Causes and ways to deal with tachycardia before menstruation. Heart colitis during menstruation - who to contact Tachycardia after menstruation

Normally, the human heart performs from 60 to 90 beats per minute. Exceeding this indicator even by several units is called tachycardia. Tachycardia occurs during exercise, this is a kind of adaptation of the cardiovascular system, which does not require intervention. Also, tachycardia can occur with fear, stress.

However, more often than not, a rapid heartbeat hides some kind of disturbance in the body. It can be heart disease, as well as conditions such as:

  • heat;
  • increase in pressure;
  • decrease in hemoglobin level (with anemia);
  • thyroid disease;
  • other.

Most often, tachycardia is one of the manifestations of premenstrual syndrome in women. More prone to such manifestations are adolescent girls who are just beginning to develop menstrual function, as well as women approaching menopause.

Against the background of increased emotional lability, frequent mood swings, greater impressionability, episodes of frequent heartbeat may occur, which pass on their own and do not require any medical correction.

In the second phase of the menstrual cycle, many note a tendency to fluid retention. This is due to the action of progesterone. Due to the accumulation of sodium, the volume of circulating blood increases, and blood pressure may increase. Compensatory tachycardia occurs.

In women who are approaching menopause, tachycardia may appear along with hot flashes, a feeling of heat, excessive sweating. At the same time, there may be jumps in blood pressure.

The causes of tachycardia on the eve of menstruation can be the following conditions:

  • existing anemia;
  • medication.

The following groups of women are prone to tachycardia on the eve of menstruation:

  • smokers, abusers of alcohol and drugs;
  • overweight;
  • prone to depression;
  • with cardiovascular diseases;
  • emotionally labile;
  • having other somatic diseases (for example, arterial hypertension, VVD, etc.).

The main manifestation of tachycardia is a feeling of rapid heartbeat, while many describe that it “breaks out” of the chest. At the same time, there may be:

  • flushes of heat in the face;
  • increased sweating;
  • dizziness;
  • dyspnea;

You can easily confirm tachycardia yourself. To do this, you need to check the pulse in the area of ​​​​the outer side of the wrist - for a minute or 30 seconds (in this case, the result should be multiplied by two). Exceeding the number of pulse waves more than 90 indicates tachycardia. At the same time, various rhythm disturbances can occur - extrasystoles, interruptions in the work of the heart. They are felt as non-rhythmic contractions/pulse waves.

If tachycardia has a physiological cause, it does not pose a threat to a woman's health. However, to confirm this fact, it is necessary to undergo a comprehensive examination.

  • poor general health;
  • sleep disturbance, memory;

The minimum list of examinations for tachycardia before menstruation:

  • an electrocardiogram, but if the tachycardia is episodic, then the ECG recording may not record such violations;
  • Holter monitoring is an ideal option for detecting attacks of tachycardia, arrhythmias: a special device is placed on the body for a day, so even the slightest rhythm disturbances cannot go unnoticed;
  • Ultrasound of the heart is necessary to exclude congenital and acquired defects.

If any diseases are detected during the examination, treatment is carried out taking into account the existing pathology. Drugs for the correction of cardiac arrhythmias can only be prescribed by a doctor. Self-administration is fraught with serious consequences.

The absence of obvious reasons for rhythm disturbance requires correction of lifestyle, nutrition, taking light sedatives, herbal preparations:

  • Normalize sleep patterns - sleep for at least 8 hours in a well-ventilated area, in silence.
  • Limit the use of coffee, strong drinks in the second phase of the cycle.
  • With increased irritability, sensibility, it is useful to take sedative drugs - Valerian, Motherwort, Grandaxin. Magnesium preparations are effective - Magnefar, Magnesium B6 and others. If necessary, they can use drugs from the group of antidepressants prescribed by a doctor.
  • If tachycardia occurs during premenopause, it is advisable to prescribe drugs to correct the hormonal background, for example, Remens, Klimadinon and others based on cimicifuga. Hormone replacement therapy drugs are also effective.

Read more in our article on tachycardia before menstruation.

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What is tachycardia

Normally, the human heart performs from 60 to 90 beats per minute. Exceeding this indicator even by several units is called tachycardia. It can also occur normally under certain conditions, in some cases it reflects hidden pathological conditions or is a consequence of existing diseases.

