Butterflies in the Chest: When Palpitations Are More Than Anxiety
We've all felt our heart flutter at some point — before a big speech, during a stressful call, or after that third cup of coffee. But when those “butterflies” in the chest become frequent, intense, or unpredictable, it may be more than just nerves. Heart palpitations can signal arrhythmias, electrolyte imbalances, or even early signs of heart disease.
What Do Palpitations Feel Like?
Most people describe them as:
Fluttering or flip-flopping in the chest
Skipped beats
Racing or pounding
A sensation that the heart is “rolling over”
Some are brief. Others are intense enough to cause dizziness, sweating, or a feeling of impending doom.
Common Causes
Not all palpitations are dangerous. Common (and often benign) triggers include:
Anxiety or panic attacks
Dehydration or electrolyte imbalance
High caffeine intake
Alcohol or stimulant use
Lack of sleep
Fever or illness
Perimenopause or hormonal shifts
However, they can also be a warning sign of:
Atrial fibrillation (AFib)
Supraventricular tachycardia (SVT)
Premature atrial or ventricular contractions (PACs/PVCs)
Hyperthyroidism
Structural heart issues
When to Get It Checked
Call your doctor or seek emergency care if palpitations are:
Accompanied by chest pain, fainting, or severe shortness of breath
Lasting longer than a few minutes
Occurring during rest or sleep
New or worsening over time
Combined with dizziness or fatigue
Diagnosis and Testing
Your doctor may recommend:
EKG or Holter monitor to catch irregular rhythms
Electrolyte panel
Thyroid function tests
Echocardiogram to check for structural issues
Stress test if symptoms occur with exertion
Tactical Takeaway
In high-stress roles, it's easy to dismiss palpitations as anxiety — but when your heart speaks, listen. Even highly trained professionals can develop arrhythmias. If something feels off, get it checked before it becomes an emergency.
Medical Disclaimer: This blog is intended for informational and educational purposes only. It is not intended to diagnose, treat, or replace medical advice from a licensed healthcare provider. Always consult your doctor before starting any new health regimen or interpreting lab results. If you are experiencing a medical emergency, call 911 or go to the nearest emergency room immediately.
