The relationship between menstruation and arrhythmia

Written by: Dr. Ernesto Díaz Infante
Published: | Updated: 15/11/2018
Edited by: Top Doctors®

Specialists in Adult Cardiology have linked the hormonal changes that occur in women during the menstrual cycle with the occurrence of episodes of arrhythmias.

Menstruation and arrhythmia may be related


How premenstrual syndrome arises

Premenstrual syndrome arises from variations in hormone levels, and can lead to numerous physical and psychic symptoms. Some women, during that period prior to menstruation, refer to the onset or an increase in palpitations, which can be very annoying. This happens due to the increase of progesterone , a hormone that increases in the phase prior to menstruation. In addition, during premenstrual syndrome, anxiety may increase and arrhythmias may occur more frequently during periods of excitement and nervousness due to increased adrenergic tone. But this prior phase is not the only one that has been associated with arrhythmias, since during menstruation, episodes of paroxysmal supraventricular tachycardia can be grouped as well as extrasystoles increased.


What arrhythmia is most related to menstruation

Ventricular extrasystole is the arrhythmia that has most clearly been associated with hormonal changes, and therefore its onset and worsening is closely linked to the menstrual cycle. It is more frequent in the premenstrual and perimenopausal phases (also during gestation) and, on the contrary, is reduced with the estrogen peak that occurs during ovulation. Experimental estrogens have also been used to try to reduce extrasystoles. The phase of the menstrual cycle in which the electrophysiological study is carried out could, in some cases, become conditional on the induction of arrhythmias. Thus, they may not be induced during the phase of the menstrual cycle with high levels of estrogens, around the ovulation, and yes to be induced to repeat the study during the premenstrual phase.


Recommendations for patients with arrhythmia

As a general recommendation, the arrhythmia should be documented with an electrocardiogram at the same time as the electrocardiogram, while the patient sleeps. In this way, a specialist will be able to identify the specific type of arrhythmia that he / she suffers and will be able to guide him / her on the possible treatments.

*Translated with Google translator. We apologize for any imperfection

By Dr. Ernesto Díaz Infante

Specialist in Cardiology. Dr. Ernesto Diaz Infante is the rate Doctorate of“Excellent Cum Laude by Unanimous” University of Seville where he teaches as an associate at the Faculty of Medicine. Dr. Diaz Infante is currently the Director of the Electrophysiology and Arrhythmia Unit, Virgen Macarena Hospital in Nisa Hospital and Alcor (Sevilla ). He has won numerous awards including the Special Award of the degree of Bachelor, as the Nº1 of the Promotion of Medicine from 1991 to 1997 at the Faculty of Medicine of the University of Seville and the First Prize for the Best Oral Communication in meetings of the Section of Electrophysiology and Arrhythmias of the years 2009 and 2010.

*Translated with Google translator. We apologize for any imperfection

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