Heart palpitations are a symptom in which you notice irregular heartbeats.

Due to the pregnant person’s changing body, heart palpitations can increase during pregnancy.

Your heartbeat may flutter, race, skip, or pound at times.

A pregnant person feeling palpitations checks their heart rate

Jajah-sireenut / Getty Images

While mostheart palpitationsare not concerning, some are.

Jajah-sireenut / Getty Images

Duringpregnancy, the cardiovascular system undergoes several changes.

Blood volume (the amount of blood circulated through the body) increases by almost 50%.

Renita White, MD

Heart rate increases by 10 to 20 beats per minute.

Hormonal changes also affect the cardiovascular system.

These changes create more work for the heart and can increase heart palpitations felt by pregnant people.

Worrisome Palpitation Symptoms

Frequently, heart palpitations are not concerning and do not need treatment.

However, some worrisome symptoms need to be evaluated by a healthcare provider.

How to Manage Heart Palpitations

Most heart palpitations do not need treatment.

The lifestyle changes that can manage heart palpitations are:

Some heart palpitations need treatment.

A healthcare provider will evaluate the heart palpitations through several diagnostic tests like anelectrocardiogram (EKG).

Once the pop in of heart palpitations is determined, the provider may prescribe appropriate treatment.

Pregnant people withsupraventricular tachycardia(SVT) will generally be treated with conservative measures like beta blockers.

If those treatments are not successful, intravenous adenosine will be given.

A small amount of electrical energy during cardioversion can reach the fetus.

However, if they continue after pregnancy, it’s time to contact a healthcare provider.

Heart palpitationsshould be evaluated by acardiologist(a specialist in heart conditions).

Summary

During pregnancy, the body goes through many changes.

One of those changes involves the heart and cardiovascular system.

With these changes and added stress to the heart, the person may experience heart palpitations.

Safavi-Naeini P, Sorurbakhsh NZ, Razavi M.Cardiac arrhythmias during pregnancy.Texas Heart Institute Journal.

2021;48(4):e217548.

doi:10.14503/THIJ-21-7548

Northwestern Medicine.Cardiac signs and symptoms during pregnancy.

American Heart Association.Symptoms, diagnosis, and monitoring of heart arrhythmia.

University of New Mexico Health.How pregnancy affects the heart.

Harvard Health.Heart palpitations: identifying possible causes and managing triggers.

National Heart, Lung, and Blood Institute.Living with arrhythmias.

American Heart Association.All about heart rate.

Chan School of Public Health.Understanding exercise patterns and heart rate throughout pregnancy.