Normally, tachycardia occurs during exercise. This is a kind of adaptation of the cardiovascular system - the work of muscles and internal organs requires more oxygen than when a person is in a calm state. Also, tachycardia can occur with fear, stress.

However, most often, a rapid heartbeat hides some kind of disturbance in the body.. It can be heart disease, as well as conditions such as:

  • heat;
  • increase in pressure;
  • with a decrease in hemoglobin levels (with anemia);
  • thyroid diseases;
  • other.

Also, the following conditions can become the causes of tachycardia on the eve of menstruation:

  • existing anemia;
  • pregnancy, about which a woman may not know;
  • medication.

Watch this video about the causes and symptoms of tachycardia:

Risk factors

The following groups of women are more prone to tachycardia on the eve of menstruation:

All these women need to devote time to the prevention of tachycardia and, in general, the severity of premenstrual syndrome.

How does it manifest

The main manifestation is a feeling of rapid heartbeat, while many describe that it "bursts" out of the chest. At the same time, the following symptoms may occur:

  • flushes of heat in the face;
  • increased sweating;
  • dizziness;
  • discomfort behind the sternum, in the region of the heart;
  • dyspnea;
  • weakness that suddenly appears, fainting.

You can easily confirm tachycardia yourself. To do this, you need to check the pulse in the area of ​​​​the outer side of the wrist - for a minute or 30 seconds (in this case, the result should be multiplied by two). Exceeding the number of pulse waves more than 90 indicates tachycardia. At the same time, various rhythm disturbances may occur - extrasystoles, interruptions in the work of the heart. They are felt as non-rhythmic contractions/pulse waves.

Is the condition dangerous?

If tachycardia has a physiological cause, it does not pose a threat to a woman's health. However, to confirm this fact, it is necessary to undergo a comprehensive examination and exclude the presence of serious diseases.

If a rapid heartbeat brings discomfort, affects overall well-being, then it must be dealt with.

Tachycardia, which occurs against the background of some diseases, increases the risk of developing the following conditions:

  • the formation of blood clots in the vessels;
  • poor general health;
  • sleep disturbance, memory;
  • change in the functioning of internal organs.

What to do with tachycardia before menstruation

If a girl notes that in the second phase of the cycle she is worried about interruptions in the work of the heart, you should consult a doctor to diagnose the condition. The minimum list of examinations is as follows:

  • Electrocardiogram - if the tachycardia is episodic, then the ECG recording may not record such violations;
  • Holter monitoring is ideal for detecting attacks of tachycardia, arrhythmias. A special device is installed on the body, which constantly records the ECG. At the end of the day, the device is removed, and all the results are decrypted. In such conditions, even the slightest rhythm disturbances cannot go unnoticed.
  • Ultrasound of the heart. It is necessary to exclude congenital and acquired defects.

If any diseases are detected during the examination, treatment is carried out taking into account the existing pathology. Drugs for the correction of cardiac arrhythmias can only be prescribed by a doctor. Self-administration is fraught with serious consequences.

The absence of obvious reasons for rhythm disturbance requires a lifestyle correction, nutrition, light sedatives, and herbal preparations. In this case, women in the second phase of the cycle are recommended the following:

  • Normalize sleep patterns - sleep for at least 8 hours in a well-ventilated area, in silence.
  • Avoid stress, anxiety, other negative emotions.
  • Limit the use of coffee, strong drinks in the second phase of the cycle.
  • Try to include less salinity, smoked meats and other foods in the diet that will contribute to fluid retention in the body.
  • Hiking in the fresh air in the morning or in the evening is useful. Nordic walking is also suitable.

Expert opinion

Daria Shirochina (obstetrician-gynecologist)

With increased irritability, sensibility, it is useful to take sedative drugs - Valerian, Motherwort, Gradaxin. Magnesium preparations are effective - Magnefar, Magnesium B6 and others. If necessary, they can use drugs from the group of antidepressants prescribed by a doctor.

If tachycardia occurs in premenopausal women, it is advisable to prescribe drugs to correct the hormonal background, for example, Remens, Klimadinon and others based on cimicifuga. It is also effective to prescribe drugs for hormone replacement therapy.

