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URLhttps://www.healthdirect.gov.au/heart-palpitations
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Meta TitleHeart palpitations - symptoms and causes | healthdirect
Meta DescriptionWhen you have palpitations you are suddenly aware of your heartbeat. Read about the causes, related symptoms and what to do if you have palpitations.
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Key facts Palpitations are when you have an abnormal awareness of your heart beating. Palpitations are common and can affect people of all ages. While most cases of palpitations are not serious, sometimes urgent medical care is needed. On this page What are heart palpitations? What symptoms are related to heart palpitations? What causes heart palpitations? How is the cause of heart palpitations diagnosed? When should I see my doctor? How are heart palpitations treated? Can heart palpitations be prevented? Resources and support Related information on Australian websites What are heart palpitations? Palpitations is the feeling of being aware of your heart beating. It can feel like your heart is beating faster or harder than usual. It can sometimes feel like your heart is: having extra beats missing or skipping beats fluttering Most of the time you don't notice your heartbeat, so it may come as a surprise to suddenly become aware of your heartbeat. Palpitations are a common symptom and can affect people of all ages. Palpitations are usually not serious. But always see your doctor if you have palpitations or feel you have an irregular heartbeat. Call triple zero (000) if you have heart palpitations along with these symptoms: shortness of breath chest pain or tightness dizziness or light-headedness fainting or blackouts What symptoms are related to heart palpitations? When you have palpitations, you might feel like your heart is: racing thumping or pounding flip-flopping fluttering skipping beats You may feel palpitations in your chest or surrounding areas, including your throat or neck. You may be able to hear your heart beating — usually when you are in bed at night. You might have palpitations when you are: sitting or lying still bending over moving slowly exercising Sometimes palpitations come on when you are feeling stressed or anxious. Palpitations usually come and go. Other symptoms that can happen with palpitations are: feeling faint or fainting breathlessness chest pain If you have palpitations with any of these symptoms, call triple zero (000) for an ambulance. CHECK YOUR SYMPTOMS — Use the Symptom Checker and find out if you need to seek medical help. What causes heart palpitations? There are many causes of palpitations. They can be caused by heart conditions and by other problems. Heart conditions Heart conditions that can cause palpitations include: heart rhythm problems ( arrhythmias ), such as atrial fibrillation heart failure problems with the valves in your heart cardiomyopathy inherited conditions such as long QT syndrome or Brugada syndrome Wolff-Parkinson-White syndrome heart attack Other conditions Other conditions and problems that can cause palpitations include: low blood sugar levels anaemia an overactive thyroid fever a salt imbalance in your blood Mental health and emotions It's possible to have palpitations when you feel: nervous anxious , including during a panic attack stressed Medicines and other substances Palpitations also can happen with: caffeine intake, such as from coffee, cola, tea and chocolate alcohol and nicotine use certain medicines recreational drugs, such as cocaine and amphetamines Palpitations can also happen with exercise. How is the cause of heart palpitations diagnosed? Your doctor will talk with you about your palpitations. They will ask: how the palpitations start and stop (gradually or suddenly) how they feel how long they last how often they happen if anything seems to trigger your palpitations (bring them on or make them worse) if anything makes your palpitations better about any other symptoms you have Your doctor will also ask about any heart conditions or other health problems you have, and about your family medical history . Your doctor will examine you and will recommend tests, such as an electrocardiogram (ECG) . This measures your heart's electrical activity. Other tests may include: blood tests a Holter monitor — an ECG monitor that you wear continuously for 1 to 2 days while going about your normal activities a monitor that you wear for longer periods that records episodes of palpitations an echocardiogram — a special ultrasound scan of your heart Your doctor may recommend referral to a specialist doctor for further