I can feel a strong heartbeat. Feel the heartbeat all over my body

19.09.2020

Normally, a person does not feel his own heartbeat.

The feeling of a heartbeat is a condition in which a person is aware of every beat of his heart. This may be because the heart has difficulty pumping blood, or the heart beats too slowly, too quickly, or irregularly.

This article examines the causes of flutter, methods of diagnosis and treatment of the disease.

Overview

The manifestations of a heartbeat can vary greatly depending on how the person is feeling.

Common descriptions include:

1. Vibration

2. Skipped or extra rhythm (also known as ectopic beats)

3. As if after training

4. Rapid pulse

5. "Heavy" heart beats

Palpitations can also be felt in the neck, throat, abdominal cavity and ears.

In some people, the heartbeat lasts only a few seconds, while in others it can last a minute in one episode.

Generally, it is not common for people to experience palpitations. But in most cases, it is harmless and does not signal a serious problem.

Common Causes

Many things can cause heart palpitations. Some of the more common reasons can be categorized:

Emotional factors

These include:

1. Anxiety
2. Stress
3. Panic
4. Nervousness

Drug treatment

Some medications can cause heart palpitations. These include:

1. Inhalers for asthma
2. Antihistamines
3. Drugs that replace thyroid hormones
4. Antiarrhythmic drugs
5. Antibiotics
6. Antidepressants
7. Antifungal drugs
8. Certain cough medicines
9. Certain herbal or nutritional supplements

Diseases

Diseases can cause heart palpitations. These include:

1. Hyperglycemia
2. Anemia
3. Low blood sugar
4. Low potassium levels
5. Dehydration
6. High fever and fever
7. Loss of blood
8. Shock
9. Low levels of oxygen or carbon dioxide in the blood

Hormonal changes

Hormonal changes are another possible reason heart palpitations. Hormonal changes can be caused by:

1. Menstruation
2. Pregnancy
3. Menopause

Heart diseases

A feeling of heartbeat can be caused by heart conditions:

1. Arrhythmia
2. Diseases of the coronary artery
3. Problems with the heart valve
4. Heart failure
5. Heart defects at birth
6. Hypertrophic cardiomyopathy (when muscle wall heart becomes thick and enlarged) or other types of cardiomyopathy

Lifestyle

Lifestyle factors that can cause fluttering heart include:

1. Caffeine (found in tea, coffee and energy drinks)
2. Alcohol
3. Smoking
4. Physical activity
5. Drugs (such as cannabis, cocaine, heroin, ecstasy, and amphetamine)
6. Spicy food

Complications

While most cases of heart fractures are harmless. But if they are a sign of heart disease, then serious complications can arise.

Complications include:

1. Fainting
2. Stroke
3. Supraventricular tachycardia
4. Atrial fibrillation
5. Ventricular tachycardia
6. Ventricular fibrillation
7. Cardiac arrest
8. Heart failure.

Diagnostics

Palpitations that are harmless often resolve quickly and are rare. Treatment, in such cases, is not needed.

However, in some situations, it is necessary to talk to your doctor about the arising sensations of heart flutter:

1. If a person has heart disease
2. If the heartbeat does not improve or gets worse
3. If symptoms are severe
4. If the person has other health problems

Of course, palpitations come and go, and often don't occur in the doctor's office. Therefore, it is important to write down:

1. Your feelings
2. How often do they happen
3. When they happen

The doctor will examine the patient, review the medical history, and order an EKG.

Treatment and prevention

Treatment for the resulting palpitations will depend on the symptoms and the cause.

In general, treatment is divided into three categories:

Preventive

Lifestyle changes, avoiding triggers can help reduce or stop your heartbeat. These changes include:

1. Reducing caffeine intake
2. Quitting smoking
3. Avoiding alcohol
4. Proper nutrition
5. Exercise
6. Avoiding medications that can cause heart palpitations
7. Reducing stress and anxiety (yoga, meditation, breathing exercises)

Drug treatment

The doctor may decide that the person needs to take prescription antiarrhythmic drugs, such as a beta blocker.

Beta blockers slow your heart rate in addition to lowering blood pressure.