Tachycardia is a violation of the heart rhythm, in which the number of beats per minute exceeds 90. The occurrence of such violations on the eve of menstruation may be due to the woman's psycho-emotional lability or lifestyle, nutrition.

However, whenever complaints of palpitations appear, a complete medical examination should be performed to rule out serious diseases. If no specific pathologies are found, you can get rid of the condition by correcting your lifestyle, diet, and taking light sedatives.

Useful video

Watch this video on how to deal with tachycardia without medication:

During the onset of menstruation, girls and women experience many unpleasant symptoms. These symptoms include tachycardia during menstruation, which can also appear with PMS. Pathology is manifested by the occurrence of a sharp rapid heartbeat, a feeling of lack of air, darkening in the eyes and the appearance of pain behind the sternum. Tachycardia before menstruation and during menstruation leads to exhaustion of the heart muscle, therefore, if a deviation occurs, you should consult a doctor and begin treatment.

What is tachycardia?

Tachycardia is a common arrhythmia of the heart, which is characterized by the appearance of frequent heartbeats. The pulse of a person in this case exceeds 90 beats per minute. The long existence of tachycardia can lead to a decrease in the efficiency of the heart, impaired contractility of the heart muscle and the occurrence of cardiomyopathy. appears due to an increase in the automatism of the sinus node, which sets the pace and rhythm of contractions of the heart muscle or ectopic centers of automatism.

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Existing types of tachycardia are presented in the table:

Causes of tachycardia in the premenstrual period

Tachycardia before menstruation occurs for the following reasons:

  • hormonal imbalance;
  • change in mental and emotional state;
  • changes in water and electrolyte balance in women;
  • as a side effect of medications taken by a woman to relieve symptoms of hormonal fluctuations.

Symptoms of PMS


The sensitivity and soreness of a woman during this period depends on the hormonal background, or rather on the amount of certain hormones.

There are such signs:

  • the appearance of headaches;
  • swelling of the body;
  • dizziness;
  • stomach ache;
  • the appearance of nausea and urge to vomit;
  • weight gain;
  • pain in the back and muscles;
  • thirst;
  • prostration;
  • mood lability;
  • constipation or diarrhea;
  • jumps in blood pressure;
  • pain in the mammary glands.

Features of the treatment of palpitations during menstruation

If a woman has a rapid heartbeat before menstruation or other unpleasant symptoms, she needs to change her lifestyle and daily routine. To do this, it is recommended to limit the use of caffeinated drinks as much as possible, as they increase the heart rate, reduce the amount of fluid you drink per day and exclude the use of alcoholic beverages. Also be sure to limit the amount of salt and spices used in dishes. It is also necessary to establish a sleep schedule (sleep at least 8 hours), avoid stressful situations and do dosed physical exercises.

The menstrual cycle is inevitable for every healthy woman. During this period, migraines, weakness, irritability, and sometimes pain in the heart are usually disturbing. Similar symptoms appear in connection with various processes that occur at the hormonal, psychological and metabolic levels. Since the central nervous system is in an excited state before menstruation, this cannot but affect the cardiovascular system. This article will discuss how dangerous this manifestation is in PMS and how to treat it.

The effect of hormones on the heart

A slight malaise before critical days is considered quite normal. However, heart pain should alert. This is a signal from the body that there is a problem that needs attention.

The main cause of pain in the heart are changes in the level of hormones in the blood during PMS.

Each active substance has a different effect on the muscle and the rhythm of the heartbeat.

Prolactin

The synthesis of steroid hormones, which are responsible for metabolic processes, slows down significantly after ovulation. The production of prolactin increases, which causes swelling and an increase in blood pressure. Trace elements are retained in the body, which contribute to a change in heart rate. Excess sodium doubles the excitability of cells, which leads to chest pain.

It can occur at certain times of the menstrual cycle, more often before and during menstruation. These violations can occur for various reasons and sometimes lead to negative consequences, so it is important to identify them in time and make the necessary adjustments.

