5 As defined by the American Heart Association, 6 they can be brought on by anxiety, fright, strenuous exercise, excessive smoking, alcohol and caffeine intake, medications, and recreational drugs, and are especially prevalent in women. Frequently associated with panic disorder, anxiety, depression, and decreased health-related quality of life (QOL), palpitations are one of the most common problems of outpatients who present to internists and cardiologists. Palpitations or “the uncomfortable awareness of a beating heart” 4 are typically thought to be harmless in healthy individuals, caused by premature atrial/ventricular beats or stress-induced sinus tachycardia (a normal increase in heart rate). ![]() The report is significant because it is one of the few studies to specifically evaluate risk factors for palpitations-a symptom often recognized as a menopause manifestation but seldom the focus of study. Study participants were ages 40 to 59 attending a Tokyo menopause clinic between 20 (presumably pre-COVID). It was within this context that I read the work by Enomoto et al 2 who report in this issue of Menopause on factors associated with the prevalence and severity of self-reported palpitations in middle-aged Japanese women. It is no wonder that upticks in telemedicine visits for hair loss, gastrointestinal symptoms, irregular periods, insomnia, and other stress-related problems are being reported in this prolonged era of uncertainty. Fear of infection, dire outcomes, and transmission to loved ones have been reflected in every aspect of daily living-from wiping down our groceries in the early days to the endless handwashing and mask-wearing and more recently, the ceaseless searching on multiple electronic devices for that precious first vaccination appointment, all the while coping with mind-numbing isolation, when even a simple hug takes on enormous peril. (2022).For more than a year now, we have looked at life through the lens of COVID anxiety. Analysis of 394 COVID-19 cases infected with Omicron variant in Shenzhen: impact of underlying diseases to patient’s symptoms.
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