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Dr Babu Kunadian ยท Consultant Cardiologist

Palpitations & Irregular Heartbeat

Palpitations are when you suddenly notice your heartbeat โ€” it may race, pound, flutter, or seem to skip or add extra beats. They are often caused by everyday triggers, but sometimes by a heart rhythm problem.

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Call 999 or go to A&E if your palpitations do not stop, or you also have chest pain, shortness of breath, or you feel faint or pass out. Do not drive yourself to A&E.

What causes palpitations?

According to the NHS, common triggers include hard exercise, poor sleep, stress and anxiety, some medicines, alcohol, caffeine, nicotine and recreational drugs, as well as menopause and pregnancy.

Palpitations can also be caused by conditions such as iron deficiency anaemia, an overactive thyroid, heart valve disease or a heart rhythm problem (arrhythmia), such as atrial fibrillation.

Normal rhythm โ€” regular beats Atrial fibrillation โ€” heartbeat is not steady
Atrial fibrillation is one heart rhythm problem that can cause palpitations. On an ECG, a normal rhythm is steady; in AF it is irregular. Simplified illustration.

When to get palpitations checked

Heart rhythm conditions Dr Kunadian sees

Tests Dr Kunadian may recommend

Electrocardiogram (ECG)EchocardiogramTransthoracic Echocardiogram (TTE)Stress Echocardiography

All major private medical insurers are accepted, and self-paying patients are welcome. Please check your cover with your insurer before your appointment.

Frequently asked questions

Are palpitations dangerous?
Palpitations are often caused by everyday triggers such as caffeine, alcohol, stress or poor sleep. The NHS advises getting them checked if they keep coming back, last more than a few minutes, or you have a heart condition or a family history of heart problems.
When are palpitations an emergency?
Call 999 or go to A&E if your palpitations do not stop, or you also have chest pain, shortness of breath, or you feel faint or pass out.
Can I have a video consultation?
Yes. Dr Kunadian offers in-person, video and telephone consultations.

Related: Atrial Fibrillation ยท Chest Pain ยท Second Opinion

Sources

Medical information on this page is based on:

Checked October 2026

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This page is general information and does not replace medical advice. If you are worried about your symptoms, speak to your GP. In an emergency, call 999.

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