tests. When should I see my doctor? While there are many causes of heart palpitations that are not serious, it's important to check with your doctor if you have this symptom. When to seek urgent care See your doctor urgently if you have: heart palpitations that last more than a few minutes frequent episodes of heart palpitations a family history of heart rhythm problems Call triple zero (000) for an ambulance if you have heart palpitations along with these symptoms: shortness of breath chest pain or tightness dizziness or light-headedness fainting or blackouts FIND A HEALTH SERVICE — The Service Finder can help you find doctors, pharmacies, hospitals and other health services. How are heart palpitations treated? Treatment of heart palpitations depends on: what is causing them how bad your symptoms are Self-care at home There are some things that may help with palpitations that are due to a known, non-serious cause. Try sitting down or finding somewhere quiet to rest. Try to keep yourself calm and in a comfortable position. Try not to panic as this can make your symptoms worse. You may find it helpful to loosen any restrictive (tight) clothing, such as your collar button and tie. Always see your doctor to work out the cause of your palpitations and whether medicines or other treatments are needed. Medicines and other treatment options If you have a heart condition like an arrhythmia, your doctor may refer you a specialist. Your doctor may recommend treatment with: medicines surgery an implantable device Always ask your doctor if you are concerned about your heart palpitations. Can heart palpitations be prevented? If you have had heart palpitations, try to avoid anything that brings them on or makes them worse. This includes: caffeine nicotine alcohol certain medicines, such as some antihistamines, antibiotics and antidepressants recreational drugs Resources and support The Heart Foundation has information and support for people with heart conditions, including arrhythmias . You can also call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.
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[Medicines](https://www.healthdirect.gov.au/medicines) - [Symptom checker](https://www.healthdirect.gov.au/symptom-checker) - [Service finder](https://www.healthdirect.gov.au/australian-health-services) Menu Close - [Home](https://www.healthdirect.gov.au/) - [Health topics A-Z](https://www.healthdirect.gov.au/heart-palpitations) - [Conditions](https://www.healthdirect.gov.au/health-topics/conditions) - [Symptoms](https://www.healthdirect.gov.au/health-topics/symptoms) - [Procedures](https://www.healthdirect.gov.au/health-topics/procedures) - [Life stages](https://www.healthdirect.gov.au/life-stages) - [All topics](https://www.healthdirect.gov.au/health-topics) - [Medicines](https://www.healthdirect.gov.au/medicines) - [Symptom checker](https://www.healthdirect.gov.au/symptom-checker) - [Service finder](https://www.healthdirect.gov.au/australian-health-services) [beginning of content]() # Heart palpitations *6-minute read* Print Share [share via Facebook](https://www.facebook.com/sharer/sharer.php?u=https://www.healthdirect.gov.au/heart-palpitations "Share this page on Facebook") share via Email Save [Listen](https://app-oc.readspeaker.com/cgi-bin/rsent?customerid=8207&lang=en_au&readid=mainContentArticleText&url=https://www.healthdirect.gov.au/heart-palpitations "Listen to this page using ReadSpeaker") ## Key facts - Palpitations are when you have an abnormal awareness of your heart beating. - Palpitations are common and can affect people of all ages. - While most cases of palpitations are not serious, sometimes urgent medical care is needed. ## On this page - [What are heart palpitations?](https://www.healthdirect.gov.au/heart-palpitations#what-are) - [What symptoms are related to heart palpitations?](https://www.healthdirect.gov.au/heart-palpitations#symptoms) - [What causes heart palpitations?](https://www.healthdirect.gov.au/heart-palpitations#causes) - [How is the cause of heart palpitations diagnosed?](https://www.healthdirect.gov.au/heart-palpitations#diagnosis) - [When should I see my doctor?](https://www.healthdirect.gov.au/heart-palpitations#doctor) - [How are heart palpitations treated?](https://www.healthdirect.gov.au/heart-palpitations#treatment) - [Can heart palpitations be prevented?](https://www.healthdirect.gov.au/heart-palpitations#prevention) - [Resources and support](https://www.healthdirect.gov.au/heart-palpitations#resources) - [Related information on Australian websites](https://www.healthdirect.gov.au/heart-palpitations#searchGeneralResults) ## What are heart palpitations? Palpitations is the feeling of