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That sudden flip, flutter, or pounding in your chest — a palpitation — can be unsettling, but it’s often harmless. Knowing the common triggers, and the warning signs that aren’t, helps you respond calmly and appropriately.
Seek urgent care if palpitations come with chest pain, fainting or near-fainting, severe shortness of breath, or if they are sustained or rapidly recurring. When in doubt about chest symptoms, call 911.

What do palpitations feel like?

People describe palpitations as a skipped beat, an extra or “flip-flop” beat, a racing or pounding heart, or a fluttering sensation. Many are caused by premature beats, which are common and usually benign in people with otherwise healthy hearts.

Common, usually harmless triggers

  • Caffeine and energy drinks
  • Stress and anxiety — a very frequent cause
  • Lack of sleep and fatigue
  • Nicotine and alcohol
  • Dehydration
  • Intense exercise or the recovery period afterward
Cutting back on triggers often reduces how often palpitations occur.

When palpitations need evaluation

Even if individual episodes feel minor, see a doctor if palpitations are frequent, prolonged, or worsening, or if you have a history of heart disease. Get emergency care if they’re accompanied by chest pain, fainting, or severe breathlessness — these can signal a more serious rhythm problem like atrial fibrillation or another condition.

How a home EKG helps

Palpitations are notoriously hard to catch in a doctor’s office because they come and go. Recording a single-lead EKG trace during an episode — plus noting when it happened, how long it lasted, and what you were doing — gives your doctor objective information. The SonoHealth EKGraph is built for exactly this kind of in-the-moment capture you can share later.

Track it for your doctor

Keep a simple log of episodes and triggers alongside any EKG recordings. Patterns often emerge that help guide evaluation — and remember to seek emergency care for chest pain or fainting rather than waiting to record.
Related: Home EKG Monitoring · Atrial Fibrillation Explained · Normal Heart Rate and Rhythm · Magnesium and Palpitations