Geriatrics·Geriatrics
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Palpitations are the feeling that your heart is beating too hard, too fast, skipping a beat, or fluttering. It can feel like your heart is pounding in your chest, neck, or throat.
Key facts
Yes, palpitations are a common complaint among older adults. Many people experience them at some point, and most are not serious.
Palpitations can affect anyone, but they are more common in older adults, especially those with heart conditions, high blood pressure, or other chronic health issues.
Your doctor will talk to you about your symptoms, check your pulse and blood pressure, and listen to your heart. They may order tests to see what is happening with your heart's rhythm.
Treatment for palpitations depends on the cause. If there is no serious underlying problem, you may not need any treatment. If a condition like atrial fibrillation is found, treatment focuses on controlling the heart rate or rhythm and preventing complications.
Doctors may prescribe medications to control heart rate or rhythm, or to treat underlying causes such as thyroid problems. In some cases, a procedure called catheter ablation may be used to destroy tiny areas of heart tissue that cause irregular rhythms. Some people may need a pacemaker if the heart beats too slowly. Your doctor will discuss the best approach for you.
Most people with palpitations can live a full, active life. Keep a simple diary of your symptoms, including when they happen, how long they last, and what you were doing. This can help your doctor make the right diagnosis.
Eat a balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Limit salty foods and sugary drinks. Regular, gentle exercise can strengthen your heart and reduce anxiety. Always talk to your doctor before starting a new exercise routine.
It is not always possible to prevent palpitations, but you can lower your risk by managing your health conditions, staying hydrated, eating a heart-healthy diet, and avoiding known triggers.
Regular check-ups with your doctor can help catch heart rhythm problems early. If you have high blood pressure, diabetes, or other risk factors, follow your doctor's advice for monitoring your heart health.
For most older adults, palpitations are manageable and not a sign of a life-threatening problem. With proper diagnosis and care, many people continue to enjoy their usual activities. Your healthcare team will help you find the best way to keep your heart healthy and calm your worries.
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.
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 9, 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.
Your doctor will explain the test results and what they mean for you. If the tests show a heart rhythm problem, you may be referred to a cardiologist (heart specialist). Most tests are painless and can be done as an outpatient.
Surgery is rarely needed for palpitations alone. It may be considered if you have a serious heart condition that does not respond to other treatments.
Palpitations can cause worry or anxiety, which in turn can make palpitations worse. It is okay to feel concerned. If anxiety is affecting your life, speak to your doctor. They can suggest ways to manage it, such as counselling or relaxation techniques.
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