What are the links between the two?
Menopause brings a wide range of symptoms, some of which are well-known—such as hot flushes, night sweats, and mood swings. However, one symptom that often surprises women is menopause related heart palpitations. If you’ve experienced a racing, fluttering, or pounding heart, you may be wondering whether menopause is the cause and whether it’s something to worry about.
What Are Heart Palpitations?
Heart palpitations are sensations of an irregular or unusually fast heartbeat. They can feel like:
A fluttering sensation in the chest.
A racing heartbeat (even when resting).
A skipping or pounding heartbeat.
While palpitations can be alarming, they are often harmless. However, if they are persistent or accompanied by other symptoms like dizziness, chest pain, or shortness of breath, medical advice should be sought.
How Does Menopause Cause Heart Palpitations?
The main reason why menopause heart palpitations occur is due to hormonal fluctuations—particularly a decline in oestrogen levels.
1. Decline in Oestrogen Levels
Oestrogen helps regulate blood circulation and keeps blood vessels flexible. As levels drop during menopause, the nervous system may become more reactive, leading to increased heart rate and irregular heartbeats.
2. Hot Flushes and Anxiety
Many women notice that heart palpitations occur alongside hot flushes or moments of anxiety. This is because the body’s stress response is heightened during menopause, leading to adrenaline spikes that can cause the heart to race.
3. Changes in Blood Pressure and Circulation
Hormonal changes can cause blood pressure fluctuations, which may trigger palpitations. Some women experience low blood pressure episodes, while others develop high blood pressure, both of which can affect the heart’s rhythm.
4. Sleep Disruptions and Fatigue
Poor sleep—often due to night sweats and insomnia—can put extra strain on the cardiovascular system, increasing the likelihood of experiencing heart palpitations.
Are Menopause Heart Palpitations Dangerous?
In most cases, heart palpitations during menopause are not dangerous and are linked to temporary hormonal changes. However, it’s important to be aware of symptoms that may require medical attention.
When to See a Doctor
Seek medical advice if palpitations are accompanied by:
Dizziness or fainting.
Irregular heartbeat that lasts for an extended period.
These symptoms could indicate an underlying heart condition or other health issues that need further evaluation.
How to Manage Heart Palpitations During Menopause
If your palpitations are linked to menopause, there are several steps you can take to reduce their frequency and intensity.
1. Lifestyle Changes
Stay Hydrated – Dehydration can make palpitations worse. Drink plenty of water throughout the day.
Reduce Stimulants – Caffeine, alcohol, and nicotine can trigger irregular heartbeats. Cut back on coffee and limit alcohol intake.
Maintain a Healthy Diet – Avoid processed foods high in sugar and refined carbohydrates, as blood sugar spikes can contribute to palpitations.
2. Stress and Anxiety Management
Since anxiety and stress can exacerbate palpitations, try:
Breathing Techniques – Slow, deep breathing exercises can help calm the nervous system.
Meditation & Yoga – Both practices promote relaxation and may help regulate heart rate.
Regular Exercise – Moderate exercise improves cardiovascular health, but avoid excessive high-intensity workouts if they trigger palpitations.
3. Improve Sleep Quality
Keep your bedroom cool to reduce night sweats.
Avoid heavy meals and screen time before bed.
Try relaxation techniques to help you wind down.
4. Consider Medical Treatments
Hormone Replacement Therapy (HRT) – HRT can help stabilise hormone fluctuations, potentially reducing palpitations. Discuss this option with your doctor. (NHS - HRT Overview)
Beta-Blockers or Other Medications – If palpitations are persistent, your doctor may prescribe medication to regulate heart rate.
How Menopause Affects Heart Health Long-Term
Although menopause-related palpitations are usually harmless, declining oestrogen levels can increase the risk of cardiovascular disease over time. This is because oestrogen plays a protective role in:
Keeping arteries flexible and promoting healthy circulation.
Regulating cholesterol levels to prevent plaque build-up.
Reducing inflammation that can lead to heart disease.
To protect your heart health post-menopause:
Monitor blood pressure and cholesterol levels regularly.
Follow a heart-healthy diet with plenty of whole foods, omega-3s, and fibre.
Maintain regular physical activity, focusing on cardiovascular exercises.
If you have concerns about your heart health, consider speaking to a specialist who can assess your risks and provide tailored advice.
When to Seek Menopause Help for Heart Palpitations
If you’re experiencing persistent menopause heart palpitations, seeking professional guidance can provide peace of mind. A menopause specialist can help:
Identify whether hormonal changes are the cause of your symptoms.
Recommend lifestyle changes or medical treatments.
Rule out underlying heart conditions that may need attention.
For expert advice and tailored menopause care, Surrey Menopause Clinic in Kingston offers specialist support for women experiencing heart palpitations and other menopause symptoms.
Contact us here to book a consultation and get the right help for your menopause journey.
Final Thoughts on Menopause and Heart Palpitations
Menopause can cause temporary heart palpitations due to hormonal fluctuations, but in most cases, they are harmless. Lifestyle adjustments, stress management, and, in some cases, medical treatments can help reduce their frequency and intensity.
If you are experiencing persistent palpitations or are concerned about your heart health, don’t hesitate to seek professional support. Taking proactive steps now can improve both your menopause experience and long-term cardiovascular health.
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