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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
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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
If you take one or more of these types of meds, ask
your doctor if it could affect your heartbeat. Don't skip any doses before
you check with your doctor.
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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
If you take one or more of these types
of meds, ask your doctor if it could affect your heartbeat. Don't skip any
doseLow Blood Sugar
Have you ever noticed that you feel
shaky, cranky, and weak when you've skipped a meal? It can also lead to
palpitations. When your blood sugar level drops, your body releases stress
hormones like adrenaline to prepare for an emergency food shortage. Adrenaline
speeds Overactive Thyroid Gland
Your
thyroid is a butterfly-shaped gland in your neck. It makes hormones
that help manage your metabolism and other things. An overactive thyroid
(called hyperthyroidism) can make too much thyroid hormone. That can
speed up your heart so much that you feel it beating in your chest. Taking
too much thyroid hormone to treat an underactive thyroid gland (called
hypothyroidism) can also rev up your heartbeat.
. Heart
Rhythm Problems
Sometimes
an irregular heart rhythm, called an arrhythmia, causes palpitations.
·
Atrial
fibrillation, or AFib, happens when the heart's
upper chambers, called the atria, flutter instead of beating normally.
·
Supraventricular
tachycardia is an abnormally fast heartbeat
that starts in the heart's upper chambers.
·
Ventricular
tachycardia is a fast heart rate due
to faulty signals in the heart's lower pumping chambers, called the
ventricles.
Alcohol
If
you drink a lot, or just have more than usual, you might feel your heart
beating faster or fluttering. It often happens on holidays or weekends, when
people drink more, earning it the nickname of "holiday heart syndrome.”
But for some people, it can happen even when they only drink a little bit.
Premature
Ventricular Contractions
Premature
ventricular contractions (PVCs) are extra heartbeats. They happen when your
heart's ventricles squeeze too soon. The extra beat throws off your heart's
normal rhythm and makes it flutter, pound, or jump in your chest. If your
heart is healthy, occasional PVCs are nothing to worry about. But you might
need treatment if you have heart disease and you get these extra beats often.
Cocaine and Other
Street Drugs
Illegal
drugs like amphetamines, cocaine, and ecstasy are dangerous to the
heart. Cocaine boosts blood pressure, raises heart rate, and damages the
heart muscle. Amphetamines stimulate the nervous system, which ramps up
your heartbeat. Ecstasy triggers the release of a chemical called
norepinephrine, which makes the heart beat faster.
When to See a
Doctor
If
you're healthy, you probably don't need to worry about palpitations that
happen once in a while and last only a few seconds. But make a
doctor's appointment if they come more often or you also have symptoms
like these:
·
Chest pain or pressure
·
Shortness of breath
·
Dizziness
·
Fainting
Finding the Cause
These
tests can help your doctor figrue out what's going on:
·
Electrocardiogram (ECG).
This test looks for problems with the electrical signals that control your
heart rhythm.
·
Holter monitor.
You wear this portable ECG for 24 to 72 hours at a time. It can find heart
rhythm problems and any patterns that might need more tests.
·
Event Monitor. You
wear this device for several weeks. It records your heart rhythm when you
press a button while having symptoms.
·
Echocardiogram.
This test uses sound waves to make pictures of your heart. It can find
problems with your heart's structure.
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