Medical procedures

Three main types of medical procedures are used in cases of palpitations:

1. Catheter ablation
2. Synchronized cardioversion
3. Implantation of a pacemaker or defibrillator

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Disruption of work of cardio-vascular system- a frequent occurrence. People are intimidated by the onset of disorders associated with the main motor. Patients go to the doctor every day with complaints of heart failure. An uneven heartbeat is felt, which can slow down and become more frequent chaotically. After repeated examinations and tests, a diagnosis is made - arrhythmia. But what if symptoms worsen while lying down? How to get rid of this?

What is the essence of the disease?

Arrhythmia occurs when the frequency, rhythm, or sequence of myocardial contractions changes. Each of us at rest feels light beats of the heart, not noticing its rhythm. Patients with atrial fibrillation clearly experience disruptions in the rhythm of the main motor.

Arrhythmia is a deviation of the heart rate from the normal value.

This condition does not always threaten a person's life. After all, such a reaction can be the physiological response of the body to physical activity, intimacy. But there is a type of disease that carries a great danger to life - nocturnal attacks of arrhythmias.

Causes of the onset of the disease

There are several types of ailment, the development of which is caused by certain reasons. Many factors can provoke the appearance of the disease:

Heredity.
Wrong way of life.
Frequent stress, emotional and physical fatigue.
Bad habits.
Thyroid dysfunctions.
Apnea.
Hypertension.
Violation of the water-salt balance in the body.
Diabetes.

But why do arrhythmia attacks appear at night or in the supine position, when a person is relaxed?

Arrhythmia processes can occur in different areas heart: in the atrium and in the ventricles

Symptoms of the disease

Each patient is characterized by individual manifestations of the disease. Many people who do not feel discomfort in the area of the heart begin to feel a strong heartbeat while lying on their left side. In healthy people, this condition goes away by itself when changing position. And in a patient with pathology, this symptom will recur repeatedly. Therefore, it is necessary to pay attention to the following signs, which differ for each type of ailment:

Sinus tachycardia. The frequency of myocardial contractions reaches 90 beats per minute or more. There is an increased heartbeat, shortness of breath, fatigue, lack of vitality. This type of ailment is often complicated by atrial fibrillation.
Sinus bradycardia. Heart rate per minute - 55 and below. This type of disease is characterized by hypotension, dizziness and fainting, aching pains in the sternum, general weakness.
Extrasystole. Often the patient does not feel alarming signals. Sometimes intensified heart beats are noted, but rare cases of this phenomenon are not dangerous.
Sinus arrhythmia. This type is characterized by an increase in heart rate during exhalation and a significant decrease during inhalation.
Atrial fibrillation. Characterized by incomplete contraction of the atria and frequent contraction of the ventricles. This condition is harmful to the body, because the heart does not pump enough blood through the body.

The main symptom of arrhythmia is a feeling of heartbeat when lying on the left side.

All of these symptoms are a serious signal from the body that requires an urgent visit to the doctor. Complications that develop against the background of an ailment carry a great danger to life.

What explains the attack?

In people with heart pathologies, heartbeats are clearly felt while resting on the left side. This is due to the increased load on the heart. When you lie down on the side of the heart, the myocardium contracts, increasing stress and adverse symptoms. Therefore, cardiologists recommend getting rid of this habit by changing your leisure preferences. Better to sleep on your back. So the body completely relaxes, without creating additional loads on the main motor. Arrhythmia attacks in this position will not bother. People with high blood pressure should also avoid the left-sided position. Positioning on the right side will not pinch the heart, but will pinch the right side of the lung. Therefore, having diseases of the cardiovascular system, constantly monitor the position of the body during rest, train yourself to fall asleep on your back.

Healthy people can also feel a heartbeat. Most often it is felt when lying down, on the left side

Diagnosis of the disease

If you experience symptoms that indicate a malfunction of the cardiovascular system, consult a doctor. Only a specialist will be able to exclude organic heart damage, thyroid diseases. After a detailed examination, a complete collection of anamnesis, clarification of the reasons that caused the development of the disease, the correct diagnosis will be established and adequate therapy prescribed. The main methods for diagnosing the disease include:

Electrocardiogram. Determines the intervals and duration of the contraction phase.
Holter's technique. Daily monitoring of the electrocardiogram is carried out. The electrodes that measure the heart rate are attached to the body and remain on it even during a night's sleep.
Echocardiogram. Diagnostics is carried out with an ultrasound device. The state of the organ is determined, the size of the heart chambers is measured. The valves are monitored.

