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Heart Racing or Skipping Beats? Palpitations Care in Beaumont

Palpitations are the feeling that your heart is pounding, racing, fluttering or skipping. They are often harmless and linked to caffeine, stress or exercise. They need emergency attention when they come with chest pain, shortness of breath, fainting or dizziness, or when they will not stop. Eastex Emergency Room in Beaumont is open 24/7 and can record your heart rhythm while symptoms are happening.

Racing heartbeatSkipped beatsFluttering in the chestDizziness or fainting
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Call 911 if palpitations come with any of these

These combinations can mean a dangerous heart rhythm or a heart attack. Let EMS come to you; paramedics can monitor and treat your rhythm on the way.

  • Chest pain, pressure or tightness
  • Shortness of breath
  • Fainting or nearly fainting
  • Dizziness or lightheadedness that does not pass
  • Unusual sweating
  • Confusion or sudden weakness
  • A racing heart that will not slow down after several minutes of rest
  • Known heart disease with new or different palpitations

Do not drive yourself if you have any of these symptoms. Call 911.

Symptoms

What palpitations can feel like

People describe palpitations in many ways. You may feel them in your chest, throat or neck. The heart’s rhythm can be normal or abnormal when you feel them.

  • Pounding, as if you can feel every beat
  • Racing, even when sitting still
  • Fluttering or flip-flopping
  • A pause, then a hard beat
  • Skipped or extra beats
  • Beating that feels irregular or chaotic
  • A thumping in the neck
  • Palpitations that start and stop suddenly
  • Palpitations at night when lying down
  • Anxiety along with the racing feeling

Possible Causes

Common and less common causes

Many causes are not dangerous, but some heart rhythm problems need treatment. The pattern of symptoms helps, but an EKG is usually needed to know for sure.

Everyday triggers

Caffeine, nicotine, alcohol, energy drinks, stress, poor sleep, exercise and some cold medicines.

Heart rhythm problems

Atrial fibrillation, supraventricular tachycardia and other arrhythmias, some of which need prompt treatment.

Other medical causes

Dehydration, anemia, an overactive thyroid, low potassium, fever, pregnancy and some medicines or drugs.

You cannot tell the rhythm by how it feels: a harmless extra beat and a serious arrhythmia can feel similar, and some dangerous rhythms cause few symptoms. The most useful test is an EKG recorded while the symptoms are happening, which is one reason not to wait for an episode to pass before getting checked when you have warning signs.

Your Evaluation

How the ER evaluates palpitations

The first goal is to see your heart rhythm and make sure it is safe. The second is to look for a cause.

  1. An EKG early. A quick, painless tracing of the heart's electrical activity, ideally while you feel symptoms.
  2. Monitoring. Your rhythm may be watched on a monitor for a period of time.
  3. History. When it started, how long it lasts, triggers, caffeine, alcohol, medicines and supplements, and family history.
  4. Blood tests. These can check potassium and other electrolytes, blood count, thyroid and heart markers when indicated.
  5. Treatment if needed. Some fast rhythms can be slowed with simple maneuvers or medicine.
  6. Follow-up plan. Many people are referred for longer rhythm monitoring or to a cardiologist.

Testing available on site

EKG and monitoring

A tracing of your heart rhythm, repeated if needed.

Lab testing

Blood and urine tests run on site.

X-ray

Imaging for bones, chest and some foreign bodies.

IV fluids and medicine

Fluids and medicines through an IV when you need them.

The tests above are the diagnostic services Eastex ER lists on its own service pages. Not every patient needs every test. The emergency physician decides what to order based on your history and exam, and a normal result does not rule out every cause. Always follow your discharge instructions and the follow-up plan you are given.

When you may need a hospital or cardiologist

Eastex ER is a freestanding emergency room. It does not have a cardiac catheterization lab, a cardiology unit or inpatient beds. If testing shows a heart attack, a dangerous rhythm, or a condition that needs a cardiologist or hospital monitoring, the team stabilizes you and arranges transfer.