being aware of your heart beating. It can feel like your heart is beating faster or harder than usual. It can sometimes feel like your heart is: - having extra beats - missing or skipping beats - fluttering Most of the time you don't notice your heartbeat, so it may come as a surprise to suddenly become aware of your heartbeat. Palpitations are a common symptom and can affect people of all ages. Palpitations are usually not serious. But always see your doctor if you have palpitations or feel you have an irregular heartbeat. **Call triple zero (000) if you have heart palpitations along with these symptoms:** - [shortness of breath](https://www.healthdirect.gov.au/shortness-of-breath) - [chest pain](https://www.healthdirect.gov.au/chest-pain) or tightness - [dizziness](https://www.healthdirect.gov.au/dizziness) or [light-headedness](https://www.healthdirect.gov.au/lightheadedness) - [fainting](https://www.healthdirect.gov.au/fainting) or [blackouts](https://www.healthdirect.gov.au/blackouts) ## What symptoms are related to heart palpitations? When you have palpitations, you might feel like your heart is: - racing - thumping or pounding - flip-flopping - fluttering - skipping beats You may feel palpitations in your chest or surrounding areas, including your throat or neck. You may be able to hear your heart beating — usually when you are in bed at night. You might have palpitations when you are: - sitting or lying still - bending over - moving slowly - exercising Sometimes palpitations come on when you are feeling stressed or anxious. Palpitations usually come and go. Other symptoms that can happen with palpitations are: - feeling faint or fainting - breathlessness - chest pain **If you have palpitations with any of these symptoms, call triple zero (000) for an ambulance.** [**CHECK YOUR SYMPTOMS** — Use the **Symptom Checker** and find out if you need to seek medical help.](https://www.healthdirect.gov.au/symptom-checker) ## What causes heart palpitations? There are many causes of palpitations. They can be caused by heart conditions and by other problems. ### Heart conditions Heart conditions that can cause palpitations include: - heart rhythm problems ([arrhythmias](https://www.healthdirect.gov.au/heart-arrhythmias)), such as [atrial fibrillation](https://www.healthdirect.gov.au/atrial-fibrillation) - [heart failure](https://www.healthdirect.gov.au/heart-failure) - problems with the valves in your heart - [cardiomyopathy](https://www.healthdirect.gov.au/cardiomyopathy) - inherited conditions such as [long QT syndrome](https://www.healthdirect.gov.au/long-qt-syndrome) or [Brugada syndrome](https://www.healthdirect.gov.au/brugada-syndrome) - [Wolff-Parkinson-White syndrome](https://www.healthdirect.gov.au/wolff-parkinson-white-syndrome) - [heart attack](https://www.healthdirect.gov.au/heart-attack) ### Other conditions Other conditions and problems that can cause palpitations include: - [low blood sugar](https://www.healthdirect.gov.au/hypoglycaemia-low-blood-sugar) levels - [anaemia](https://www.healthdirect.gov.au/anaemia) - an [overactive thyroid](https://www.healthdirect.gov.au/hyperthyroidism) - [fever](https://www.healthdirect.gov.au/fever) - a salt imbalance in your blood ### Mental health and emotions It's possible to have palpitations when you feel: - nervous - [anxious](https://www.healthdirect.gov.au/anxiety), including during a [panic attack](https://www.healthdirect.gov.au/panic-attacks-and-panic-disorder) - [stressed](https://www.healthdirect.gov.au/stress) ### Medicines and other substances Palpitations also can happen with: - [caffeine](https://www.healthdirect.gov.au/caffeine) intake, such as from coffee, cola, tea and chocolate - [alcohol](https://www.healthdirect.gov.au/how-alcohol-affects-your-health) and [nicotine](https://www.healthdirect.gov.au/quit-smoking-vaping) use - certain medicines - recreational drugs, such as [cocaine](https://www.healthdirect.gov.au/cocaine) and [amphetamines](https://www.healthdirect.gov.au/speed) Palpitations can also happen with exercise. ## How is the cause of heart palpitations diagnosed? Your doctor will talk with you about your palpitations. They will ask: - how the palpitations start and stop (gradually or suddenly) - how they feel - how long they last - how often they happen - if anything seems to trigger your palpitations (bring them on or make them worse) - if anything makes your palpitations better - about any other symptoms you have Your doctor will also ask about any heart conditions or other health problems you have, and about your [family medical history](https://www.healthdirect.gov.au/family-medical-history). Your doctor will examine you and will