Can hot flushes cause heart palpitations?
Yes, some women feel a rapid, pounding, or irregular heartbeat—known as palpitations—during a hot flush. This is usually harmless but can be alarming.
Detailed Medical Explanation
Oestrogen changes influence the autonomic nervous system, which can trigger an increased heart rate or palpitations along with a hot flush. This is more common in perimenopausal women. While usually benign, persistent or severe palpitations should be checked by a doctor to exclude other causes. See the NHS menopause page.
Clinical Context
Women with known heart conditions or new, severe, or persistent palpitations should seek medical advice. Stress management and avoiding triggers may help reduce symptoms.
Evidence-Based Approaches
NHS lists palpitations among recognised menopause symptoms, often transient and related to hormone changes. NICE menopause guidance.