Possible causes of arrhythmia before and during menstruation

Arrhythmia is a pathological condition, therefore there are always certain reasons for its occurrence. The following factors can provoke heart rhythm disturbances before or during menstruation:

  • Violation of water and electrolyte balance. This phenomenon is observed during PMS in many women and is accompanied by weight gain, swelling, and an increase in the volume of the abdomen. The extra fluid accumulated increases the workload on the heart. The work of the heart muscle becomes more active, which causes an increase in the rhythm.
  • Side effect of certain medications. Often, menstruation in women is painful, so you have to stop the unpleasant manifestations with medication. The wrong choice of the drug or its overdose can affect the heart rate, and the deviation from the norm can occur in any direction.
  • Unstable psycho-emotional state. During menstruation and before them, women become more irritable, there is a tendency to a depressive state. Such changes can affect the heart rate.
  • Change in hormonal background. Usually there is an excess of estrogen and a lack of progesterone. This imbalance causes disturbances in the work of the heart. The level of androgens, which are important for a normal level of energy, performance, and libido, also decreases.

Arrhythmia can be a manifestation of various pathologies. Menstruation is a kind of stress for the body, because during them or before them, signs of some diseases that were previously asymptomatic may appear. These pathologies include:

  • vegetovascular dystonia;
  • hypo- or hyperfunction of the thyroid gland;
  • other endocrine pathologies;
  • diseases of the cardiovascular system.

The risk of arrhythmia during or before menstruation increases when exposed to certain factors: changing weather conditions, mental or emotional overstrain, overeating.

Types of arrhythmias during menstruation

Arrhythmia during or after menstruation can manifest itself in different forms. The heart rate may be slower or faster than normal. In this case, or takes place.

If heart contractions that are not related to the general rhythm are periodically observed, then they are called extrasystoles. Depending on the source of occurrence, they are or. By the nature of the manifestation, extrasystoles can be single or multiple (group).

There are also pathological and physical arrhythmia. Its first type is observed against the background of disorders of the heart.

During or before menstruation, physical arrhythmia is usually observed. It is a reaction of the body to various stimuli and manifests itself against the background of the absence of pathologies of the cardiovascular system.

During the menstrual cycle, the well-being of most women begins to change a week before menstruation and in the first two days after they begin.

In addition to a change in heart rate, there may be a deviation from the norm of blood pressure. Often it rises, especially in the first 2 days of menstruation. This phenomenon is associated with a change in hormonal levels.

Arrhythmia during menstruation can be accompanied by various symptoms. Basically, heart rhythm failures are manifested by the following symptoms:

  • headache;
  • dizziness;
  • chest pain;
  • interruptions in the work of the heart;
  • puffiness;
  • changes in blood pressure;
  • loss of strength.

Arrhythmia may also be accompanied by nausea, urge to vomit.

There are several forms of PMS. Arrhythmia is more often observed in the crisis and cephalgic form:

  • In the crisis form of PMS, in addition to heart rhythm disturbances, there are changes in blood pressure, frequent urge to urinate, pain in the heart, and panic attacks are possible. Women with such manifestations are characterized by problems with the cardiovascular system, gastrointestinal tract, and kidneys.
  • In the cephalgic form of PMS, arrhythmia is accompanied by pain in the heart, migraine, nausea, vomiting, increased sensitivity to smells and sounds. Often such features are accompanied by problems with the cardiovascular system, gastrointestinal tract, and hypertension.

In both cases, the heart rate usually increases, that is, tachycardia occurs.

In case of heart rhythm disturbances and associated symptoms, you should contact a specialist who will prescribe the necessary diagnostics. This will reveal not only the presence of arrhythmia, but also the cause of its occurrence.

The standard diagnostic method after taking the history and physical examination is an electrocardiogram. In some cases, a single examination is not enough, therefore, they resort to daily control - Holter monitoring. It allows not only to identify abnormalities in the work of the heart, but also to trace the frequency of their occurrence, duration, connection with some factors (physical activity, emotional outburst, night time).

To identify the cause of arrhythmia, a number of additional diagnostic methods are used:

  • Blood analysis. Of particular interest is the lipidogram (biochemical study), which allows you to identify the features of fat metabolism in the body. A biochemical study is also carried out to study electrolytes.
  • Ultrasonic scanning. In most cases, this method examines the heart and thyroid gland, but if necessary, check the condition of other internal organs.
  • Computed or magnetic resonance imaging. Such studies are used less often when deviations in the work of the heart are serious and a detailed scan of this organ and other systems is necessary.