  • For chest pain or fainting with palpitations, call 911 so EMS can choose the right hospital.
  • Longer-term tests, such as wearable heart monitors, are usually arranged by your primary care doctor or a cardiologist.

What to do while palpitations are happening

If you have none of the 911 warning signs, sit or lie down, breathe slowly, and pay attention to how you feel. Try to note the time it started. If you have a home blood pressure cuff or a smartwatch that shows heart rate or rhythm, a reading can be useful information for the doctor, but it does not replace an EKG. Avoid more caffeine, nicotine and energy drinks.

Information that helps the doctor

  • Does it start and stop suddenly, or build up and fade gradually?
  • Is the beat fast and regular, or fast and irregular?
  • How long does each episode last, and how often does it happen?
  • What were you doing when it started, and did anything make it stop?
  • Any new medicines, decongestants, supplements, weight-loss products or recent drug or alcohol use?
  • Any family history of heart rhythm problems or sudden death at a young age?

Palpitations that can wait for your own doctor

Occasional brief skipped beats, without other symptoms, in someone without heart disease are common. They still deserve a conversation with your primary care doctor, especially if they are new, happen more often, or worry you. Your doctor may suggest reducing caffeine and alcohol, improving sleep, and may order tests or a heart monitor.

Who should have a lower threshold to get checked

People with known heart disease, a past heart attack, heart failure, a heart valve problem, high blood pressure, diabetes, thyroid disease, or who are pregnant, should get new or different palpitations evaluated promptly. So should anyone whose palpitations come with exercise, or who has a family history of sudden cardiac death.

Planning Your Visit

Before you come in

Bring a list of every medicine and supplement you take, and any heart monitor or smartwatch readings you captured during symptoms.

Find us

5550 Eastex Fwy, Suite C, Beaumont, TX 77708. Open 24 hours, every day. Call 409-800-1100.

What to bring

Photo ID, insurance card and a list of your medicines and allergies, if you can grab them safely.

Insurance

See which plans we work with and what to expect as a freestanding emergency room.

Billing

How emergency visits are billed, and who to contact with questions about a bill.

FAQs

Heart palpitation questions

Short answers to questions people ask before they come in.

Not sure what to do?

If symptoms are severe or getting worse, call 911. For questions about coming in, call Eastex ER any time.

409-800-1100

Go now, or call 911, if palpitations come with chest pain, shortness of breath, fainting, dizziness, sweating or confusion, or if a fast heartbeat will not settle with rest. Brief, occasional palpitations without other symptoms can usually be checked by your doctor.

Yes, stress and anxiety are common triggers. But anxiety can also be a reaction to a real rhythm problem, so new or severe palpitations should not be assumed to be anxiety without an evaluation.

Yes. Caffeine, nicotine and other stimulants are common triggers. Cutting back often helps.

The doctor may still find useful clues on an EKG and in blood tests, and may recommend a heart monitor you wear at home to catch the next episode.

It depends on the cause and how you feel. Fever, dehydration, pain and anxiety can raise heart rate. A fast rate with chest pain, breathlessness or dizziness needs emergency care.

Some watches can flag a possible irregular rhythm, but a diagnosis needs an EKG reviewed by a clinician.

Keep Reading

Related guides

More from Eastex ER on deciding where to go and what to expect. Browse every guide in our health resources library.

Heart racing and something feels off? Get an EKG now.

Eastex Emergency Room is open 24/7 at 5550 Eastex Fwy, Suite C, Beaumont, TX 77708. Walk in or call 409-800-1100. For a life-threatening emergency, call 911.

Sources

  1. MedlinePlus: Heart palpitations
  2. NHLBI: Arrhythmias
  3. MedlinePlus: Atrial fibrillation or flutter

Last updated:

This page is general education and does not replace an exam by a clinician. If you think you are having a life-threatening emergency, call 911.