Symptoms of heart palpitations include:
Anxiety activates your body’s autonomic nervous system (ANS). Your ANS regulates body functions, including:
When a situation causes anxiety, your ANS triggers your body’s fight or flight response. Besides heart palpitations, you may experience:
Your healthcare provider will see if there are obvious patterns or circumstances that are common to the episodes of palpitations. They’ll listen to your heart to check for murmurs or other abnormal sounds. They’ll ask about:
Sometimes, the story you provide is enough to make a diagnosis that anxiety caused the palpitations. In other cases, your provider may recommend extra testing. Your provider may suggest a blood test (complete blood count or CBC) to check for anemia or low potassium (hypokalemia). They may also look for a thyroid problem or other health issues that could cause heart palpitations. They may order an electrocardiogram or request a wearable rhythm monitor if they suspect a heart problem is causing your palpitations.
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Your provider will want to make sure that anxiety-related palpitations aren’t dangerous. They may recommend other tests, like:
If a Holter monitor doesn’t show unusual heart rhythms, your provider may give you an event recorder. You can wear this recorder for weeks. You press a button to record any heart sensations that you feel.
If your healthcare provider diagnoses you with anxiety and heart palpitations, they may suggest:
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Palpitations from anxiety aren’t harmful to your body, but they can create uncomfortable feelings. Following these suggestions may help reduce the severity of heart palpitations from anxiety. These methods include:
Many people have heart palpitations from situational anxiety that happens now and then. You can use relaxation strategies to successfully manage this anxiety. These strategies can slow down your heart rate in the moment.
If you have heart palpitations because of chronic (long-term) anxiety disorders, there’s hope. You can manage your anxiety with proper treatment. A good team of healthcare providers can help you build a coping strategy.
If you suspect another health condition is causing palpitations — with or without anxiety — talk to your provider about treatment. To relieve your symptoms, your provider will treat the cause. You may also benefit from anxiety-relieving therapies.
You may not be able to totally prevent heart palpitations from anxiety. But you may be able to reduce how often they happen and how severe they are.
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First, pay attention to your triggers, like performing in public, getting on a plane or making a phone call. Then, you can make a plan to lessen your anxiety around these situations. Relaxation techniques, medication and therapy can all help to prevent future episodes.
Talk to your provider if you have heart palpitations from anxiety but no other symptoms. Always discuss any new symptoms with your provider.
Seek emergency care right away if you have heart palpitations and:
Questions to ask your provider may include:
A stressful situation like hearing bad news about a loved one can set off anxiety and heart palpitations. Having emotions is part of being human. But some people experience palpitations only in certain stressful situations, while others have palpitations more frequently. Talk to a provider about ways to reduce heart palpitations and anxiety with relaxation techniques or other treatments. Asking for help isn’t a sign of weakness. It means you’re speaking up for yourself.
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Last reviewed on 08/12/2024.
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