The data obtained during the diagnosis are necessary to assess the changes that have occurred and the need for treatment. To select a drug, it is important to determine the type of arrhythmia and study the characteristics of the organism.

Treatment of arrhythmia associated with the menstrual cycle

Arrhythmia during or before menstruation does not necessarily need treatment. Often a lifestyle change is enough. This approach is allowed with single episodes of heart rhythm failure, the absence of complications and disruption of the functioning of any body systems. You also do not need treatment if the arrhythmia was caused by alcohol intake or stress (if it is not chronic).

Lifestyle correction for arrhythmia during menstruation and before them consists in observing the following rules:

  • . During menstruation, it is worth giving preference to light food, do not overeat, but do not starve.
  • Limiting the use of table salt. Such a measure is necessary to normalize the water and electrolyte balance.
  • Refusal during critical days from alcohol, coffee and caffeinated drinks.
  • Compliance with the drinking regime. At the time of menstruation, the usual daily volume of fluid should be reduced. This will help avoid puffiness.
  • It is useful to do breathing exercises. A correctly performed technique allows you to relax, reduce the manifestations of unpleasant symptoms, and positively affects the state of the cardiovascular system.

If medical treatment is necessary, its principles focus on the cause that caused the arrhythmia:

  • If the violations are provoked by stress, an unstable psycho-emotional background, depression, then the use of sedatives is indicated. Herbal medicines are effective: Persen, tincture of valerian, motherwort. Additionally, it is recommended to master relaxation techniques.
  • With severe neuropsychic symptoms, they resort to antidepressants and tranquilizers: Sertraline, Tazepam, Amitriptyline.
  • With edema, diuretics are prescribed. Antiprostaglandin drugs may also be used.
  • With a crisis or cephalgic form of PMS, they resort to Parlodel (Bromocriptine). It reduces the negative effects of PMS, inhibits the secretion of certain hormones, including prolactin, which retains sodium and water in the body.

Prevention

There are a number of preventive measures that can significantly reduce the risk of arrhythmias. They must be adhered to constantly, and not only on certain days of the menstrual cycle.

Prevention consists of the following activities:

  • rejection of bad habits;
  • balanced diet;
  • maximum restriction of coffee and caffeinated drinks;
  • dosed and moderate physical activity;
  • rational use of medications (only as prescribed by a doctor, observe the dosage and duration of administration);
  • compliance with the daily routine, including a healthy 8-hour sleep;
  • avoidance of stressful situations.

In the presence of any pathologies of the cardiovascular and other body systems, they must be treated competently and in a timely manner.

Is there a danger?

Changes in heart rate should not be ignored. Even if they appear only during or before menstruation, they can pose a certain danger.

Deviation of the heart rate from the norm negatively affects the general well-being, which can lower the quality of life. This has a bad effect on the state of the nervous system, which in turn again affects the work of the heart and the frequency of its contractions.

Arrhythmia means impaired blood circulation, and such changes adversely affect the functioning of other internal organs and body systems. If the heart rate is caused by functional changes in any organ, then its possible depletion.

The danger of arrhythmia also lies in the increased risk of thrombosis. This condition can cause a heart attack, pulmonary embolism and a number of other serious and dangerous diseases.

The occurrence of arrhythmias during menstruation or before them can be due to various reasons. Isolated cases of danger do not pose, but with repeated failures of the heart rhythm, you should consult a doctor. Often, lifestyle changes are sufficient to solve the problem, but in some cases, drug therapy will be required.

The menstrual cycle is an integral part of every healthy woman's life. In most cases, monthly bleeding is accompanied by certain manifestations of premenstrual syndrome. Pain in the heart during menstruation is considered one of the most unpleasant and dangerous phenomena in PMS.

PMS is a cyclic symptom complex that occurs due to changes in hormonal levels before and during menstruation. Its manifestations are classified into three large groups: vegetovascular disorders, neuropsychic failures and metabolic endocrine dysfunction.

Despite the division of the syndrome into five forms - vegetovascular, neuropsychic, edematous, cephalgic and atypical - most often women have symptoms from several groups at once, which can mutually reinforce each other. For example, swelling, emotional instability and vegetovascular disorders lead to severe pain in the heart before menstruation.

