palpitations follow up care
Informed by recognized medical guidance
Overview
Palpitations are the feeling that your heart is racing, fluttering, pounding, or skipping a beat. A palpitation is a symptom, not a disease itself. Follow-up care means seeing a doctor after you've had palpitations to find out what caused them and make a plan to manage them safely.
Key facts
- Most palpitations are harmless and pass quickly.
- Follow-up is important to rule out heart rhythm problems.
- You may need simple tests like an ECG or a heart monitor.
Yes, palpitations are very common. Most people experience them at some point.
Anyone can have palpitations, but they are more common in adults, especially during times of stress, or after caffeine or other stimulants. People with existing heart conditions should take them more seriously.
Symptoms
- Chest pain or pressure
- Fainting or loss of consciousness
- Severe shortness of breath
- Pain in the arm, jaw, or back
- ⚠Palpitations that last for more than 30 minutes
- ⚠Palpitations with dizziness or light-headedness
- ⚠You have a known heart condition and have new or worsening palpitations
Common symptoms
- A racing or pounding heartbeat
- A fluttering feeling in your chest
- Feeling like your heart skipped a beat
- A sensation of your heart beating in your neck or throat
Causes
Main causes
- Stress, anxiety, or panic
- Caffeine, alcohol, or nicotine
- Intense exercise
- Dehydration or low blood sugar
- Hormone changes, such as pregnancy or menopause
- Certain heart rhythm conditions, such as atrial fibrillation
Risk factors
- High blood pressure or heart disease
- Family history of heart rhythm problems
- Thyroid disease
- Electrolyte imbalances
- Regular use of stimulant medications or recreational drugs
When to see a doctor
See a doctor urgently if:
- Palpitations with chest pain, fainting, or severe shortness of breath — call emergency services immediately.
Book a routine appointment if:
- A first episode of palpitations
- Palpitations that happen often or interfere with your day
- If you are over 60 and new palpitations start
- If you have a history of heart disease
Diagnosis
Your doctor will ask about your symptoms, check your pulse and blood pressure, and listen to your heart. They may order tests to see your heart's electrical activity.
Tests that may be done
- Electrocardiogram (ECG or EKG)
- Holter monitor or other wearable heart monitor
- Blood tests to check thyroid and electrolytes
- Echocardiogram (ultrasound of the heart)
What to expect at your appointment
You may be given a diary to record when palpitations happen and what you were doing. Some people wear a monitor for a day or two. The results will help your doctor decide if you need treatment.
Treatment
Treatment depends on the cause. If your heart is healthy, you may only need to avoid your triggers. If there is an underlying heart rhythm problem, medication or a procedure may help.
Self-care at home
- Keep a record of your symptoms and possible triggers
- Cut back on caffeine, alcohol, and energy drinks
- Try deep breathing or relaxation exercises
- Stay hydrated and get enough sleep
Medical treatments
Doctors may prescribe medicines that calm the heart or control its rhythm. These are chosen based on your specific situation. In some cases, a simple procedure to correct the heart's electrical signalling may be recommended.
When is surgery considered?
For most cases, surgery is not needed. It may be considered only for certain heart rhythm problems after tests show that medication is not enough.
Living with this condition
Live normally, but stay curious about your body. When palpitations happen, notice what you were doing, eating, or feeling. This can help you and your doctor find patterns.
Lifestyle tips
- Limit caffeine and alcohol
- Practice stress reduction like yoga, meditation, or talking to a friend
- Quit smoking if you smoke
- Get regular physical activity after checking with your doctor
Diet and exercise
A heart-healthy diet rich in vegetables, fruit, whole grains, and lean proteins should keep your body in good shape. Most people can exercise normally, but ask your doctor if you should have any limits based on your tests.
Mental health and emotional wellbeing
It's natural to feel anxious when your heart flutters. Anxiety can actually make palpitations more frequent. Talking about it or seeking counselling can help break that cycle.
Prevention
For many people, avoiding known triggers such as excess caffeine, stress, and dehydration can help prevent palpitations. But, some heart rhythm conditions are due to structural changes, so not all cases can be prevented.
Screening programmes
If you have a history of heart disease or a family member with a heart rhythm problem, ask your doctor if you should have regular heart screenings.
Complications
If left untreated
- Rarely, an untreated heart rhythm problem can increase the risk of blood clots, stroke, or heart failure.
Long-term outlook
The outlook for palpitations is very good. Most people do not have a serious condition, and even those who do can often be treated effectively. With proper follow-up, you can understand your symptoms and live a full, active life.
Find support
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Always verify with your doctor
Health guidelines vary by country and region. The information in this article is based on international clinical guidelines but may not reflect the specific guidelines, medications, or practices in your country. Always discuss your health concerns with your own doctor or healthcare provider, and refer to your local national health guidelines where available.
Important notice This information is for educational purposes only. It does not replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider about your specific situation. If you are experiencing a medical emergency, call your local emergency services immediately.
Related conditions
Sources and guidance
This article is educational and is prepared with reference to recognized health information and clinical guidance sources where available. Specific source links may vary by topic.
Last updated: July 31, 2026
Educational note: This information is for education only and is not a diagnosis.
Use it to support, not replace, advice from a licensed clinician.
If symptoms are severe, worsening, or urgent, call your local emergency number or seek emergency care.