Q My ECG and blood tests are all normal, but I still get palpitations. It feels like nobody believes me. (36, office worker)
A Normal tests do not mean "no symptoms" — they mean dangerous causes have been ruled out. Brief palpitations often do not appear during the moment of testing. At this stage the approach shifts from removing a cause to adjusting a repeating bodily response.
Detailed Answer
This is the most frustrating situation, but a normal result is a mix of good news and remaining homework. The good news is that no structural heart problem requiring urgent care was found. The homework is that the symptom is nevertheless real.
Palpitations often appear and disappear within seconds to minutes, so a clinic ECG (about a 10-second recording) misses them. If episodes are frequent, discuss a 24-hour ECG with your clinician; if rare but intense, longer-term recording options exist.
Many palpitations without a test-identified cause involve autonomic regulation and heightened sensory awareness. That is not imagination — it is an adjustable state.
Korean Medicine Clinic Perspective
This is exactly where Korean medicine consultation helps. Things that do not show up as numbers — sleep quality, digestion, tension level, stamina — are readily assessed through detailed questioning. Putting these in order one by one often reduces both the frequency and the intensity of palpitations.
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