Evidence-informed content reviewed for accuracy and safety
Yes. Anxiety releases adrenaline, which directly increases your heart rate and can cause your heart to pound, race, flutter, or skip beats. This is one of the most common and most frightening anxiety symptoms.
Adrenaline is designed to prepare your body for physical action. It binds to receptors in your heart, increasing both the rate and force of contractions. You may feel your heart pounding in your chest, throat, or neck. Anxiety can also cause premature atrial or ventricular contractions (PACs/PVCs) - harmless skipped beats that feel alarming but are not dangerous.
While anxiety is a common cause of heart palpitations, other conditions can produce similar symptoms:
Seek medical attention if you experience any of the following:
Paula is an AI wellness companion that can help you understand the connection between anxiety and physical symptoms. Through guided CBT exercises and breathing techniques, Paula helps you manage anxiety before it produces uncomfortable physical effects. Available 24/7, no waitlist required.
Paula is not a substitute for professional medical or mental health care. If you are experiencing new or concerning symptoms, please consult a healthcare provider.
Start Talking to PaulaIn the vast majority of cases, no. Anxiety palpitations are uncomfortable but harmless. Your heart is designed to handle temporary rate increases. If palpitations are new, frequent, or come with other symptoms, a doctor can do simple tests to confirm.
Yes, if anxiety is sustained. Some people experience intermittent palpitations throughout the day during highly anxious periods. Addressing the underlying anxiety is the most effective long-term solution.
Browse all anxiety symptom articles, explore mental health guides, see all conditions we support, read sleep & night anxiety articles, or explore "Is it normal?" articles.
Paula is an AI wellness companion available 24/7. No appointments, no waitlists - just compassionate, evidence-informed support whenever you need it.
Paula is not a substitute for professional mental health care. If you are in crisis, please contact a licensed professional or crisis line.
Get Started FreeStruggling with anxiety heart palpitations? Talk to Paula for free.
Try Free