Ways To Stop Heart Palpitations

Heart palpitations may feel like fluttering, pounding, skipped beats, or a racing heartbeat. They can sometimes be reduced by resting, managing stress, staying hydrated, and limiting caffeine, nicotine, alcohol, and other stimulants. Recurrent or persistent palpitations should be medically assessed because causes can include medication effects, thyroid problems, anaemia, electrolyte imbalances, or an abnormal heart rhythm.

Ways To Stop Heart Palpitations
Medically reviewed

Dr. Chrysoula I. Liakou MD, PhD Google Scholar LinkedIn

Internal Medicine Specialist
Cancer Immunology Researcher

How to Calm Heart Palpitations and Reduce Future Episodes


People with heart palpitations may attempt to self-manage the condition with relaxation techniques and exercise. However, if the palpitations are frequent or severe, medical attention should be sought to assess and treat the condition properly.


Symptoms of heart palpitations include:

  • Beating too fast

  • Having an irregular heartbeat

  • Beating abnormally

  • Fluttering

  • Pounding


Heart palpitations can result from alcohol and drug use, strenuous exercise, and other lifestyle choices.


In most cases, they are harmless and do not require medical attention. However, if the symptoms persist, it may indicate an underlying illness, and you may need to consult a doctor.



Perform Relaxation Techniques


Experiencing significant amounts of stress can lead to physical and mental health issues, such as palpitations, which are an awareness of one's heartbeat. Stress can worsen existing palpitations or even cause new ones.


The following relaxation techniques may be advantageous for those seeking to de-stress:

  • Exercising

  • Deep breathing

  • Using guided imagery, which a person can access online

  • Spending time outdoors

  • Taking short breaks from work or school

  • Journaling

  • Meditating

  • Practising yoga



Reduce Or Eliminate Stimulant Intake.


It is possible to experience heart palpitations after using stimulants such as:

  • Tobacco items

  • Illicit substances like cocaine and amphetamines

  • Sure, cold and cough remedies

  • Beverages containing caffeine, like coffee, tea, and soda

  • Appetite-reducing agents

  • Specific medications used for mental health conditions


Palpitations, however, are not caused by all stimulants.



Stimulate The Vagus Nerve.


Increasing vagus nerve activity, which is responsible for connecting the brain to the heart, may be beneficial in reducing vibrations.


An individual can activate the vagus nerve through various techniques known as vagal manoeuvres, including:

  • Performing the Valsalva maneuver by holding one's breath and pushing down, as if having a bowel movement.

  • Apply ice or a cold, damp towel to the face briefly.

  • Splashing the face with cold water.

  • Engaging in chanting, such as "Om."

  • Exhaling forcefully through a partially blocked straw.


A person should consult a doctor before using any of these methods, as they can determine the most appropriate techniques for the individual.



Keep Electrolytes Balanced


Electrolytes are molecules with an electrical charge found throughout the body. They are essential for various processes, especially for controlling the rhythm of the heartbeat.


An inadequate amount of electrolytes in the body can indicate cardiac disorders, leading to heart palpitations.


Consuming foods rich in vitamins, minerals, and other nutrients contributes to a healthy lifestyle. A balanced diet should be rich in fruits, vegetables, and other sources of electrolytes such as potassium, calcium, and magnesium.


Therefore, individuals with a history of medical conditions restricting potassium intake should consult with their doctor before increasing their potassium intake. Too much potassium can lead to arrhythmias and heart palpitations, so it is important to ensure that the amount of potassium in the diet is within safe limits.


It is essential to consult a doctor before trying supplements for nutritional needs, particularly if an individual is also taking prescription medication. Supplements should not be used as a replacement for a balanced, healthy diet.



Stay Hydrated


When the body is dehydrated, it can cause the electrolyte levels to change, which can lead to a decrease in blood pressure. This decrease can result in heart palpitations.


People consume six to eight 8-ounce glasses of water each day. However, the amount of water suggested to be consumed daily will depend on an individual's age, sex, and whether they are pregnant.


Signs of dehydration can include:

  • Increased heart rate

  • Dizziness

  • Dry mouth

  • Thirst

  • Dark urine

  • Dry skin

  • Headaches


If any of these symptoms are observed, it is recommended that an individual drink an entire glass of water.



Avoid Excessive Alcohol Use.


Even small intakes of alcohol can increase the risk of developing atrial fibrillation, characterized by heart palpitations. Research indicates that having as little as 1.2 alcoholic drinks per day can increase the chance of developing this condition.



Exercise Regularly


Regular physical activity can boost cardiovascular health and restore the regularity of the heartbeat. Additionally, exercise can be beneficial in decreasing stress and worry.


Cardiovascular activities can help build strength in the heart, reducing the risk of palpitations.


Forms of exercise that can have positive effects on the body include:

  • Running

  • Jogging

  • Biking

  • Swimming

  • Brisk walking


People with heart disease or irregular heart rhythms should consult their doctor before beginning an exercise program. People with a history of arrhythmias should also consult with their doctor before starting an exercise program.


It is advisable to consult a physician before beginning any exercise program. A doctor can provide advice and guidance.



Additional Treatments


The type of treatment for heart palpitations will be contingent on the underlying cause, such as lifestyle factors, medications, or an underlying medical condition.

  • Premature atrial complexes (PACs)

  • Supraventricular tachycardias (SVTs)

  • Premature ventricular contractions (PVCs)

  • Atrial flutter

  • Atrial fibrillation


If a patient is healthy and has no underlying medical conditions, a physician may provide reassurance that the palpitations are not a cause of concern.


