Heart Palpitations
Sudden, alarming awareness of your heartbeat—racing, fluttering, or skipping beats.
Biological Mechanism
Estrogen modulates autonomic nervous system tone. When estrogen fluctuates wildly, sympathetic nervous system (fight or flight) activity spikes. Palpitations frequently precede or accompany a hot flash as the cardiovascular system initiates aggressive vasodilation to dump heat.
Common Misdiagnoses
Arrhythmia (A-fib), Panic attack, Caffeine sensitivity
Evidence-Based Treatments
- 01HRT
Stabilizes autonomic tone, drastically reducing palpitation frequency.
- 02Cardiology workup
Essential to rule out true structural cardiac arrangements.
Practical Management & Strategies
Heart Palpitations in Perimenopause and Menopause: Causes, Relief, and When to See a Doctor
Experiencing heart palpitations during the menopause transition? Understand how hormones may contribute, evidence-based self-care, red flags, and how to prepare for a clinician visit.
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Periwell vs Midday: AI Head-to-Head
A comparison of the two most advanced AI models in the perimenopause space.
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Heart Palpitations: When It’s Hormones and When to See a Doctor
Sudden racing or fluttering in your chest can be alarming. Learn how perimenopause affects your heart rhythm and when to seek medical advice.
Read Strategy →