recommend tests, such as an [electrocardiogram (ECG)](https://www.healthdirect.gov.au/electrocardiogram-ecg). This measures your heart's electrical activity. Other tests may include: - [blood tests](https://www.healthdirect.gov.au/blood-testing) - a Holter monitor — an ECG monitor that you wear continuously for 1 to 2 days while going about your normal activities - a monitor that you wear for longer periods that records episodes of palpitations - an echocardiogram — a special ultrasound scan of your heart Your doctor may recommend referral to a specialist doctor for further tests. ## When should I see my doctor? While there are many causes of heart palpitations that are not serious, it's important to check with your doctor if you have this symptom. ### When to seek urgent care See your doctor urgently if you have: - heart palpitations that last more than a few minutes - frequent episodes of heart palpitations - a family history of heart rhythm problems Call triple zero (000) for an ambulance if you have heart palpitations along with these symptoms: - shortness of breath - chest pain or tightness - dizziness or light-headedness - fainting or blackouts [**FIND A HEALTH SERVICE** — The **Service Finder** can help you find doctors, pharmacies, hospitals and other health services.](https://www.healthdirect.gov.au/australian-health-services) ## How are heart palpitations treated? Treatment of heart palpitations depends on: - what is causing them - how bad your symptoms are ### Self-care at home There are some things that may help with palpitations that are due to a known, non-serious cause. - Try sitting down or finding somewhere quiet to rest. - Try to keep yourself calm and in a comfortable position. - Try not to panic as this can make your symptoms worse. - You may find it helpful to loosen any restrictive (tight) clothing, such as your collar button and tie. Always see your doctor to work out the cause of your palpitations and whether medicines or other treatments are needed. ### Medicines and other treatment options If you have a heart condition like an arrhythmia, your doctor may refer you a specialist. Your doctor may recommend treatment with: - medicines - surgery - an implantable device Always ask your doctor if you are concerned about your heart palpitations. ## Can heart palpitations be prevented? If you have had heart palpitations, try to avoid anything that brings them on or makes them worse. This includes: - caffeine - nicotine - alcohol - certain medicines, such as some antihistamines, antibiotics and antidepressants - recreational drugs ## Resources and support The [Heart Foundation](https://www.heartfoundation.org.au/) has information and support for people with heart conditions, including [arrhythmias](https://www.heartfoundation.org.au/bundles/your-heart/heart-arrhythmia). You can also call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week. #### Sources: Australian Journal of General Practice *[(Approach to palpitations)](https://www1.racgp.org.au/ajgp/2019/april/approach-to-palpitations "Approach to palpitations")*, BMJ Best Practice *[(Assessment of palpitations)](https://bestpractice.bmj.com/topics/en-gb/572 "Assessment of palpitations")* Learn more here about the [development and quality assurance of healthdirect content](https://www.healthdirect.gov.au/about-our-content). Last reviewed: February 2024 [Back To Top](https://www.healthdirect.gov.au/heart-palpitations#backToTop) ## Search our site for - [Heart](https://www.healthdirect.gov.au/search-results/Heart "Search results for: Heart") - [Heart Rate](https://www.healthdirect.gov.au/search-results/Heart%20Rate "Search results for: Heart Rate") - [Arrhythmia](https://www.healthdirect.gov.au/search-results/Arrhythmia "Search results for: Arrhythmia") - [Atrial Fibrillation](https://www.healthdirect.gov.au/search-results/Atrial%20Fibrillation "Search results for: Atrial Fibrillation") ## Need more information? These trusted information partners have more on this topic. General search results Results for medical professionals Top results [Heart arrhythmias and palpitations \| Better Health Channel A heart that beats irregularly, too fast or too slow, is experiencing an arrhythmia. *Read more on Better Health Channel website* ![Better Health Channel](https://media.healthdirect.org.au/images/logos/h40/bhc-rectangle-image-e99950.png)](https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/heart-arrhythmias-and-palpitations) [Palpitations: symptoms and diagnosis - myDr.com.au Palpitations are sensations of excessively strong and/or irregular heartbeats. Find out more about the causes and treatment for palpitations. *Read more on myDoctor