The following medications may help control a person's palpitations and heart rate, however:

  • Calcium channel blockers

  • Beta-blockers

  • Antiarrhythmic medications


A catheter ablation procedure can stop frequent palpitations if medications do not work. During this procedure, a tube is inserted into the heart through a blood vessel.


Additionally, some other potential treatment options include:

  • Surgery

  • Changing medications that may be causing palpitations

  • A pacemaker



When To Speak With A Doctor


If a person is having heart palpitations that last longer than a few seconds, it is recommended that they consult a physician.


The doctor may be able to identify the cause of the palpitations by investigating any possible underlying conditions, such as:

  • Thyroid issues

  • Structural or electrical heart conditions

  • An abnormal heart rhythm, known as arrhythmia

  • Heart failure, in rare cases

  • Anxiety

  • Heart disease

  • Significant anaemia


Additionally, individuals who have experienced a heart attack may be prone to experiencing palpitations.



Diagnosis


They may ask questions about:

  • The age at which the individual initially experienced symptoms.

  • The nature of the person's symptoms.

  • The timing of symptom occurrences.

  • Whether symptoms onset gradually or abruptly.

  • The duration of the symptoms.

  • What provides relief from the symptoms?

  • The presence of any additional symptoms, like fainting, pain, or lightheadedness.

  • The family's medical history.

  • Information regarding their lifestyle and dietary choices, including caffeine and alcohol consumption, physical activity, sleep patterns, and the use of drugs and medications


The healthcare professional will measure the patient's blood pressure and pulse rate, and they will use a stethoscope to listen to the heart.


If the patient is not currently experiencing heart palpitations, they may be asked to tap out the rhythm of the palpitations as they typically present. This can help the doctor to understand the individual's condition better.


The doctor may request blood tests to evaluate electrolyte, hormone, or thyroid concentrations if required.


An electrocardiogram (ECG or EKG) can evaluate the heart's performance and detect potential abnormalities.


Diagnostic testing is used to detect individuals who may be at risk of arrhythmia, such as those with:

  • A history of heart attack

  • Idiopathic dilated cardiomyopathy

  • Heart valve regurgitation

  • Underlying heart disease

 

Summary


Heart palpitations are a common occurrence that a number of different factors can cause. While they can be harmless, they can also indicate an underlying health condition. It is important to seek medical advice if you experience prolonged or frequent palpitations.


People suffering from heart palpitations may find the following helpful:

  • Engaging in specific physical actions, like vagal manoeuvres.

  • Preserving heart health through dietary and lifestyle choices.

  • Sustaining balanced electrolyte levels.

  • Steering clear of stimulants.


If you experience palpitations that last longer than a few seconds or have other symptoms, including chest pain, dizziness, or lightheadedness, it is important to speak with a doctor. These may be signs of a more severe issue that requires medical attention.


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How to Stop Heart Palpitations FAQs

Stop what you are doing, sit or lie down, breathe slowly, and try to relax. Drinking water may help if dehydration is contributing. Avoid taking more caffeine, nicotine, alcohol, decongestants, or other stimulants. Palpitations accompanied by chest pain, fainting, severe breathlessness, or marked dizziness require urgent medical attention rather than self-care.

Water is usually the best choice, particularly if you have been exercising, sweating, drinking alcohol, or not consuming enough fluids. Dehydration can alter blood pressure and electrolyte balance, making the heartbeat feel faster or more noticeable. Avoid energy drinks and large amounts of coffee, tea, cola, or alcohol, as these may trigger or worsen palpitations.

Stress and anxiety can trigger palpitations by increasing adrenaline and raising the heart rate. The heartbeat may feel forceful, fast, fluttering, or irregular, especially during panic, worry, or emotional strain. Slow breathing, meditation, gentle movement, adequate sleep, and reducing ongoing stress may help, but repeated episodes should not automatically be assumed to be anxiety.

Common triggers include caffeinated coffee, tea, energy drinks, cola, alcohol, and sometimes large meals or foods high in sugar. Individual responses vary, so keeping a record of symptoms and recent meals can help identify patterns. Palpitations may also be linked to dehydration or abnormal potassium, magnesium, or calcium levels rather than one particular food.

Abnormal electrolyte levels can interfere with the electrical signals that regulate the heartbeat. Potassium, magnesium, calcium, and sodium all contribute to normal heart rhythm. However, taking supplements without medical advice is not recommended because excessive potassium or other electrolytes can also cause dangerous rhythm disturbances, particularly in people with kidney disease or those taking certain medicines.

Gentle activity may be reasonable when palpitations are brief, familiar, and not accompanied by concerning symptoms, but strenuous exercise should stop until the episode settles. Regular exercise can support cardiovascular health and reduce stress over time. Palpitations triggered consistently by exertion, or associated with chest pain, faintness, unusual breathlessness, or weakness, need medical investigation.

Recurring palpitations may be linked to stress, poor sleep, caffeine, alcohol, dehydration, smoking, medication, thyroid problems, anaemia, or an abnormal heart rhythm. Recording when episodes occur, how long they last, associated symptoms, and possible triggers can support diagnosis. A clinician may recommend blood tests, an electrocardiogram, or longer heart-rhythm monitoring.

Brief, occasional palpitations lasting only a few seconds are often harmless, especially when linked to stress or stimulants. Arrange a medical assessment when episodes are new, increasingly frequent, last several minutes, occur during exercise, or repeatedly interrupt daily activities. The pattern and accompanying symptoms are generally more important than duration alone.

Seek emergency help when palpitations occur with chest pain, fainting, severe shortness of breath, confusion, profound weakness, or persistent dizziness. Urgent assessment is also important when a very fast or irregular heartbeat does not settle, particularly in someone with known heart disease, a previous heart attack, or a history of abnormal heart rhythms.


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