Palpitations or irregular heartbeat, medically known as Arrhythmia, refer to abnormal heart rhythms that may feel like fluttering, racing, skipping, or pounding in the chest. At Sukumvit Physiotherapy and Rehabilitation Center, we provide supervised cardiopulmonary rehabilitation programs designed to improve cardiovascular fitness, regulate physical tolerance, and support safe recovery under medical guidance. Heart rhythm symptoms should always be properly evaluated by a physician before beginning rehabilitation.
Arrhythmia occurs when the electrical signals that control the heartbeat do not function properly. This may cause the heart to beat:
• Too fast (tachycardia)
• Too slow (bradycardia)
• Irregularly
Some arrhythmias are harmless, while others may require medical management.
Patients experiencing palpitations or arrhythmia may report:
• Sensation of fluttering in the chest
• Racing heartbeat
• Skipped or extra beats
• Dizziness or lightheadedness
• Shortness of breath
• Fatigue
• Chest discomfort
• Reduced exercise tolerance
Symptoms may occur occasionally or persist depending on the underlying condition.
Arrhythmias may be associated with:
Cardiac Conditions
• Coronary artery disease
• Heart failure
• Structural heart abnormalities
• Post-cardiac surgery
Non-Cardiac Factors
• Stress and anxiety
• Excess caffeine
• Thyroid disorders
• Electrolyte imbalance
• Deconditioning
• Certain medications
Before starting physiotherapy or exercise, it is essential to:
• Obtain a proper cardiac diagnosis
• Ensure heart rhythm stability
• Follow medical clearance guidelines
Unsupervised exercise without evaluation may worsen symptoms in certain cases.
Seek urgent medical care if you experience:
• Severe chest pain
• Fainting
• Sudden severe shortness of breath
• Persistent rapid or irregular heartbeat
• Severe dizziness
