Butterflies in the Chest: When Palpitations Are More Than Anxiety

Heart Health Education
Written By Alex Lowery

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.

Alex Lowery

Alex Lowery is an entrepreneur, brand strategist, and the founder of Rural Changemakers, a platform built for the dreamers and doers shaping the future of small-town America. Based in Wesson, Mississippi, Alex blends her background in agricultural communications, digital marketing, and leadership development to empower rural leaders, small business owners, and changemakers to build bold brands, sustainable businesses, and purpose-driven lives.

With over a decade of experience and multiple ventures under her belt — including Middle of the Field Media, Sweet Bliss Candy Company, and Bat Sweet Crazy — Alex knows firsthand what it takes to grow something meaningful in the middle of nowhere. Through blog posts, podcast episodes, and practical resources, she shares real stories, rural strategies, and a whole lot of encouragement to help others break the cycle of “that’s how we’ve always done it” and start building what matters, right where they are.

https://alexjlowery.com
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