Why do you have heart palpitations after orgasm?

Palpitation

Palpitation is a feeling of discomfort or palpitation caused by conscious heart beating. When the heart rate is accelerated, the heart beats uncomfortable, and when the heart rate is slow, the heartbeat is strong. During palpitations, the heart rate may be fast or slow, or there may be arrhythmia. People with normal heart rate and rhythm may also have palpitations.

[Cause]

1. Palpitations caused by increased heart pulsation and increased cardiac contractility can be physiological or pathological. Physiological symptoms are seen in: ① healthy people during strenuous exercise or excessive mental stress; ② after drinking alcohol, strong tea or coffee; ③ using certain drugs , such as epinephrine, ephedrine, caffeine, atropine, thyroid tablets, etc. Pathological cases are seen in the following conditions:

(1) Ventricular hypertrophy: left ventricular hypertrophy and increased cardiac contractility caused by hypertensive heart disease, aortic valve insufficiency, mitral valve insufficiency, etc. Patent ductus arteriosus increases the return volume of the ventricular septal defect, increases the load on the heart, leads to ventricular hypertrophy, and can also cause palpitations.

(2) Other diseases that cause increased cardiac pulsation: ① Hyperthyroidism is due to increased basal metabolism and sympathetic nerve excitability, which leads to accelerated heart rate. ②Anemia, manifested by palpitations during acute blood loss. In anemia, the amount of oxygen the blood carries is reduced. When organs and tissues are hypoxic, the body compensates by increasing the heart rate and output in order to ensure the supply of oxygen. The accelerated heart rate leads to palpitations. ③ Fever, during which the basal metabolic rate increases, the heart rate accelerates, and cardiac output increases, which can also cause palpitations. ④ Hypoglycemia and pheochromocytoma cause increased release of epinephrine, accelerated heart rate, and palpitations may also occur.

2. Arrhythmia: Tachycardia, bradycardia, or other arrhythmias can cause palpitations.

(1) Tachycardia: Sinus tachycardia, paroxysmal supraventricular or ventricular tachycardia caused by various reasons, etc., can cause palpitations.

(2) Bradycardia: high-grade atrioventricular block (II, III atrioventricular block), sinus bradycardia or sick sinus syndrome, due to slow heart rate, diastolic Prolonged, the ventricular filling degree increases, the heartbeat is strong and powerful, causing palpitations.

(3) Other arrhythmias: premature contractions, atrial flutter or fibrillation, etc. Due to irregular or intermittent heart beating, the patient may feel palpitations or even stop beating.

3. Cardiac neurosis is caused by autonomic nervous system dysfunction, and there is no organic disease in the heart itself. More common in young women. In addition to palpitations, clinical manifestations often include accelerated heart rate, dull pain in the precordium or apex of the heart, as well as neurasthenic manifestations such as fatigue, insomnia, dizziness, headache, tinnitus, and memory loss, which are more likely to occur under conditions such as anxiety and excitement. Beta-adrenergic receptor hyperresponsive syndrome is also related to autonomic nervous system dysfunction and is prone to occur during times of stress. In addition to palpitations, tachycardia, chest tightness, and dizziness, its symptoms may also include some changes in the electrocardiogram, such as sinus heartbeat. Excessive tachycardia, mild ST segment downward shift and flat or inverted T wave can easily be confused with organic heart disease. A propranolol test can be used to identify this disease, β-adrenergic receptor hyperresponsiveness syndrome, and the electrocardiogram changes can return to normal after the application of propranolol, indicating that the changes are functional.

[Genesis mechanism] The mechanism of heart disease is not yet fully understood. It is generally believed that cardiac overactivity is the basis for the occurrence of palpitations, which is often related to changes in heart rate and stroke volume. During tachycardia, the diastolic period is shortened and the ventricles are underfilled. When the ventricles contract, the tension between the ventricular muscles and the heart valves suddenly increases, which can cause the heartbeat to increase and cause palpitations; arrhythmias such as premature beats can occur during a longer period of time. Ventricular contractions after the compensatory period are often strong and forceful, and palpitations may occur. The occurrence of palpitations is related to the arrhythmia and its duration. For example, in sudden paroxysmal tachycardia, palpitations are often more obvious, while in chronic arrhythmias, such as atrial fibrillation, there may be no obvious palpitations due to gradual adaptation. The occurrence of palpitations is often related to mental factors and attention. It is easy to occur when anxiety, tension and concentration are concentrated. Palpitations can be seen in people with heart disease, but they cannot be completely equated with heart disease. Palpitations do not necessarily mean heart disease. On the contrary, patients with heart disease may not have palpitations. For example, patients with asymptomatic coronary atherosclerotic heart disease will not have palpitations.

[Associated symptoms]

1. Precordial pain is seen in coronary atherosclerotic heart disease (such as angina pectoris, myocardial infarction), myocarditis, pericarditis, and cardiac neurosis.

2. Fever is seen in acute infectious diseases, rheumatic fever, myocarditis, pericarditis, infective endocarditis, etc.

3. Accompanied by syncope or convulsions, it is seen in high-grade atrioventricular block, ventricular fibrillation or paroxysmal ventricular tachycardia, sick sinus syndrome, etc.

4． Accompanying anemia is seen in acute blood loss caused by various reasons. At this time, there is often sweating, weak pulse, decreased blood pressure or shock. Chronic anemia and palpitations are more obvious after exertion.

5． Accompanied by dyspnea, it is seen in acute myocardial infarction, myocarditis, pericarditis, heart failure, severe anemia, etc.

6． With weight loss and sweating seen in hyperthyroidism.

[Key points of consultation]

1. Attack triggers, time, frequency, and course of disease.

2. Are there any related symptoms such as precordial pain, fever, dizziness, headache, syncope, convulsions, dyspnea, weight loss, hyperhidrosis, insomnia, anxiety and other related symptoms?

3. Have any history of heart disease, endocrine disease, anemia, neurosis, etc.

4． Do you have any hobbies for strong tea, coffee, tobacco and alcohol, and do you have a history of mental stimulation?