The main way to detect abnormal heart rhythms is with a cardiogram.

Physical activity is used to provoke arrhythmic attacks. Effective way diagnosis is the introduction of sensitive thin electrodes into the heart chambers. With their help, pulse conduction is monitored and arrhythmia is detected. Thanks to this technique, the pathology in a certain area is determined, the effectiveness of the drugs used for arrhythmia is assessed. This method is the most informative, it makes it possible to accurately establish a diagnosis.

Nocturnal attacks of arrhythmias are considered a serious disorder that is triggered by multiple factors. To select an effective treatment, it is necessary to find out and eliminate the causes that caused the pathology. Therefore, consulting a doctor at the first sign of an illness is extremely important.

Therapeutic measures

Depending on the form, severity and type of arrhythmia, appropriate therapy is prescribed. Self-medication is life-threatening. Therefore, only a qualified specialist has the right to prescribe medications. The mainstay of treatment is to eliminate the root cause and reduce severe symptoms. Modern medicine offers medicinal and surgical techniques treatment of the disease.

Drug therapy involves the use of special antiarrhythmic medicines... They are divided into 3 groups: drugs for the treatment of atrial type of disease, for the treatment of ventricular arrhythmias and drugs of a universal nature for all types of disease.

The therapy is selected individually, taking into account all side effects drugs and their dosage

Surgical methods of therapy are used in the case of other pathologies and heart defects, when drug treatment stopped giving results. It is possible to completely relieve the patient of the disease with the help of radiofrequency ablation. The manipulation is performed using a specialized catheter that cauterizes the pathological area that generates arrhythmia attacks. Subsequently, impulse conduction is blocked.

For the treatment of cardiac arrhythmias, the introduction of pacemakers is used. They are able to keep the frequency of systoles under control.

Prophylaxis

It is always more expedient to prevent the development of the disease than to cure it later. In the case of arrhythmia preventive measures includes a wide range of activities. The main points of prevention of the disease:

Timely therapy of concomitant diseases that provoke heartbeat disorders.
Avoiding unhealthy foods and bad habits.

Constant monitoring of cholesterol and blood glucose levels.
Getting rid of extra pounds.
Enrichment of the diet with fortified plant foods.

Our heart is designed in such a way that when any physical or emotional stress (stress) occurs, it must pump a larger volume of blood in order to meet the oxygen demand of skeletal muscles. This is necessary because the “animal”, biological part of human nature under stress follows the ancient principle of “fight, fear, run” in order to survive. For this, the heart begins to contract more often, thus increasing the pumped blood. There is, or an increase in heart rate of more than 90 beats per minute, which may or may not be felt by the person in the form of a feeling of a rapid heartbeat.

heart palpitations (tachycardia) on an ECG

But, not always an increase in heart rate is a normal physiological reaction of the body to stress, since it can occur at rest and be a consequence of functional or organic pathology of the cardiovascular system.

Causes of heartbeat

Among all the conditions that can cause an accelerated heart rate, physiological, that is, acting temporarily with independent restoration of normal heart rate, and pathological, that is, based on various violations of the activity of the heart or other organs, can be distinguished.

Physiological causes

Physical activity - running, brisk long walking, swimming, playing sports,
Psychoemotional stress - acute and chronic stress, panic attack, severe fright, mental strain,
Strong emotions - anger, joy, rage, etc.
Pregnancy - due to a general increase in blood volume in the body of a pregnant woman, as well as due to an increased load on her heart, an increase in heart rate occurs, which does not require treatment if no other pathological reasons are identified, and the woman tolerates a frequent rhythm satisfactorily.

Pathological conditions

1) Cardiological

a) Functional dysregulation of the CVS:

,) - disturbances in the regulation of vascular tone, as a result of which a reflex increase in heart rate occurs,
(pacemaker), which manifests itself,
Sharp changes in the level (within the framework of the VSD, that is, due to the functional characteristics of the body), as a result of which the heart reflexively responds with an accelerated rhythm in response to low blood pressure.

b) Organic myocardial damage:

, acute or transferred some time ago,
, congenital or acquired nature,
, especially long-term, or with high numbers of blood pressure,
, that is, the formation of scar tissue at the site of the normal heart muscle, for example, after inflammation of the myocardium () or acute myocardial infarction,
- diseases accompanied by changes in the structure of the heart muscle - (an increase in myocardial mass) or (thinning of the heart muscle and expansion of the heart cavities).

