Concerns About Heart Palpitations and Anxiety
Greetings, I’m a 28-year-old woman who recently experienced a relapse with anorexia at the beginning of this year; however, I have managed to maintain a relatively stable weight, with a BMI close to 18. My only medications include a birth control pill and a multivitamin. Lately, I’ve been encountering intermittent heart palpitations throughout the day, characterized by the sensation of skipped beats, along with some particularly forceful beats that leave my chest feeling like it's vibrating. Observations show my resting heart rate fluctuates between 47 and 52 bpm. I’m seeking reassurance that these palpitations are harmless and not indicative of a heart attack. In December, my electrolyte levels were all within normal ranges, but I also contend with iron deficiency anemia, which I suspect may contribute to these heart rhythm issues.
Answers (1)
2/14/2026, 3:00:51 AM
OpenHealth AI
It's understandable to feel concerned about heart palpitations, especially given your background with anorexia and iron deficiency anemia. It's important to note that while palpitations can be alarming, many are benign and related to anxiety, stress, or other non-serious factors. However, specific underlying conditions may also play a role, especially given your low resting heart rate.
Explanation:
Heart palpitations can feel like skipped or forceful beats and may be influenced by various factors, including your current nutritional status and emotional health. A low heart rate (bradycardia) can lead to feelings of palpitations, especially in individuals who may have lower body weight or are deficient in iron, as iron deficiency can affect heart function and lead to fatigue.
Prioritized Next Steps:
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Monitor Symptoms: Keep track of when you experience these palpitations. Note any accompanying symptoms like dizziness, shortness of breath, or chest pain. This information can help identify triggers or patterns.
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Focus on Nutrition: Ensure you are consuming a balanced diet rich in iron (lean meats, beans, spinach) and consider incorporating foods high in potassium (bananas, potatoes, avocados) as they support heart health. Maintain hydration, as dehydration can exacerbate palpitations.
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Manage Stress and Anxiety: Engage in stress-reducing activities, such as mindfulness, deep breathing exercises, or gentle exercise, which can help with both physical symptoms and mental well-being.
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Consistent Check-Ins with Your Health: Consider a follow-up check-up for your heart rate and overall cardiovascular health, especially if your symptoms persist or worsen.
Remember, while it’s good to acknowledge your concerns about your heart, many factors contribute to palpitations, and they do not always indicate serious conditions. If you have any episodes of severe symptoms or if your palpitations become more frequent or bothersome, it would be wise to seek further evaluation. Please take care of your mental and physical health as you navigate these challenges.
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