💓 When Your Heart Skips a Beat: Understanding Heart Arrhythmias in Perimenopause
Ever feel your heart flutter, pound, or suddenly race—only to calm back down minutes later? If you're in perimenopause, this unsettling sensation might not be your imagination. It could be a heart arrhythmia, and yes—hormones may be playing a role.
⚠️ What is a Heart Arrhythmia?
A heart arrhythmia is simply an irregular heartbeat. It can feel like:
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Skipped beats
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Extra beats
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A fluttering or pounding sensation
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A sudden “rush” in your chest
Many arrhythmias are benign, especially in healthy women, but during perimenopause, they can show up more frequently and more noticeably.
🔄 The Hormone Connection
As estrogen and progesterone fluctuate, they can affect your cardiovascular system in several ways:
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Estrogen helps regulate blood vessels and heart rhythm. A sudden drop may lead to palpitations.
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Progesterone has a calming effect on the nervous system. When levels fall, your heart may become more sensitive to adrenaline and stress.
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Anxiety and sleep loss (both common in perimenopause) can amplify how arrhythmias feel.
✅ What Can You Do?
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Track your symptoms.
Keep a log of when arrhythmias happen, how long they last, and any related triggers (caffeine, stress, cycle day, etc.). -
Rule out other causes.
Ask your provider to check your iron, thyroid, B12, and electrolyte levels—all of which can influence heart rhythm. -
Limit stimulants.
Cut back on caffeine, alcohol, and sugar, especially before bed. -
Manage stress.
Gentle breathwork, walking, or even magnesium glycinate can help calm your nervous system and reduce flutters. -
Talk to your provider.
While most perimenopausal arrhythmias are harmless, it’s important to rule out anything serious. An EKG or Holter monitor can offer peace of mind.
💬 Final Thought
Heart arrhythmias in perimenopause can be scary, but they’re often just a sign your body is adjusting to hormonal changes. You’re not alone, and you’re not broken. With support, education, and a little self-care, you can feel steady and safe again.
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