Palpitations: What They Are and When to Seek Help

People describe palpitations in different ways. You might notice a thumping or fluttering in your chest, or a feeling that your heart has skipped a beat. Sometimes it can feel like your heart is beating too fast, even when you are resting. These sensations may last only a few seconds or persist for several minutes.

Palpitations can also be felt in the neck or throat. They can occur at any time, including at night or after eating. While they are often harmless, it is important to understand the possible causes.

In many cases, palpitations are linked to lifestyle factors or temporary conditions. Common triggers include stress, anxiety, too much caffeine or alcohol, heavy meals, or strenuous exercise. Hormonal changes during pregnancy or the menopause can also cause palpitations, as can some medications, such as decongestants or asthma inhalers.

Occasionally, palpitations indicate an arrhythmia — a problem with the heart’s electrical system. These can include extra beats (ectopic beats), atrial fibrillation (an irregular, often fast rhythm), or supraventricular tachycardia (sudden episodes of fast heartbeats). A cardiologist can help tell the difference between benign and potentially serious causes.

Occasional, brief palpitations with no other symptoms are usually not a cause for concern. However, you should seek medical advice if your palpitations are frequent, last a long time, or are accompanied by other symptoms such as chest pain, breathlessness, dizziness, or fainting. According to guidance from the National Institute for Health and Care Excellence (NICE), an electrocardiogram (ECG) is usually the first test recommended.

At The Cardiology Clinic, we offer a calm, thorough assessment to understand your symptoms. Depending on your history, we may suggest further investigations such as a Holter monitor (a portable ECG worn for 24 hours or more), an echocardiogram to check your heart structure, or a blood test to rule out anaemia or thyroid problems. These tests help us build a clear picture of your heart health.

During your consultation, Dr Khambekar will take a detailed history of your symptoms, including when they occur, how long they last, and any triggers you have noticed. You will also have your blood pressure and pulse checked. We understand that palpitations can cause anxiety, and we aim to provide a supportive environment where you feel heard.

If you are in Poole or Bournemouth, you can access these investigations locally, often with rapid results. Please note that this article is for general information only and does not replace individual medical advice. If you ever experience sudden, severe chest pain, breathlessness, or lose consciousness, call 999 or go to your nearest emergency department immediately.

The information in this article is based on guidance from the National Institute for Health and Care Excellence (NICE), the British Heart Foundation, and the NHS. These organisations provide reliable, up-to-date advice on heart palpitations and when to seek help. For more detailed reading, you can visit their websites.