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Palpitations

Heart palpitations, the feeling that the heart has skipped a beat, are not usually dangerous. Most people have them from time to time. When your heart beats normally, its two upper chambers contract. Then the two lower chambers contract. The two-thump heartbeat sound is the sound of the heart valves closing when the chambers contract .

Causes

The most common harmless palpitations are often caused by alcohol, caffeine, nicotine, anxiety, and stress. Some medications may cause palpitations. If you experience palpitations after starting a medication, talk to your doctor. Palpitations are the sensation caused by a heart rhythm disturbance known as an arrhythmia. Arrhythmias vary from feeling that the heart has skipped a beat to feeling that the heart is racing and fluttering. Arrhythmias can be serious. If you experience palpitations with a change in heart rate, dizziness, shortness of breath, or sweating, call 911.

Self-Care Steps for Palpitations

  • Stop using nicotine.

  • Avoid caffeine and alcohol.

  • Increase activity. Warm up slowly and cool down at the end of your activity. Always check with your doctor before increasing your activity level.

  • Find ways to reduce stress and anxiety.

Decision Guide for Palpitations

Symptoms/Signs

Action

Rare feeling that your heart has skipped a beat

  Discuss with your health care provider

Persistent heart palpitations

 See provider

Palpitations and dizziness, shortness of breath, or sweating

 Call 911

Palpitations and chest pain

 Call 911

Publication Source: Well Advised, Second Edition, Text copyright © 2003 Park Nicollet Institute
Online Editor: Sinovic, Dianna
Online Medical Reviewer: Godsey, Cynthia M.S., M.S.N., APRN
Online Medical Reviewer: Lambert, J.G. M.D.
Online Medical Reviewer: Ratini, Melinda DO, MS
Date Last Reviewed: 2/22/2006
Date Last Modified: 2/22/2006