Periwell
Category: VasomotorClinical Profile

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.