What Does a Heart Palpitation Feel Like?

Reviewed on 5/21/2022
A woman grabbing her chest as she has heart palpitations
A heart palpitation may feel like a skipped heartbeat, the heart is beating faster than normal, the heart is pounding in your chest, and fluttering in the chest or neck.

Heart palpitations are a type of irregular heartbeat (arrhythmia) in which there is a change in the heart’s sequence of electrical impulses. 

A heart palpitation may feel like:

  • A skipped heartbeat
  • The heart is beating faster than normal
  • The heart is pounding in your chest
  • Fluttering in the chest or neck

See a doctor immediately if you experience a heart palpitation and:

What Causes a Heart Palpitation?

Causes of a heart palpitation include:

  • Excess caffeine 
  • Nicotine from cigarettes or e-cigarettes
  • Diet pills
  • Fever
  • Certain emotions
  • Electrolyte abnormalities 
  • Illegal drugs, such as cocaine
  • Intense exercise 
  • Heart conditions
    • Heart attack
    • Heart changes with age
    • Congenital abnormality of the heart’s electrical system
    • Inherited heart disease

What Is the Treatment for a Heart Palpitation?

Often, treatment is not needed for a heart palpitation and it goes away on its own. 

When treatment is needed for certain irregular heartbeats (arrhythmias), it may include:

  • Medications  
    • Antiarrhythmics
      • Class I (fast sodium channel blockers) 
      • Class II (beta-blockers)
      • Class III (potassium channel-blockers)
      • Class IV (calcium channel blockers)
      • Class V (other)
    • Anticoagulants (blood thinners) such as warfarin
  • Ablation
  • Cardioversion
  • Implantable devices
Reviewed on 5/21/2022
References
Image Source: iStock Images

https://www.heart.org/en/health-topics/arrhythmia

https://www.amboss.com/us/knowledge/Antiarrhythmic_drugs

https://wexnermedical.osu.edu/blog/when-get-irregular-heartbeat-checked

https://www.pennmedicine.org/updates/blogs/heart-and-vascular-blog/2019/december/heart-palpitations