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Palpitations and Rhythm Disorders
At a Glance
Palpitations and Rhythm Disorders: Palpitations are defined as a person feeling their heartbeat differently than usual. Patients may describe palpitations as: Rapid heartbeat, A feeling of skipped beats, Strong heartbeats. Book an appointment.
Palpitations and Rhythm Disorders — What Is It?
What is Palpitations and Rhythm Disorders? Palpitations are defined as a person feeling their heartbeat differently than usual. Patients may describe palpitations as: Rapid heartbeat, A feeling of skipped beats, Strong heartbeats. Book an appointment. The goal is a clear, indication-driven plan—avoiding unnecessary testing while giving patients an understandable next step.
Dr. Sinan Coşkun Turan reviews symptoms, medical history, ECG/echocardiography findings, and advanced imaging when needed as part of Palpitations and Rhythm Disorders. Appointments can be arranged for patients in Kadıköy, Kozyatağı, Ataşehir, and nearby districts, including international patients seeking English-speaking cardiology care in Istanbul.
After evaluation, patients leave with a plain-language explanation of findings, priority lifestyle and follow-up steps, and—if required—options for further testing or treatment. Questions remain welcome throughout the pathway so decisions stay shared and informed.
In-Depth Information
What Are Palpitations?Palpitations are defined as a person feeling their heartbeat differently than usual.
Patients may describe palpitations as:
- Rapid heartbeat
- A feeling of skipped beats
- Strong heartbeats
- Irregular rhythm
- Fluttering in the chest
Palpitations do not always indicate a serious rhythm disorder, but in some cases, cardiology evaluation may be required.
What Is a Rhythm Disorder?
A rhythm disorder, also known as arrhythmia, occurs when the normal electrical activity of the heart is disrupted.
Rhythm disorders may appear in different forms, such as:
- Harmless premature beats
- Atrial fibrillation
- Supraventricular tachycardias
- Bradycardia
- Ventricular rhythm disorders
Which Complaints May Require Cardiology Evaluation?
The following complaints may be associated with rhythm disorders:
- Palpitations
- A feeling of skipped beats
- Dizziness
- Feeling faint
- Chest pain
- Shortness of breath
- Reduced exercise capacity
- Unexplained fatigue
What Is Atrial Fibrillation?
Atrial fibrillation is one of the most common rhythm disorders in adults.
Symptoms may include:
- Palpitations
- Shortness of breath
- Fatigue
- Reduced exercise capacity
Some patients, however, may have no symptoms at all.
Recognizing atrial fibrillation is important because it may increase the risk of stroke. Current guidelines emphasize a comprehensive approach and correction of risk factors.
Are Extrasystoles Dangerous?
Atrial or ventricular premature beats, known as extrasystoles, may be seen in many healthy individuals.
However, detailed evaluation may be required in cases such as:
- Very frequent extrasystoles
- Significant symptoms
- Presence of structural heart disease
- Left ventricular dysfunction
Which Tests May Be Used in Rhythm Disorders?
Depending on the clinical evaluation, the following methods may be planned:
- Electrocardiography (ECG)
- Holter monitoring
- Blood Pressure Holter
- Echocardiography
- Exercise stress test
- Cardiac MRI
- Electrophysiological study
Which Tests May Be Used in Rhythm Disorders?
Depending on the clinical evaluation, the following methods may be planned:
- Electrocardiography (ECG)
- Holter monitoring
- Blood Pressure Holter
- Echocardiography
- Exercise stress test
- Cardiac MRI
- Electrophysiological study
The same tests are not required for every patient.
Why Is Holter Monitoring Important?
Many rhythm disorders occur intermittently and may not be detected during a standard ECG.
Holter monitoring plays an important role in evaluating rhythm problems such as:
- Atrial fibrillation
- Extrasystoles
- Tachycardias
- Bradycardias
reatment of Rhythm Disorders
Holter monitoring plays an important role in evaluating rhythm problems such as:
- Atrial fibrillation
- Extrasystoles
- Tachycardias
- Bradycardias
Treatment of Rhythm Disorders
Treatment may vary depending on:
- The type of rhythm disorder
- Symptoms
- Accompanying heart disease
- Expected clinical benefit
Treatment options may include:
- Lifestyle modifications
- Medication treatment
- Catheter ablation
- Pacemaker implantation
- Anticoagulant treatment
Who Is It For?
- People with chest discomfort, palpitations, breathlessness, or blood-pressure concerns
- Those with a family history of early heart disease or multiple cardiovascular risk factors
- Patients seeking a check-up, second opinion, or preventive cardiology review
- Older adults or mobility-limited patients who need home monitoring
- Patients covered by private health insurance planning a cardiology assessment
- Anyone needing pre-operative or pre-procedural cardiac risk evaluation
Evaluation Process
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Step 1
Initial consultation and review of symptoms and risk history
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Step 2
Clinical examination and planning of essential tests
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Step 3
Integrated interpretation of findings with clear patient education
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Step 4
Shared decision on follow-up, treatment, or further investigation
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Step 5
Control visit and longer-term monitoring plan when needed
Frequently Asked Questions
Is every palpitation dangerous?
No. A significant portion of palpitations are not caused by a serious rhythm disorder.
May Holter monitoring be necessary for palpitations?
Yes. Holter monitoring may be necessary, especially when palpitations occur intermittently and are not detected during a standard ECG. It allows the heart rhythm to be recorded over a longer period.
Does atrial fibrillation increase the risk of stroke?
Yes. Atrial fibrillation may increase the risk of stroke in some patients. The need for blood-thinning treatment is determined according to the patient’s individual risk factors and clinical evaluation.
Do extrasystoles require treatment?
Not always. Extrasystoles may be harmless in many patients. However, if they are frequent, cause significant symptoms, or are associated with structural heart disease, further evaluation and treatment may be required.
Can rhythm disorders be treated with ablation?
Yes. Some rhythm disorders can be treated with catheter ablation. The decision depends on the type of arrhythmia, frequency of symptoms, response to medication, and expected clinical benefit.
