Can palpitations cause myocardial ischemia?

Palpitations may lead to myocardial ischemia, but whether they actually cause it depends on individual circumstances and underlying causes. Palpitations typically manifest as an uncomfortable sensation of heartbeat or a feeling of fluttering in the chest, and can be caused by various factors, both physiological and pathological. There may be a connection between palpitations and myocardial ischemia, especially when palpitations are triggered by cardiac conditions such as arrhythmias or coronary artery disease. These conditions can lead to inadequate blood supply to the heart muscle, thereby causing myocardial ischemia. Clinical symptoms of myocardial ischemia include discomfort or pain in the precordial area; severe myocardial ischemia may be accompanied by arrhythmias and cardiac dysfunction. Symptoms of palpitations and myocardial ischemia may overlap. While palpitations may contribute to myocardial ischemia, the exact relationship must be evaluated and treated based on individual patient factors and etiology. If concerned, individuals should seek timely medical consultation with a qualified physician.