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Most of the iceberg above the waterline is dealt with by family doctors and only the pinnacle of the iceberg requires the services of a consultant cardiologist. The tip of the iceberg represents those people with palpitations that present to the medical profession. It is possible that you may never have to darken the door of your local hospital to have your concerns addressed. I will return to a discussion of this group in a further article on this subject of palpitations. The doctor will feel your pulse and try to recognise if the rate and rhythm of the pulse is normal. As we all know the bulk of any iceberg is concealed beneath the water, which means that most people with palpitations are normal healthy people who do not need to see any doctor. The palpitation may be experienced either as a fleeting sensation or it may be more persistent. In that latter situation the person may be conscious of either a regular or irregular pounding in the chest. If you experience any of these symptoms in addition to the palpitations you should see your GP. Then just before that unpleasant thought gets a grip, you notice that your heart has already resumed normal beating again. Some people might also experience a sense of weakness. Just reflect on this calculation for a moment; if your resting heart beats approximately 4, beats per hour that amounts to 96, beats per day, which in turn amounts to 35,, beats per year, which amounts to a final total of 2,,, beats in a lifespan of 75 years.
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