website* ![myDoctor](https://media.healthdirect.org.au/images/logos/h40/mydoctor-new_logo-1f39cc.png)](https://mydr.com.au/heart-stroke/palpitations/) Show more Top results Show more ## Disclaimer Healthdirect Australia is not responsible for the content and advertising on the external website you are now entering. [OK]() ## Search our site for - [Heart](https://www.healthdirect.gov.au/search-results/Heart "Search results for: Heart") - [Heart Rate](https://www.healthdirect.gov.au/search-results/Heart%20Rate "Search results for: Heart Rate") - [Arrhythmia](https://www.healthdirect.gov.au/search-results/Arrhythmia "Search results for: Arrhythmia") - [Atrial Fibrillation](https://www.healthdirect.gov.au/search-results/Atrial%20Fibrillation "Search results for: Atrial Fibrillation") ## Symptom checker **Racing heartbeat?** Select a symptom, answer some questions, get advice [Start Your Symptom Check](https://www.healthdirect.gov.au/symptom-checker "Check symptoms") [Check your symptoms](https://www.healthdirect.gov.au/symptom-checker/tool?symptom=GNRC) [Find a health service](https://www.healthdirect.gov.au/australian-health-services) # Healthdirect 24hr 7 days a week hotline 24 hour health advice you can count on [1800 022 222](tel:1800022222) # Government Accredited with over 140 information partners ![Healthdirect logo](https://www.healthdirect.gov.au/assets/images/logo-hda.svg) We are a government-funded service, providing quality, approved health information and advice [![Australian Government, health department logo](https://www.healthdirect.gov.au/assets/images/logo-gov-dep-health.svg)](https://www.health.gov.au/) [![ACT Government logo](https://www.healthdirect.gov.au/assets/images/logo-gov-act.svg)](https://www.health.act.gov.au/) [![New South Wales government logo](https://www.healthdirect.gov.au/assets/images/logo-gov-nsw.svg)](https://www.health.nsw.gov.au/) [![Northern Territory Government logo](https://www.healthdirect.gov.au/assets/images/logo-gov-nt.svg)](https://health.nt.gov.au/) [![Queensland Government logo](https://www.healthdirect.gov.au/assets/images/logo-gov-qld.svg)](https://www.health.qld.gov.au/) [![Government of South Australia logo](https://www.healthdirect.gov.au/assets/images/logo-gov-sa.svg)](https://www.sahealth.sa.gov.au/) [![Tasmanian government logo](https://www.healthdirect.gov.au/assets/images/logo-gov-tas.svg)](https://www.health.tas.gov.au/) [![Victorian government logo](https://www.healthdirect.gov.au/assets/images/logo-gov-vic.svg)](https://www2.health.vic.gov.au/) [![Government of Western Australia logo](https://www.healthdirect.gov.au/assets/images/logo-gov-wa.svg)](https://ww2.health.wa.gov.au/) ## About - [How we can help](https://www.healthdirect.gov.au/how-healthdirect-can-help-you) - [Our mobile app](https://www.healthdirect.gov.au/health-app) - [Linking to us](https://about.healthdirect.gov.au/linking-to-us) - [Information partners](https://www.healthdirect.gov.au/information-partners) - [Register your service](https://www.healthdirect.gov.au/register-with-nhsd) - [Terms of use](https://www.healthdirect.gov.au/terms-of-use) - [Privacy](https://www.healthdirect.gov.au/privacy-policy) - [How we use AI](https://www.healthdirect.gov.au/artificial-intelligence-transparency-statement) - [Contact us](https://www.healthdirect.gov.au/contact-us) - [About us](https://about.healthdirect.gov.au/) ## Discover - [Blog](https://www.healthdirect.gov.au/blog) - [BMI calculator](https://www.healthdirect.gov.au/bmi-calculator) - [Health apps](https://www.healthdirect.gov.au/health-and-wellbeing-apps) - [Medicines](https://www.healthdirect.gov.au/medicines) - [Service finder](https://www.healthdirect.gov.au/australian-health-services) - [Symptom checker](https://www.healthdirect.gov.au/symptom-checker) - [Question builder](https://www.healthdirect.gov.au/question-builder) ## Resources in your language - [Arabic عربى](https://www.healthdirect.gov.au/ar/resources-in-arabic) - [বাংলা Bengali](https://www.healthdirect.gov.au/bn/resources-in-bengali) - [简体中文 Chinese Simplified](https://www.healthdirect.gov.au/zh-hans/resources-in-chinese-simplified) - [繁體中文 Chinese Traditional](https://www.healthdirect.gov.au/zh-hant/resources-in-chinese-traditional) - [Tiếng Việt Vietnamese](https://www.healthdirect.gov.au/vi/resources-in-vietnamese) [![download from the App store](https://www.healthdirect.gov.au/assets/images/app-apple-store.png)](https://itunes.apple.com/au/app/healthdirect-check-symptoms/id1021494621?ls=1&mt=8) [![download from google play](https://www.healthdirect.gov.au/assets/images/app-google-play.png)](https://play.google.com/store/apps/details?id=au.org.healthdirect.healthdirectapp) Healthdirect Australia is dedicated to providing safe, effective and person-centred advice, supported by rigorous [clinical governance](https://about.healthdirect.gov.au/end-to-end-service-delivery) and transparent [quality and safety processes](https://www.healthdirect.gov.au/quality-and-safety-of-healthdirects-triage-service-statement). 