Understanding Heart Palpitations: Causes, Symptoms, and Essential Tests for Patients
- drmrinalsaha
- Jul 13
- 4 min read
Heart palpitations can feel alarming. They give sensations of your heart pounding, fluttering, or beating irregularly. These experiences may happen out of the blue and last for just seconds or longer. While many cases are harmless, they can create anxiety and fear. This article explores what palpitations are, their causes, related symptoms, and essential tests that offer insight into your heart health.
What are Palpitations?
Palpitations are essentially an awareness of your heartbeat. They might feel like your heart is racing, skipping beats, or pounding. For some, palpitations happen occasionally, while others might experience them frequently. Knowing more about palpitations can ease worry and clarify what might be causing them.
Common Causes of Palpitations
Stress and Anxiety
Emotional stress and anxiety are some of the most common triggers for heart palpitations. When you feel stressed, your body releases hormones that elevate your heart rate. For instance, a study found that about 30% of individuals report heightened palpitations during stress. If you often notice palpitations in stressful situations, techniques like deep breathing or meditation can help manage them.
Physical Activity
Exercise often stimulates palpitations, especially if you overexert yourself. For example, one study showed that almost 20% of individuals experienced palpitations during high-intensity workouts. This response is usually normal, but if you notice persistent palpitations even with light activities, consider speaking with a healthcare provider.
Caffeine and Stimulants
Caffeine consumption can lead to palpitations because it stimulates the heart. A coffee lover who drinks more than 4 cups daily may find their heart racing more often. Other stimulants like nicotine or certain medications can also contribute to noticeable heart activity. Reducing intake of these substances could help lower your symptoms.
Hormonal Changes
Hormonal shifts, such as those during menopause or pregnancy, can affect your heart rhythm. For instance, around 40% of women report experiencing palpitations during menopause. This is because hormones influence the autonomic nervous system, which regulates heart rate.
Underlying Medical Conditions
Sometimes, persistent palpitations might indicate a medical issue, such as anaemia or thyroid disorders. A research study revealed that about 15% of patients with palpitations were eventually diagnosed with a heart-related condition. Knowing your health history is key in relating symptoms with potential causes.
Recognizing Symptoms Associated with Palpitations
Identifying symptoms that accompany palpitations can help you and Dr Saha evaluate their significance. Although many people experience palpitations without issues, additional symptoms can require more medical attention.
Dizziness or Lightheadedness
Dizziness during palpitations can be concerning and might suggest your heart isn't pumping effectively. If you feel lightheaded along with palpitations, it's vital to speak to a healthcare professional for advice.
Shortness of Breath
Experiencing shortness of breath with palpitations indicates a possible serious condition. A survey found that 25% of individuals who reported both symptoms were later diagnosed with heart-related issues. Immediate evaluation is essential if these episodes are frequent or severe.
Chest Pain
Chest pain accompanying palpitations is a warning sign. If you feel chest discomfort, this usually requires urgent assessment to rule out a critical problem.
Essential Cardiac Tests
If you're experiencing frequent or concerning palpitations, we recommend tests to evaluate heart health. These tests can reveal important details about your heart rhythm and any abnormalities.
Echocardiogram
An echocardiogram uses sound waves to produce images of your heart, assessing its structure and function. This test can help detect problems with heart valves or chambers, which might be linked to arrhythmias.
Electrocardiogram (ECG)
An ECG is a quick test that records the electrical activity of your heart. This non-invasive procedure can spot irregular heart rhythms (arrhythmias) that might be the cause of your palpitations.
Heart Rhythm monitor
A heart rhythm monitor is essential to making a diagnosis. We can arrange the fitting of one of these completely wireless devices, which can be worn from 24 hrs to 14 days. Usually, the most information is obtained from a monitor that is worn for a longer duration.
When to Seek Help
It is important to say that most palpitations are harmless> Nevertheless you should consult with a cardiologist if you experience:
Sudden or severe palpitations
Frequent occurrences along with other symptoms
A family history of heart problems
Symptoms that persist over time
Listening to your body and noting any changes in your heart rhythm is crucial. Being proactive about your health, especially when it concerns your heart, is always a wise approach.
Final Thoughts
Heart palpitations can be unsettling. Understanding their causes and related symptoms can reduce fear and anxiety. Whether the triggers are lifestyle choices, stress, or medical issues, staying informed about your heart health is essential. Consulting with a doctor with a large experience in this condition such as Dr Saha, and undergoing specific cardiac tests, like echocardiograms and ECGs, can provide reassurance.
By staying aware of your symptoms and potential risks, you can make better health decisions. If palpitations are frequent or concerning, don't hesitate to reach out for a professional evaluation for peace of mind and clarity about your heart health.

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