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What Causes Heart Palpitations In The Morning After A Night Of Drinking?

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Posted on Wed, 16 Dec 2015
Question: I get heart palpitations the morning after a night of drinking, why?
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Answered by Dr. Dr. Meriton Siqeca (8 minutes later)
Brief Answer:
Not to worry about

Detailed Answer:
Hello. Welcome to Health Care Magic and thank you for your question. I understand your concern.

These are normal phenomena of response to alcohol intake. It is not that it happens to anybody, but everybody has the probability of developing extrasystoles ("skipped" heart beats), racing heart rate etc. This is because alcohol can affect the heart rate via various mechanisms. It raises serotonin levels, which acts directly on the heart muscle and its electrical system. It also can act directly on the natural pacemaker of the heart (sinus node) by producing fast heart rate. Also, the excessive stomach fluid (which is highly acid) produced by alcohol, can return in small or large amounts to the oesophagus. Due to proximity of the oesophagus with the heart, this irritating fluid can also provoke extrasystoles. Whatever the cause, these are benign phenomena and I would recommend you not to worry about them. However, I would recommend you to restrict amounts of alcohol intake to two beers or a glass of wine or a shot of heavy drinks a day (these amounts are seen not to be harmful and, in some cases, even beneficial).

I hope this was helpful. I am here to help, if you have follow-up questions. Please rate the answer, if you do not.

Kind regards,
Dr. Meriton
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Dr. Meriton Siqeca

Cardiologist

Practicing since :2009

Answered : 775 Questions

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What Causes Heart Palpitations In The Morning After A Night Of Drinking?

Brief Answer: Not to worry about Detailed Answer: Hello. Welcome to Health Care Magic and thank you for your question. I understand your concern. These are normal phenomena of response to alcohol intake. It is not that it happens to anybody, but everybody has the probability of developing extrasystoles ("skipped" heart beats), racing heart rate etc. This is because alcohol can affect the heart rate via various mechanisms. It raises serotonin levels, which acts directly on the heart muscle and its electrical system. It also can act directly on the natural pacemaker of the heart (sinus node) by producing fast heart rate. Also, the excessive stomach fluid (which is highly acid) produced by alcohol, can return in small or large amounts to the oesophagus. Due to proximity of the oesophagus with the heart, this irritating fluid can also provoke extrasystoles. Whatever the cause, these are benign phenomena and I would recommend you not to worry about them. However, I would recommend you to restrict amounts of alcohol intake to two beers or a glass of wine or a shot of heavy drinks a day (these amounts are seen not to be harmful and, in some cases, even beneficial). I hope this was helpful. I am here to help, if you have follow-up questions. Please rate the answer, if you do not. Kind regards, Dr. Meriton