The most complete explanation of the causes of PMS manifestations is the hormonal theory. According to her, unpleasant symptoms are the result of a disproportion between estrogen and progesterone against the background of an increase in the concentration of prolactin. Water-salt and genetic theories of the development of premenstrual syndrome are being developed, but taking them into account in some cases helps the specialist to help the patient faster.

Why does my heart hurt during menstruation?

A sharp change in the ratio of estrogen and progesterone provokes irritability, mood swings and tearfulness. An increase in the number of emotional stresses in the presence of cardiac pathologies can result in an attack of angina pectoris. But even in the absence of heart disease, the deterioration of the regulation of the functions of the peripheral nerves and the overexcitation of the central nervous system leads to the appearance of aching pain.

Excess estrogen, which is necessary for the rejection of the endometrium, also explains the water retention in the tissues. According to statistics, puffiness is observed in 50% of women. Water retention is most common in those who have high levels of androgens, estrogens and the "happiness hormone" serotonin in the days before menstruation.

Pain in the heart is manifested not only due to swelling of the internal organs, but also due to engorgement of the mammary glands. Their expanding lobes compress the nodes and nerves in the sternum, which provokes pain.

Fluid retention is enhanced by the active production of the hormone prolactin. In addition to edema, an excess of this substance explains the increase in blood pressure and tachycardia. Prolactin prolongs the excitation phase in myocardial cells during heart contraction, which leads to acute pain that appears cyclically.

Pain can also occur in the absence of excess hormone production. They are caused by prostaglandins - biologically active substances of lipid origin. They are secreted by dying cells and create a "beacon" for immunity. Prostaglandins released during rejection of the endometrium cause pain in various organs and systems of a person: the spleen, gastrointestinal tract, heart, musculoskeletal system.

Soreness in the sternum is most characteristic of the crisis form of PMS. With her, there is a "panic attack syndrome", manifested by pressure drops, fear of death, abdominal cramps, chills, rapid pulse and heart failure. The end of the attack is accompanied by the urge to urinate.

With the onset of menstruation, most of the unpleasant effects disappear, but with intense manifestations of 5-12 symptoms at once, pain in the heart continues during menstruation.

How to relieve heart pain with PMS?

The method of treatment depends on the form of premenstrual syndrome. To eliminate the cardiological manifestations of PMS, various groups of drugs are used:

  • diuretics (diuretics);
  • tranquilizers;
  • antidepressants;
  • homeopathic and herbal sedatives;

  • antiprostaglandin drugs;
  • medicines to improve blood circulation in the brain;
  • hormonal preparations (in particular, gestagens);
  • antihistamines;
  • dopamine agonists;
  • preparations for the normalization of neurotransmitter metabolism;
  • non-steroidal anti-inflammatory drugs;
  • vitamins A, E, B.

A gynecologist can prescribe medications on an ongoing basis (hormonal drugs, vitamins), for 2-3 weeks before menstruation, or only during the onset of PMS.

Proper nutrition is also important. To reduce the intensity of pain, it is necessary to increase the proportion of foods containing fiber (vegetables, cereals, seeds) and potassium (raisins, prunes, dried apricots, apricots, watermelons) in the diet, reduce the intake of sources of purine alkaloids (coffee, cocoa, tea) and animal fats .

Active consumption of sources of K will help to avoid pain in the heart after menstruation, which may occur due to the pressure of internal edema on the intrathoracic nerve endings.

Traditional medicine suggests using complex sedative decoctions, teas with lemon balm, mint and chamomile.

If heart discomfort occurs during PMS, it is recommended to consistently consult with a cardiologist, neurologist and gynecologist. You should not delay a visit to the doctor: it is often caused not by hormonal imbalance, but by valvular pathology or myocardial ischemia.

But not only serious pathologies can be hidden behind the symptoms of premenstrual syndrome, the opposite effect also happens. For example, PMS may present with pain that is not relieved by nitroglycerin, shortness of breath, and weakness in the absence of characteristic ECG changes, leading to the misdiagnosis of atypical myocardial infarction.

Before and during menstruation, the heart can hurt even in the absence of pathologies that make it up. The task of the patient is to timely diagnose the cause of discomfort and accurately follow the recommendations of the cardiologist and gynecologist. Correctly chosen method of treatment and a minimum of stress in the premenstrual period will help reduce the intensity of pain or even eliminate them.

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