Irregular Heart Beat

Irregular Heart Beat services offered in Upper West Side Manhattan, New York, NY

Irregular Heart Beat services offered in Upper West Side Manhattan, New York, NY

An irregular heartbeat or arrhythmia causes excessively fast or slow beats and an irregular rhythm. If you have episodes of arrhythmia, Haleh Milani, MD, FACC, and the team at Central Park West Primary Care and Cardiology Physicians, can help. In their office on the Upper West Side of Manhattan, New York, the team determines the cause of your irregular heartbeat and offers treatments to help improve your quality of life. Call the office to schedule an appointment or book your next evaluation for irregular heartbeat online today.

Why might I have an irregular heartbeat?

Most people experience a brief, irregular heartbeat on occasion. These changes in your heart’s rhythm aren’t usually a cause for concern. Repeated episodes, however, could indicate an underlying problem such as heart disease, age-related heart changes, or a congenital abnormality.

Irregular heartbeats (known as arrhythmias) arise from changes in the electrical impulses governing how your heart works. There are different kinds of arrhythmias, including:

  • Tachycardia – Tachycardia is an excessively fast heart rate (more than 100 beats per minute for adults).
  • Bradycardia – Bradycardia is a heart rate that’s too slow (less than 60 beats per minute in adults).
  • Atrial fibrillation (AFib) – AFib is where the upper chambers of your heart (atria) contract irregularly.
  • Ventricular fibrillation (VFib) – VFib causes chaotic contractions of your heart’s lower chambers (ventricles).
  • Premature contraction – Premature atrial contractions (PACs) and premature ventricular contractions (PVCs) make you feel like your heart’s skipping a beat, but it’s actually beating too soon.

How is the cause of an irregular heartbeat diagnosed?

To diagnose your irregular heartbeat, your provider at Central Park West Primary Care and Cardiology Physicians, assesses your symptoms and medical history and performs a physical examination, listening to your heart through a stethoscope. They also perform an electrocardiogram (EKG) to look at the electrical activity in your heart.

You might need to have an echocardiogram (cardiac ultrasound) as well. An echocardiogram creates real-time moving images of your heart and its functions.

If these tests don’t explain the reason for your irregular heartbeat, you may need to undergo further investigations, such as nuclear stress testing or wearing a portable Holter or event monitor at home.

What treatment might I need for an irregular heartbeat?

The treatment you need for an irregular heartbeat depends on its cause. If there’s no underlying cardiac condition, your symptoms could be due to issues like excessive caffeine intake or side effects of the medication you take.

Anti-arrhythmic medication might sometimes be necessary to help regulate your heartbeat. For a more serious problem, you may need procedures like electrical cardioversion and cardiac ablation, which deliver a mild electrical current to your heart to reset the rhythm.

To find out more about irregular heartbeat and treatment options, call Central Park West Primary Care and Cardiology Physicians or book your next visit online today.

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Frequently asked questions

An irregular heartbeat, or arrhythmia, is a condition where the heart beats too fast, too slow, or with an erratic rhythm. Common types of arrhythmias include tachycardia (fast heartbeat), bradycardia (slow heartbeat), atrial fibrillation (AFib), ventricular fibrillation (VFib), and premature contractions (PACs and PVCs).

Occasional irregular heartbeats can be normal, but frequent episodes may signal underlying issues such as heart disease, congenital heart defects, or changes related to aging. Factors like excessive caffeine intake or medication side effects can also cause arrhythmias.

Diagnosis begins with a review of your symptoms and medical history, followed by a physical exam where your heart’s sounds are assessed. Diagnostic tests may include:

  • Electrocardiogram (EKG) to monitor the heart’s electrical activity.
  • Echocardiogram to provide moving images of the heart in action.
  • Further testing like nuclear stress testing or wearing a Holter monitor might be required if initial tests are inconclusive.

Treatment depends on the cause and severity of the arrhythmia. Options may include:

  • Lifestyle changes, such as reducing caffeine intake.
  • Anti-arrhythmic medications to regulate heart rhythm.
  • Procedures like electrical cardioversion or cardiac ablation to reset the heart’s rhythm if necessary.

You should seek medical evaluation if you frequently experience symptoms like a racing heart, skipped beats, or other changes in your heart rhythm. These could be signs of a more serious condition requiring treatment.

You can schedule an evaluation by calling Central Park West Primary Care and Cardiology Physicians or booking an appointment online. It’s important to address any concerns about your heart rhythm as soon as possible to prevent potential complications.

Do you have questions, or want to make an appointment?

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    Hours Of Operation:

    Monday:8:00 AM – 6:30 PM
    Tuesday:8:00 AM – 6:30 PM
    Wednesday:8:00 AM – 6:30 PM
    Thursday:8:00 AM – 6:30 PM
    Friday:8:00 AM – 1:00 PM
    Saturday:9:00 AM – 12:00 PM

    Upper West Side at 72 St. Manhattan New York

    Parking is always available and free for our patients.

    Dr Milani is an assistant clinical professor of medicine at Columbia university Medical Center with a teaching appointment at Columbia / Cornell and Mount Sinai Hospitals in New York."
    She is the Founder of Central Park Physician and has been in private practice at this location for almost 20 years .
    On multiple Consecutive years she has earned numerous prestigious awards for her dedication to patient care and Quality.

    We are Included in the TOP New York Doctors and Castle Connolly ,in addition to the US World News .

    We continue to practice medicine in a compassionate, comprehensive manner prioritizing patient needs as our goal.

    Dr Milani lives in the Upper West side with her family and is at times seen at a local restaurant enjoying a meal or riding a bicycle through the park.

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    Dr. Paliou is a compassionate and patient-oriented endocrinologist assisting her patients in Central Park West Physicians’ NY office. Dr. Paliou is affiliated with the Metropolitan Hospital Center in New York City, where she serves as the chief of endocrinology. She is also an assistant professor of medicine at New York Medical College.

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    Dr. Elaine Kang is board certified in Family Medicine. She graduated from New York Medical College in 2006 and she completed her residency at Beth Israel Residency in Urban Family Practice, New York, NY. Dr. Kang is a leader in the field of women's health. She completed the Physicians for Reproductive Health and Choice Leadership Training Academy to provide advocacy and leadership in the reproductive health field. In addition to her work at Early Options, she currently works in urgent care with CItyMD, in the Emergency Department at North Central Bronx and Jacobi, and provides coverage with the Institute for Family Health, precepting residents and providing healthcare for the homeless.
    She has also helped with international disaster relief services in Haiti and for hurricane Katrina in New Orleans. She is currently on the Public Health Commission for the New York State Academy of Family Physicians(NYSAFP) and co-leader of the the New York County Chapter of NYSAFP.

    Dr. Kang provides full scope family medicine services throughout new york - including contraception, routine well woman exam and primary care for all ages and genders.

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