When are heart palpitations a cause for concern?

Doctor's Answer

Heart palpitations are heartbeats that you suddenly notice.

Your heart may feel like it's pounding heavily or beating irregularly for a few moments.

Although they may seem worrying, the good news is that they are mostly harmless and are NOT a sign of a serious issue.

If your palpitations only last a few seconds and do not recur frequently, you may not need to see a doctor. This is because any of the following can all cause "harmless" palpitations:

  • Caffeine
  • Smoking
  • Stress/anxiety
  • Exercise
  • Certain types of medications

In these examples, your palpitations will generally go away by itself if you change your behaviour - such as controlling anxiety or drinking less coffee.

However, if your palpitations:

  • occur frequently
  • last for longer than a few seconds
  • get worse
  • are associated with other symptoms such as breathlessness, dizziness, fainting, or chest discomfort

you should seek urgent medical attention. Some medical causes of palpitations which need to be treated include:

  • an overactive thyroid gland
  • heart conditions, such as abnormal heart structure and abnormal heart rhythms

To help determine the cause for your palpitations, your doctor may:

  • ask about your symptoms, family history and medical history
  • perform some blood tests
  • carry out an ECG

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