Palpitations

What are palpitations?

Palpitations feel like your heart is racing, pounding, fluttering or like you have missed heartbeats. Palpitations can last seconds, minutes or longer. You may feel this in your chest, neck, or throat.
Palpitations can happen at anytime, even if you are resting or doing normal activities. Although they can be unpleasant, palpitations are common and, in most cases, harmless.

What causes palpitations?

Palpitations can be caused by heart conditions including:

  • arrhythmia (abnormal heart rhythm)
  • cardiomyopathy
  • congenital heart conditions
  • heart attack
  • heart failure
  • heart valve disease.

Other causes of palpitations include:

  • alcohol
  • caffeine
  • certain medicines (both prescription and over-the-counter)
  • ectopic beats (early or extra heartbeats)
  • hormonal changes (due to pregnancy or menopause)
  • intense exercise
  • recreational drugs
  • smoking
  • stress and anxiety
  • triggering foods (such as spicy or rich food).

They can also be caused by other medical conditions like an overactive thyroid and anaemia (lack of iron).

Should I get medical help?

You should make an appointment to see your GP if:

  • your palpitations last a long time, don’t improve or get worse
  • you have a history of heart problems
  • you’re concerned about the palpitations.

You should call 999 if you have palpitations and experience any of the following symptoms:

  • severe shortness of breath
  • chest pain or tightness
  • dizziness and light headedness
  • fainting or blackouts.

How are palpitations diagnosed?

Your GP may arrange for you to have a trace of heart (electrocardiogram/ECG) to check whether the heart rate is regular and at a normal rate. This painless test lasts a few minutes.

How are palpitations treated?

As palpitations are often harmless, they usually don’t need treatment. However, you’ll need treatment if tests show your palpitations are caused by an underlying heart condition.

The type of treatment you’ll have depends on your condition. For example, if you’re diagnosed with an arrhythmia, your doctor might prescribe beta blockers to regulate your heart rate and rhythm.

How to prevent palpitations

If you don’t need treatment, the easiest way to manage your symptoms at home is to avoid the triggers that bring on your palpitations. This might include:

  • avoiding or drinking less caffeinated drinks
  • avoiding or drinking less alcohol (no more than the recommended limit of 14 units a week)
  • avoiding foods and activities that trigger palpitations in you (try keeping a symptom diary so you can recognise and avoid triggers)
  • managing your stress levels
  • not smoking or using tobacco products.

Living a healthier lifestyle can be hard at first, but it’s important for your overall quality of life. Visit our healthy living hub to read about how you can start to eat healthier and manage things like smoking and stress today.