With such diseases, palpitations can be manifested by tachycardia, when the heart contracts frequently, but correctly, as well as atrial fibrillation or other types, when the rhythm is frequent and abnormal, that is, the heart contracts irregularly.

2) Non-cardiological

Diseases of other organs and systems:

Diseases of the thyroid gland, in particular, autoimmune damage or goiter, accompanied by increased level hormones in the blood - hyperthyroidism,
Diseases of the gastrointestinal tract - gastritis, gastric ulcer, diaphragmatic hernia etc,
Diseases of the bronchopulmonary system - chronic obstructive bronchitis, bronchial asthma, especially if the patient uses inhalers, active substance which accelerates the heart rate (berodual, salbutamol, berotek, etc.),
Fever,
Acute infectious and purulent diseases,
Alcoholic, nicotine, narcotic and other types of intoxication,
Acute poisoning
Eating disorders with dystrophy,
, mediastinum, terminal stage of oncological processes in the body,
Many types of shock (burn, traumatic, hemorrhagic, etc.).

Symptoms and manifestations of a rapid heartbeat

Clinically, the sensations of a heartbeat can vary greatly in different patients, depending on the causative factor, as well as on psychoemotional characteristics and on the general sensitivity of the body. In some cases, the accelerated rhythm is felt by the patient as a weak unpleasant feeling of discomfort in the chest, in others - as strong beats of the heart with various “overturns, fading, stops,” etc. With a very rapid pulse (more than 100-120 per minute), patients can describe their feelings in this way - "the heart flutters, shakes, like a hare's tail." Sometimes patients do not feel the accelerated heart rate at all.

As a rule, a rapid heartbeat manifests itself paroxysm, and disappears as the triggering factors are eliminated in the case of their physiological nature within a few minutes, but sometimes such an attack can drag on for hours, days and even weeks.

In the case when the patient does not have diseases of the heart or other organs, and the rapid pulse is caused by transient factors, then after eliminating the cause (rest, cessation of physical activity, exclusion stressful situation) heart rate indicators come in norm (60-90 per minute)... If you have a specific medical condition, you may need to use medication or treat the condition to eliminate unpleasant symptoms.

What other symptoms can a heartbeat be associated with?

In persons with vegetative-vascular dystonia an increased heart rate can be combined with severe psychoemotional manifestations, such as tearfulness, irritability, aggressiveness, as well as with autonomic reactions - sweating, pallor, trembling limbs, nausea, vomiting, low blood pressure numbers. In pronounced cases, in such patients, an accelerated heart rate accompanies.

In the presence of high level thyroid hormones(hyperthyroidism, thyrotoxicosis) the patient notes attacks of strong heartbeat, combined with sweating, internal tremors throughout the body, weight loss with increased appetite, visually apparent enlargement of the eye slits and "bulging" eyeballs.

If we talk about the interconnection of triggers in various diseases, then anything can provoke tachycardia - physical activity or stress with heart failure, taking a horizontal position after eating (especially at night) with stomach diseases, overdose inhalation drugs with bronchial asthma, etc.

Dangerous symptoms to watch out for!

Tachycardia can be a symptom of some life-threatening conditions, for example, if interruptions in the heart and a feeling of palpitations are combined with severe pain in the left side chest, between the shoulder blades or behind the sternum, and are also accompanied by a sudden sharp deterioration of the condition with cold sweat, shortness of breath, can be suspected in the patient acute heart attack myocardium.

With a combination of a rapid heartbeat, a feeling of shortness of breath, a suffocating cough with or without pink frothy sputum, you can think about the onset of acute left ventricular. These symptoms can be especially severe at night, when they increase in the lungs, and cardiac asthma and pulmonary edema can develop.

In the case when a rapid pulse is accompanied by a sensation of irregular heartbeat, one can think of dangerous rhythm disturbances, such as, frequent, “takhi-brady” syndrome in sick sinus syndrome, which can lead to loss of consciousness and even cardiac arrest.

Particularly dangerous are considered ventricular tachycardia and frequent ventricular premature beats, which are manifested by a very rapid heart rate and are accompanied by sweating, darkening of the eyes, severe shortness of breath and a feeling of shortness of breath. The danger of such conditions is that they can lead to and to.

