Palpitations

What Are Palpitations?

Palpitations are the sensation that your heart is beating too hard, too fast, skipping beats, or fluttering. While they can feel alarming, palpitations are very common and are often harmless. However, because they can sometimes signal an underlying heart rhythm problem, it’s important to have them evaluated by a cardiologist who can determine the cause and put your mind at ease.

Why Should They Be Evaluated?

Most palpitations are caused by stress, caffeine, lack of sleep, or other everyday factors. But in some cases, they can be a sign of an arrhythmia (irregular heart rhythm) that needs treatment. Your doctor will want to rule out conditions like atrial fibrillation, which can increase your risk of stroke if left unmanaged. Getting checked is especially important if your palpitations come with dizziness, chest pain, shortness of breath, or fainting.

What to Expect

Your evaluation will typically start with a detailed conversation about your symptoms, medical history, and lifestyle. Your doctor will perform a physical exam and an EKG. If the EKG doesn’t capture the problem, you may be asked to wear a heart monitor for a period of days or weeks to catch your symptoms as they happen. Additional tests like an echocardiogram or blood work may be ordered depending on your situation.

How to Prepare

Before your visit, keep track of when your palpitations occur, how long they last, and what you were doing at the time. Note any triggers you’ve noticed (caffeine, exercise, stress, or certain body positions). Bring a list of all medications and supplements you take, as some can affect heart rhythm. This information will help your doctor make a faster, more accurate diagnosis.