YOU!
This was an AMAZING explanation! Thank you so much! 😊
Thanks for this awesome explanation. I love what you do for us women!
OMG! I'm 72, and wish my doctors had had a clue that peri-menopause was causing my heart palpitations (which were always coupled with hot flashes at the same time) back when I was going through my change of life! Just knowing I was fine and not going crazy would've gone a long way in assuaging my fears! But instead, since they had no answers, I demanded a stress test for my heart, which the cardiologist reluctantly (angrily) did, and my heart was fine! No one suggested estrogen, but no surprise, the hot flashes and tachycardia completely disappeared when I was about 56, and through menopause. (EKG and echocardiogram I had about a year ago showed everything normal. No estrogen needed, as my bone mass is normal, too.). But the anxiety of not knowing why I was having the tachycardia symptoms was frightening!!
😍 thank you!!!!
This has been so true for me. HRT made me so much more stable.
Do you still get palpitations after hrt? How long did it take to start helping you? I’m 2 weeks in and hoping it helps mine 🙏🏻
Do you know why estrogen replacement ( 1mg) would cause high blood pressure? Also used along with 200 mg of progesterone..
I think 1mg for 200 mg is not a good proposition. You might need 2 mg of estradiol then .
Excellent thank you. Most friends have Palpitations..
Vitamin K2 M7, With Soy, does the same. 🎉
Come to think of it, I had these palpitations all the time. I started taking Vitamin K2 M7 with my Vitamin D3 about a year ago. Little by little, these palpitations have really reduced. I was sent to two Cardiologists for those stupid things because I had abnormal EKG's prior to surgeries. One told me I was fine and this was just something they saw in women of my age and the other told me I had excavatum Pectorus. Not one doctor has ever mentioned that to me. Nobody ever said anything about hormones. I was actually on hormones when I saw the first cardiologist. Hormones did nothing for my palpitations. Now I rarely have them. ( I was on bio-identical hormones btw)
@@tonyawhitten5199 Interesting., Think the Vitamin K2 M7 with Soy. Does not agree with everyone
Plus, IT’s possibly Thyroid levels and Cardiac Specific. .. ( including minerals.. . D3 and Vitamin C absorption! ( and most importantly All Vitamin B’s in Balance)
I’m on hrt to get help with palpitations however the initial side effects of the patch plus progesterone are making it incredibly challenging to continue: increased anxiety, increased headaches, strange pressure/sensation with my eyes. Any tips
Have things gotten better for you? I’ve also had increased anxiety, I’m in week 3 of treatment.
@@jlcarmya2z I stopped the patch and progesterone and have only been on testosterone gel for a little over a week now. I feel that the anxiety is at the level it was before starting HRT (some days good, some so so). It’s so frustrating trialing and waiting and not feeling like I’m getting anywhere.
However, I will say that I started taking magnesium oxide at nighttime (and I also take two magnesium l theronate in the morning) and I know it’s only been a few weeks, but I think the palpitations have been less so far 🙏🏻
I didn't have Heart palpitation before HRT ! Now that Im on HRT I get heart palpitation almost every day ! Im on 1mg estradiol n 100 mg Prometrium pill ! Any advice !
I was on the same dosage of bio-identical hormones. They did nothing for my heart palpitations. I had them all the time. I was taken off of them due to a breast cancer diagnosis. I started taking Vitamin D3 with K2 a year ago and I barely have them at all now. I just wonder if that helped, or they just stopped on their own. I can say that the hormones did nothing for the condition. They sure made me feel more energetic though. I really miss that energy I got from hormones.