Heart palpitations but Normal ECG – CAUSES N’FIX!

Heart palpitations but normal ECG are typically caused by stress and anxiety.

It is normal to experience palpitations even when your Echo and Ecg are normal. Palpitations make you feel like your heart is beating too hard or too fast, skipping a beat, or fluttering.

It is quite possible you may first observe this in your chest then in your neck, or throat. Experiencing it for the first time could be scary and make some people shit their pants in confusion.

Most times, they aren’t harmful or serious though and often go away on their own. Anxiety or stress are the main culprits.

Similarly, overconsumption of nicotine, caffeine, or alcohol could also trigger palpitations in your body system.

I’ve had a few episodes of heart palpitations and they are very scary and have definitely triggered anxiety issues. One thing that has helped to calm them down is box breathing on a regular basis. I hope it helps someone else as well.

Step 1: Breathe in counting to four slowly. Feel the air enter your lungs.
Step 2: Hold your breath for 4 seconds. Try to avoid inhaling or exhaling for 4 seconds.
Step 3: Slowly exhale through your mouth for 4 seconds.
Step 4: Repeat steps 1 to 3 until you feel re-centered.

Palpitations can also happen when you’re pregnant. If that is the case, the causes could be anxiety and/or gastritis.

You will need antacids to control the situation and the following may help too:

  • Increasing your daily intake of water to 3 liters, minimum.
  • Avoid or reduce consumption of fatty, junk, spicy, fried, and oily food
  • Exercise more often. I’m talking 30-45 minutes per session each day
  • Quit or limit consumption of beverages such as tea, coffee, and carbonated drinks to once a day. I recommend twice per week.
  • Avoid/Stop smoking and drinking rum, beer, wine, or anything alcoholic if you have the habit
  • Reduce stress through methods such as yoga/meditation/tai-chi.

If the condition persists or worsens visit the ER at the earliest.

Then follow the steps as advised in the next section below.

Heart Palpitations But Normal Ecg – A First Aid Approach to solving the Problem

Increased heartbeat or palpitations are sensations or feelings that your heart is racing or pounding.

You can typically feel this sensation in your neck, throat, or chest.

Place your hand in those areas and you’d have an unpleasant awareness of your own heartbeat or may feel like your heart skipped or stopped beating.

The heart’s rhythm may be normal or abnormal when you have palpitations.

The normal heartbeat rate is 60-100 times per minute. The rate may drop below 60 beats per minute in people that take medicines that slow the heart or routinely exercise.

If your heart rate is fast (over 100 beats per minute), this is called tachycardia. A heart rate slower than 60 is called bradycardia. An occasional extra heartbeat is known as extrasystole.

I bet you didn’t know these facts, haha.

Palpitations are not serious most of the time. Sensations representing an abnormal heart rhythm (arrhythmia) may be more serious.

If you suffer from intermittent tachycardia/arrhythmia, you may need to get yourself checked. Intermittent Tachycardia / Arrhythmia means that intermittently your heart rate increases or the heart Rhythm changes which can be dangerous if it does not get corrected on its own. Or it can be an early sign of impending heart disease.

For a successful diagnosis, you need to get an ECG done while you’re experiencing the rhythm problem or you can get Holter monitoring for 24 hours during which if you have this episode, it will get registered and documented.

Heart palpitations but Normal ECG

Lastly, you should get a full lipid profile done as well as blood sugar, thyroid levels check alongside an echocardiogram to look for risk factors.

Once you have done all that, get back to your doctor with reports for a detailed consultation.


Watch these simple explanatory videos for underlying the problem.

1) Chest pain – must know

2) Heart failure

3) Difference between heart attack and heart blocks vs heart failure

Author: Dr. Janet Hicks

Dr. Janet Hicks is an addiction medicine physician trained and certified to provide comprehensive care for addiction and substance-related disorders, including the diagnosis, treatment, and prevention of such health conditions. With more than 25 years of experience, Doctor Janet Hicks helps you by providing all information required to educate yourself about substance detox and recovery.

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