Thus, in the presence of such pronounced symptoms and a deterioration in general well-being during attacks of a rapid heartbeat, you should immediately consult a doctor(in the clinic or in the ambulance medical care), because sometimes only on the basis of ECG results it is possible to determine the cause and degree of danger of conditions manifested by an increased heart rate.

Rapid heart rate diagnostics

As you can see from the part of the article that describes the causes of rapid heartbeat, there are a lot of triggers and causal diseases. Therefore, if the patient cannot independently determine the condition, as a result of which the heart rate increases, and, even more so, if such symptoms are difficult for the patient, he should consult a doctor in a timely manner, to make a plan of examination and treatment, if necessary.

From the consultations of specialists, in addition to the therapist, you may need examinations by an endocrinologist, gynecologist, infectious disease specialist, gastroenterologist and other doctors.

Of the most informative studies, the following can be shown:

- for a decrease in the level of hemoglobin or the presence of an inflammatory process,
General urinalysis for exclusion chronic inflammation kidneys, as well as kidney damage in hypertension, diabetes, etc.,
- the indicators of kidney and liver function are examined,
Blood test for infectious diseases - viral hepatitis, HIV, syphilis,
Blood test for thyroid hormones, adrenal hormones,
Glycemic profile and glucose tolerance test for suspected diabetes mellitus,
Determination of the level of sex hormones in pregnant women, especially if there were serious endocrinological diseases before pregnancy,
, combined with Holter, and ECG after dosed physical activity in the office of functional research methods,
for the diagnosis of defects, violations of the contractile function of the myocardium and many other heart diseases,
In case of serious arrhythmias, the presumable cause of which is coronary heart disease, the patient can perform - "examination from the inside" of the coronary arteries that feed the heart muscle,
Ultrasound of the thyroid gland, internal organs, pelvic organs, with suspicion of the corresponding pathology,
Fibrogastroscopy (examination of the gastric mucosa using a gastroscope), analysis of gastric juice if a peptic ulcer is suspected, fluoroscopy of the esophagus and stomach with barium if a diaphragm hernia is suspected, etc.
Function exploration external respiration may be needed if the patient describes the symptoms of attacks of tachycardia and suffocation, reminiscent of attacks of bronchial asthma,
MRI of the brain, if a neurologist suspects cardiac abnormalities as a result of a brain catastrophe, such as a stroke, as well as due to a brain tumor or other diseases.

It is unlikely that one patient will need complete list of the above studies, since in most cases, attacks of isolated tachycardia without other symptoms appear as a result of physiological reasons. If the reason is pathological, then of the symptoms, as a rule, several more will be observed, therefore the doctor will be able to orient the patient at the first examination in which diagnostic direction they should move.

Treatment

The answer to the question of how and for how long to treat attacks of rapid heartbeat, only a specialist is able to give an answer at a face-to-face appointment. In some cases, only rest, good sleep and proper nutrition, and in some you cannot do without an ambulance team with further observation in a hospital.

First aid for an attack of rapid heartbeat

At the stage first aid A patient with a seizure can be helped by:

Calm the patient
Open the window, open the collar for fresh air,
Help to lie down or sit down if the patient is gasping for breath while lying down,
Call an ambulance,
Measure and blood pressure,
Apply - ask the patient to strain, cough, so that the pressure in the chest cavity increases, and the rhythm decreases slightly; you can wet your face cold water and feel the pressure on eyeballs within three to five minutes,
Take half or a whole tablet of anaprilin under the tongue, or drink inside a tablet of egilok, concor or coronal, if the patient has previously taken similar drugs, but only in accordance with the blood pressure level - at a pressure below 90/60 mm Hg, such drugs are categorically contraindicated, and the rhythm is reduced only by health workers with the help of intravenous administration of drugs, coupled with cardiotonic drugs.

Similar recommendations are applicable for patients with a history of cardiac diseases, because in the case of another severe pathology, for example, for a patient in a state of severe poisoning or traumatic shock life-saving and stabilization measures will be completely different.

So, in this material, only some of the reasons and approximate schemes of what can be thought of with various combinations of a rapid heartbeat with other symptoms are given. Therefore, for a person far from medicine, it is better not to engage in self-diagnosis and self-medication, but to seek help from a doctor who not only diagnoses the disease on time, if any, but also prescribes competent treatment that will prevent the disease from starting.

