8 Tips for Coping with Anxiety-Induced Heart Palpitations

by Eileen Bailey Health Writer

Heart palpitations are a common symptom of anxiety. Palpitations are often described as an unusual awareness of the heartbeat or feeling your heart pounding or racing. While palpitations are rarely serious, if you are experiencing these, it is a good idea to get checked by your doctor as sometimes palpitations can signal arrhythmia, tachycardia, bradycardia or atrial fibrillation.

Female patient consulting doctor.

Rule out underlying medical causes

Talk with your doctor to make sure there are no underlying medical causes. Knowing there is nothing wrong may help you relax when you do get palpitations. Besides possible heart conditions, there are other health issues that may cause palpitations. Among them are anemia, low blood pressure, dehydration, and an overactive thyroid condition. Hormonal changes in women, during menstruation, pregnancy, and perimenopause, can also cause palpitations.

Man clutching at chest.

Know the symptoms

Understand what additional symptoms may signal a heart condition and require medical care. For example, if you have dizziness, fainting, chest pain, or shortness of breath, you should immediately contact your doctor or visit an emergency room.

Doctor holding and writing on clipboard.

Be aware of medication side effects

Check with your doctor or pharmacist if you are taking any medications, even over-the-counter medications, as some may cause or contribute to your palpitations. For example, diet pills, asthma inhalers, thyroid medications, decongestants, and some herbal and dietary supplements may cause palpitations.

Man with head down and hands on head, work stress.

Reduce stress levels

Try to reduce your stress levels. Emotional stress is one of the most common causes of heart palpitations. When you begin to feel palpitations, take steps to relax. Methods such as deep breathing can help you relax. Other stress relief strategies, such as meditation, guided imagery or yoga can help reduce your overall feeling of anxiety when practiced on a daily basis.

Cup of coffee on roasted coffee beans.

Avoid trigger substances

Avoid caffeine, alcohol and nicotine, which can all be triggers for palpitations.

Woman tying running shoe before workout.


Add exercise to your daily routine. Even 15-20 minutes of exercise each day has been found to reduce anxiety levels all day.

Woman writing in her personal health journal.

Write it down

Keep a record of your palpitations. This will help you find triggers, and if there is a medical problem, this information will help your doctor better understand exactly what is going on and better treat your condition.

Woman speaking to therapist.

Seek anxiety treatment

Seek treatment for anxiety. As you learn to manage your anxiety and stress levels, your palpitations should decrease or go away.

Eileen Bailey
Meet Our Writer
Eileen Bailey

Eileen Bailey is an award-winning author of six books on health and parenting topics and freelance writer specializing in health topics including ADHD, Anxiety, Sexual Health, Skin Care, Psoriasis and Skin Cancer. Her wish is to provide readers with relevant and practical information on health conditions to help them make informed decisions regarding their health care.