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## Key facts - Palpitations are when you have an abnormal awareness of your heart beating. - Palpitations are common and can affect people of all ages. - While most cases of palpitations are not serious, sometimes urgent medical care is needed. ## On this page - [What are heart palpitations?](https://www.healthdirect.gov.au/heart-palpitations#what-are) - [What symptoms are related to heart palpitations?](https://www.healthdirect.gov.au/heart-palpitations#symptoms) - [What causes heart palpitations?](https://www.healthdirect.gov.au/heart-palpitations#causes) - [How is the cause of heart palpitations diagnosed?](https://www.healthdirect.gov.au/heart-palpitations#diagnosis) - [When should I see my doctor?](https://www.healthdirect.gov.au/heart-palpitations#doctor) - [How are heart palpitations treated?](https://www.healthdirect.gov.au/heart-palpitations#treatment) - [Can heart palpitations be prevented?](https://www.healthdirect.gov.au/heart-palpitations#prevention) - [Resources and support](https://www.healthdirect.gov.au/heart-palpitations#resources) - [Related information on Australian websites](https://www.healthdirect.gov.au/heart-palpitations#searchGeneralResults) ## What are heart palpitations? Palpitations is the feeling of being aware of your heart beating. It can feel like your heart is beating faster or harder than usual. It can sometimes feel like your heart is: - having extra beats - missing or skipping beats - fluttering Most of the time you don't notice your heartbeat, so it may come as a surprise to suddenly become aware of your heartbeat. Palpitations are a common symptom and can affect people of all ages. Palpitations are usually not serious. But always see your doctor if you have palpitations or feel you have an irregular heartbeat. **Call triple zero (000) if you have heart palpitations along with these symptoms:** - [shortness of breath](https://www.healthdirect.gov.au/shortness-of-breath) - [chest pain](https://www.healthdirect.gov.au/chest-pain) or tightness - [dizziness](https://www.healthdirect.gov.au/dizziness) or [light-headedness](https://www.healthdirect.gov.au/lightheadedness) - [fainting](https://www.healthdirect.gov.au/fainting) or [blackouts](https://www.healthdirect.gov.au/blackouts) ## What symptoms are related to heart palpitations? When you have palpitations, you might feel like your heart is: - racing - thumping or pounding - flip-flopping - fluttering - skipping beats You may feel palpitations in your chest or surrounding areas, including your throat or neck. You may be able to hear your heart beating — usually when you are in bed at night. You might have palpitations when you are: - sitting or lying still - bending over - moving slowly - exercising Sometimes palpitations come on when you are feeling stressed or anxious. Palpitations usually come and go. Other symptoms that can happen with palpitations are: - feeling faint or fainting - breathlessness - chest pain **If you have palpitations with any of these symptoms, call triple zero (000) for an ambulance.** [**CHECK YOUR SYMPTOMS** — Use the **Symptom Checker** and find out if you need to seek medical help.](https://www.healthdirect.gov.au/symptom-checker) ## What causes heart palpitations? There are many causes of palpitations. They can be caused by heart conditions and by other problems. ### Heart conditions Heart conditions that can cause palpitations include: - heart rhythm problems ([arrhythmias](https://www.healthdirect.gov.au/heart-arrhythmias)), such as [atrial fibrillation](https://www.healthdirect.gov.au/atrial-fibrillation) - [heart failure](https://www.healthdirect.gov.au/heart-failure) - problems with the valves in your heart - [cardiomyopathy](https://www.healthdirect.gov.au/cardiomyopathy) - inherited conditions such as [long QT syndrome](https://www.healthdirect.gov.au/long-qt-syndrome) or [Brugada syndrome](https://www.healthdirect.gov.au/brugada-syndrome) - [Wolff-Parkinson-White syndrome](https://www.healthdirect.gov.au/wolff-parkinson-white-syndrome) - [heart attack](https://www.healthdirect.gov.au/heart-attack) ### Other conditions Other conditions and problems that can cause palpitations include: - [low blood sugar](https://www.healthdirect.gov.au/hypoglycaemia-low-blood-sugar) levels - [anaemia](https://www.healthdirect.gov.au/anaemia) - an [overactive thyroid](https://www.healthdirect.gov.au/hyperthyroidism) - [fever](https://www.healthdirect.gov.au/fever) - a salt imbalance in your blood ### Mental health and emotions It's possible to have palpitations when you feel: - nervous - [anxious](https://www.healthdirect.gov.au/anxiety), including during a [panic attack](https://www.healthdirect.gov.au/panic-attacks-and-panic-disorder) - [stressed](https://www.healthdirect.gov.au/stress) ### Medicines and other substances Palpitations also can happen with: - [caffeine](https://www.healthdirect.gov.au/caffeine) intake, such as from coffee, cola, tea and chocolate - [alcohol](https://www.healthdirect.gov.au/how-alcohol-affects-your-health) and [nicotine](https://www.healthdirect.gov.au/quit-smoking-vaping) use - certain medicines - recreational drugs, such as [cocaine](https://www.healthdirect.gov.au/cocaine) and [amphetamines](https://www.healthdirect.gov.au/speed) Palpitations can also happen with exercise. ## How is the cause of heart palpitations diagnosed? Your doctor will talk with you about your palpitations. They will ask: - how the palpitations start and stop (gradually or suddenly) - how they feel - how long they last - how often they happen - if anything seems to trigger your palpitations (bring them on or make them worse) - if anything makes your palpitations better - about any other symptoms you have Your doctor will also ask about any heart conditions or other health problems you have, and about your [family medical history](https://www.healthdirect.gov.au/family-medical-history). Your doctor will examine you and will recommend tests, such as an [electrocardiogram (ECG)](https://www.healthdirect.gov.au/electrocardiogram-ecg). This measures your heart's electrical activity. Other tests may include: - [blood tests](https://www.healthdirect.gov.au/blood-testing) - a Holter monitor — an ECG monitor that you wear continuously for 1 to 2 days while going about your normal activities - a monitor that you wear for longer periods that records episodes of palpitations - an echocardiogram — a special ultrasound scan of your heart Your doctor may recommend referral to a specialist doctor for further tests. ## When should I see my doctor? While there are many causes of heart palpitations that are not serious, it's important to check with your doctor if you have this symptom. ### When to seek urgent care See your doctor urgently if you have: - heart palpitations that last more than a few minutes - frequent episodes of heart palpitations - a family history of heart rhythm problems Call triple zero (000) for an ambulance if you have heart palpitations along with these symptoms: - shortness of breath - chest pain or tightness - dizziness or light-headedness - fainting or blackouts [**FIND A HEALTH SERVICE** — The **Service Finder** can help you find doctors, pharmacies, hospitals and other health services.](https://www.healthdirect.gov.au/australian-health-services) ## How are heart palpitations treated? Treatment of heart palpitations depends on: - what is causing them - how bad your symptoms are ### Self-care at home There are some things that may help with palpitations that are due to a known, non-serious cause. - Try sitting down or finding somewhere quiet to rest. - Try to keep yourself calm and in a comfortable position. - Try not to panic as this can make your symptoms worse. - You may find it helpful to loosen any restrictive (tight) clothing, such as your collar button and tie. Always see your doctor to work out the cause of your palpitations and whether medicines or other treatments are needed. ### Medicines and other treatment options If you have a heart condition like an arrhythmia, your doctor may refer you a specialist. Your doctor may recommend treatment with: - medicines - surgery - an implantable device Always ask your doctor if you are concerned about your heart palpitations. ## Can heart palpitations be prevented? If you have had heart palpitations, try to avoid anything that brings them on or makes them worse. This includes: - caffeine - nicotine - alcohol - certain medicines, such as some antihistamines, antibiotics and antidepressants - recreational drugs ## Resources and support The [Heart Foundation](https://www.heartfoundation.org.au/) has information and support for people with heart conditions, including [arrhythmias](https://www.heartfoundation.org.au/bundles/your-heart/heart-arrhythmia). You can also call the healthdirect helpline on 1800 022 222 (known as NURSE-ON-CALL in Victoria). A registered nurse is available to speak with 24 hours a day, 7 days a week.
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