Heart Palpitations: Causes, When to Worry & Treatment

What Is Heart Palpitations?

Heart palpitations are feelings that your heart is racing, fluttering, pounding, or skipping beats. They can be felt in your chest, throat, or neck. Most palpitations are harmless and caused by stress, caffeine, or exercise. However, some may indicate a heart rhythm problem that needs evaluation.

Common Causes of Heart Palpitations

• Stress or anxiety
• Caffeine or stimulants
• Vigorous exercise
• Hormone changes (menstruation, menopause)
• Medications (decongestants, inhalers)
• Heart arrhythmias

When to See a Doctor

See a doctor if palpitations are frequent, last more than a few seconds, or happen with dizziness, shortness of breath, chest pain, or fainting. Seek emergency care for palpitations with severe chest pain or loss of consciousness.

Warning Signs That Need Immediate Attention

Frequently Asked Questions

Are heart palpitations dangerous?

Most heart palpitations are harmless. However, palpitations accompanied by fainting, chest pain, or severe shortness of breath could indicate a heart rhythm problem. A cardiologist can determine if your palpitations need treatment.

What triggers heart palpitations?

Common triggers include caffeine, alcohol, nicotine, stress, anxiety, lack of sleep, dehydration, and certain medications. Hormonal changes during menstruation and menopause can also trigger palpitations.

Can anxiety cause heart palpitations?

Yes, anxiety is one of the most common causes of palpitations. The adrenaline released during anxiety speeds up your heart rate and can cause fluttering sensations. Managing anxiety usually resolves the palpitations.

How are heart palpitations diagnosed?

Your doctor may use an EKG, Holter monitor (24-48 hour heart recording), event monitor, or echocardiogram. Blood tests check for thyroid problems and anemia. Often, palpitations are captured during monitoring.

How much does a cardiac evaluation cost?

An EKG costs $50-$300. A Holter monitor costs $200-$500. An echocardiogram costs $500-$2,000. A cardiologist visit costs $200-$500. OpenMyPro helps you find affordable cardiac care.

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