What It Feels Like

Your heart pounds, flutters, or seems to skip beats. You might call these feelings palpitations. Although they can feel scary, most aren’t serious and rarely need treatment. Knowing what makes your heart race can help you not panic when it happens and know when to call your doctor.

Stress and Anxiety

Intense emotions can trigger the release of hormones that speed up your heartbeat. Your body gets ready to face a threat, even if you’re not in danger. Panic attacks are intense bouts of fear that can last a few minutes. Symptoms include a racing heart, sweating, chills, trouble breathing, and chest pain. A panic attack can feel like a heart attack. If you’re not sure which one you’re having, get medical help.

Exercise

Working out is good for you. And a brisk run or intense indoor cycling class will naturally make your heart beat faster. That helps your heart pump more blood to power your muscles through the workout. If your heart flutters or pounds, it could be because you haven’t worked out in a while and you’re out of condition. An irregular heartbeat, or arrhythmia, can also cause palpitations when you exercise.

Caffeine

Does your heart beat faster after your morning latte? Caffeine is a stimulant that raises your heart rate, whehther you get it from coffee, soda, an energy drink, tea, chocolate, or another source. One study found that caffeine from coffee, tea, and chocolate isn’t likely to cause palpitations in people with healthy hearts. But experts don’t know whether it might trigger them in people with heart rhythm problems.

Nicotine

The addictive chemical in cigarettes and other tobacco products, nicotine raises your blood pressure and speeds up your heart rate. Quitting smoking is one of the best things you can do for your heart, though it might not slow your heartbeat right away. Patches and other nicotine replacement products can make your heart race. Palpitations can also be a symptom of nicotine withdrawal, but they should stop within 3 to 4 weeks after you quit.

Hormone Changes

Women might notice that their heartbeat speeds up when they have their period, they’re pregnant, they’re close to menopause, or they’re in menopause. The reason: hormone levels. The boost in heart rate is usually temporary and no reason for worry. If you’re pregnant, palpitations can also happen if you’re anemic, which means you don’t have enough red blood cells that carry oxygen throughout your body.

Fever

When you have a fever during an illness, your body uses energy at a faster pace than usual. This can set off palpitations. Usually your temperature needs to be above 100.4 F to affect your heart rate.

Medicines

Some prescription and over-the-counter medicines cause palpitations as a side effect, including:

  • Antibiotics
  • Antifungal medicines
  • Antipsychotic drugs
  • Asthma inhalers
  • Cough and cold medicines
  • Diet pills
  • High blood pressure medicines
  • Thyroid pills

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