Heart Palpitations — Menopause Providers Across Canada

Heart palpitations—often described as a fluttering, pounding, or racing heartbeat—can occur during perimenopause and menopause. These sensations can be unsettling, especially when they happen unexpectedly or without a clear trigger. Hormonal fluctuations, particularly changes in estrogen, can affect the cardiovascular and nervous systems, contributing to palpitations. They may also be linked to stress, anxiety, caffeine intake, or sleep disruption. In many cases, palpitations during menopause are benign. However, it’s important not to ignore them—especially if they are frequent, severe, or accompanied by symptoms such as dizziness, chest pain, or shortness of breath. A medical evaluation can help rule out underlying heart conditions or other causes. Management strategies may include reducing triggers (such as caffeine or stress), improving sleep, and supporting overall cardiovascular health. In some cases, hormone therapy or other medical treatments may be considered. Understanding the cause of palpitations can provide reassurance and help guide appropriate care. While often harmless, heart palpitations should always be taken seriously and properly assessed. The providers listed below can help evaluate your symptoms and guide you toward safe and effective management options.