There are a number of possible causes for heart palpitations. Some of the most common are covered below. Show
Lifestyle triggersLifestyle triggers can include: Feeling nervous, anxious or excitedIf this is the cause of your palpitations, it's sensible to try to reduce your stress levels. Try relaxation and deep breathing exercises. Find out more about stress management SmokingIf you smoke, giving up is probably the greatest single step you can take to improve your health. People in Scotland can get help to stop smoking by calling Quit Your Way Scotland free on 0800 84 84 84 (7 days, 8.00am to 10.00pm) or visiting our smoking section Drinking large amounts of caffeineIf this is the cause of your palpitations, it's sensible to try reducing your intake of caffeinated drinks such as tea, coffee, cola or energy drinks. Using illegal or recreational drugsWhether you've taken drugs, are thinking of taking them, or are just curious and want to know more, it's important to know the real facts about drugs. Find out more on the Know The Score website Drinking too much alcoholIf you need help now about an alcohol related issue or you just want to chat to someone about your drinking, please contact Drinkline on 0800 7 314 314 (7 days, 8.00am to 11.00pm). More about drinking alcohol responsibly Being overweightFor advice on how make healthy changes to your diet, visit Eat Better Feel Better. Panic attacksIf you experience palpitations regularly and you also have feelings of anxiety, stress and panic, you may be experiencing panic attacks. Panic attacks can be very frightening and intense, but they are not dangerous. However, it may help if you discuss these with a health professional. More about panic attacks MedicationLess commonly, palpitations can be a side effect of some types of medicine, such as asthma inhalers or tablets for a thyroid problem. This may be particularly noticeable if you have just started taking the medication. Speak to your GP if you think medication may be responsible for your palpitations. Don't stop taking a treatment without consulting your GP first. Periods, pregnancy and the menopauseSometimes the hormone changes that happen during a woman’s period, during pregnancy or around the menopause can cause palpitations. These may only be temporary, and are often nothing to worry about. Medical conditionsThe following conditions can make the heart beat faster, stronger or more irregularly, so can be a cause of heart palpitations:
Heart specific problemsAll palpitations should be discussed with your GP. They might want to do a few tests and ask you some questions to rule out heart problems, especially if you have had a heart problem in the past. Some heart specific problems are covered below. ArrhythmiaIt could be found that you have a heart rhythm problem, also known as arrhythmia. Your GP will be able to arrange for you to have an electrocardiogram (ECG) to assess your heart rate and rhythm. This may confirm whether there is a problem, and whether treatment is needed. However, often the ECG is entirely normal especially if you aren't having palpitations at the time. Further tests may then be needed, which can be done by your GP or by your local hospital. Atrial fibrillationAtrial fibrillation is the most common heart rhythm problem, affecting approximately 1,000,000 people in the UK. It can cause episodes of a fast, irregular heart rate, which can feel like a persistent heart flutter, and you may feel dizzy, short of breath and extremely tired. Atrial fibrillation is generally not life threatening, but can be uncomfortable and often needs treating. Atrial fibrillation often requires medical assessment. Some people may need treatment to control the condition, particularly if they are at higher risk of developing a stroke. Find out more about atrial fibrillation Supraventricular tachycardia (SVT)A similar heart rhythm problem, called supraventricular tachycardia (SVT), also causes episodes of an abnormally fast heart rate, but the heart rate is normally steady and not irregular. Attacks of SVT are usually harmless and tend to settle on their own without treatment. However, if they are prolonged or you feel unwell or experience symptoms such as dizziness or shortness of breath, you should seek help from a doctor. Why is my heart rate normal but beating hard?What causes a bounding pulse? A bounding pulse is when a person feels their heart beating harder or more vigorously than usual. People are often worried that a bounding pulse is a sign of a heart problem. However, anxiety or panic attacks cause many cases and will resolve on their own.
Why do I feel like my heart is beating differently?A heart arrhythmia (uh-RITH-me-uh) is an irregular heartbeat. Heart rhythm problems (heart arrhythmias) occur when the electrical signals that coordinate the heart's beats don't work properly. The faulty signaling causes the heart to beat too fast (tachycardia), too slow (bradycardia) or irregularly.
Is it weird to be able to feel your heart beating?It is normal to hear or feel your heart “pounding” as it beats faster when you exercise. You may feel it when you do any physical activity. But if you have palpitations, you might feel like your heart is pounding while you are just sitting still or moving slowly.
When should I be concerned about my pounding heart?Your palpitations are very frequent (more than 6 per minute or in groups of 3 or more) Your pulse is higher than 100 beats per minute (without other causes such as exercise or fever) You have risk factors for heart disease, including high cholesterol, high blood pressure, or diabetes.
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Heart feels like its pounding but heart rate is normal
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