Video: Frequent heartbeat in the program “Life is great!”

Heart palpitations - a feeling that your heart is beating too fast or beating too hard - a reason to see a doctor.

- this is a patient's complaint about a subjective feeling of a rapid, arrhythmic or heavy heartbeat. Normally, we do not notice our heartbeat. But any deviation from the norm becomes immediately noticeable. Palpitations are usually described by patients as follows: the heart beats too hard (or "loud") in the chest, the heart "jumps" out of the chest, pounds hard, "twitches", "turns" or "flutters". An increased heartbeat may be accompanied by a throbbing sensation in the neck, temples, epigastric region, or fingertips. Tinnitus may also accompany the palpitations pain in the area of the heart, a feeling of tightness in the chest or shortness of breath. Similar symptoms may indicate a pathology of the heart, but in most cases, complaints of increased heart rate with accompanying symptoms instrumental research no signs of heart damage are detected.

Palpitations should be distinguished from tachycardia. Tachycardia Is an objective increase in heart rate. The normal pulse in an adult at rest is 60-80 beats per minute. If more than 90 beats per minute are recorded, then tachycardia is diagnosed. However, at the same time, the patient may not feel that his heartbeat is rapid.

Common Causes of Rapid Heartbeat

Even healthy person may feel an increased heartbeat. This is most characteristic of people with increased nervous sensitivity. Can lead to a rapid heartbeat:

significant physical effort;
quick ascent to the height;
physical activity in a hot and stuffy environment (lack of oxygen leads to increased work of the heart);
sharp mental stress (fear, excitement, etc.);
use a large number foods high in caffeine (coffee, tea, coca-cola);
some medications(in particular, remedies for the common cold);
digestive disorders (for example, flatulence, due to which the diaphragm is somewhat raised).

A strong heartbeat may be felt when high temperature(people with fever often feel palpitations).

Heart palpitations with increased blood pressure

An increased heart rate is often accompanied by high blood pressure. In this case, the more often the heart beats, the higher the pressure in the arteries. The dependence here is just this ... Therefore, it is wrong to consider high blood pressure to be the cause of increased heartbeat. Another thing is that an increase in pressure, accompanied by a general deterioration in well-being, can make you notice how hard your heart is beating.

Heart palpitations and high blood pressure can be caused by the same reasons. In this case therapeutic measures, aimed at normalizing blood pressure, will also contribute to the normalization of the heartbeat.

Rapid heartbeat with low blood pressure

An increased heart rate is also possible with reduced blood pressure. A sharp drop in pressure can be observed in shock conditions (anaphylactic, traumatic, infectious-toxic, psychogenic and other types of shock). The body responds to this by accelerating the contraction of the heart muscle to restore pressure. A similar compensatory nature of the increased heartbeat occurs with large blood loss.

Rapid heartbeat at normal pressure

However, an increased heart rate can be felt regardless of the pressure. The pressure can be either low or normal, and the patient complains of palpitations. This is possible with vegetative-vascular dystonia, anemia, thyroid diseases and a number of other diseases. You should not try to determine what you are sick with, and even more so start treatment only on the basis of a comparison of heartbeat and pressure. In all cases, when you are worried about an increased heart rate, it is necessary to undergo an examination as directed by a doctor.

When is a heartbeat a reason to see a doctor?

Rapid heartbeat is a reason to see a doctor if it:

too intense;
is protracted (does not go away for a long time);
occurs with less and less influence of the above factors;
arises out of connection with the above factors;
is uneven (arrhythmia can be assumed - a violation of the heart rhythm).

In these cases, heart palpitations can be a manifestation of serious disorders and diseases, such as:

avitaminosis;
anemia (low levels of hemoglobin and iron in the blood);
tetany (a condition caused by a lack of calcium);
endocrine diseases;
cardiac pathologies.

However, as a rule, in the case of myocarditis, other heart diseases, and hyperthyroidism, increased heart rate is not the main complaint. With such diseases, first of all, they complain of pain in the region of the heart and shortness of breath.

It is necessary to react promptly if dizziness, shortness of breath, pale skin, sweating are observed against the background of an increased heartbeat. In this case, you should call ambulance.

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