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Published on: 2/5/2026
An irregular heartbeat often feels like a flutter, racing, skipped or heavy thumps, or an uneven rhythm, with atrial fibrillation being a common cause even when there are no obvious symptoms. There are several factors to consider, like how long it lasts, what triggers it, and accompanying signs such as fatigue or shortness of breath; see below to understand more. Because AFib can raise the risk of blood clots, stroke, and heart failure, know the red flags that need urgent care chest pain, severe shortness of breath, fainting, or stroke symptoms and find the full guidance below on diagnosis, treatment options, and the right next steps with your doctor.
When people talk about a “flutter” in the chest, they’re often describing an irregular heartbeat—a sensation that can be surprising, uncomfortable, or even confusing. One of the most common causes of this feeling is Atrial Fibrillation (often called AFib). Understanding what this sensation truly feels like, why it happens, and when it matters can help you respond calmly and wisely.
This guide explains the experience in clear, everyday language, grounded in well‑established medical knowledge used by cardiologists worldwide. The goal is not to alarm you—but also not to minimize something that could be important for your health.
Atrial Fibrillation is a heart rhythm condition where the upper chambers of the heart (the atria) beat in a fast, irregular way. Instead of a steady, coordinated rhythm, the heart’s electrical signals become chaotic.
This can cause:
AFib is common, especially as people get older, and many people live full lives with it—often with treatment and monitoring.
People experience Atrial Fibrillation in different ways. Some feel it clearly. Others barely notice it. Here are the most common descriptions patients use:
These sensations can last:
Importantly, Atrial Fibrillation doesn’t always cause symptoms. Some people only find out they have it during a routine checkup.
While the flutter is the most talked-about feeling, AFib can also affect how your body feels overall. You may notice:
These symptoms happen because the heart isn’t pumping blood as efficiently as it should.
AFib develops when the heart’s electrical system becomes disorganized. Common contributing factors include:
Sometimes, there is no clear cause—this is known as “lone” atrial fibrillation.
Not every flutter is dangerous. Occasional skipped beats can happen in healthy people. However, Atrial Fibrillation deserves attention because it can increase the risk of complications over time.
Potential concerns include:
Seek urgent medical care if an irregular heartbeat is accompanied by:
These symptoms can be life-threatening and should never be ignored.
If AFib is suspected, a doctor may recommend:
Diagnosis is important because treatment decisions depend on your specific heart rhythm and risk factors.
Many people with AFib live well with the right approach. Management often includes:
Your doctor will tailor treatment to your situation—there is no one-size-fits-all plan.
If you’re noticing a flutter or irregular heartbeat and want a calm, medically guided first step, you might consider doing a free, online symptom check for Medically approved LLM Symptom Checker Chat Bot.
This kind of tool can help you:
It does not replace professional medical advice, but it can be a helpful starting point.
You should speak to a doctor if:
Always talk to a healthcare professional about anything that could be life-threatening or serious. Early evaluation can reduce long-term risks and give you peace of mind.
The “flutter” feeling is real—and for many people, it’s the first sign of Atrial Fibrillation. While AFib can sound intimidating, it is a well-studied condition with effective ways to manage it.
Key points to remember:
If your heart is trying to get your attention, it’s worth listening—calmly, thoughtfully, and with professional guidance.
(References)
* Morken IM, et al. The patient's experience of living with atrial fibrillation: A systematic review and meta-synthesis of qualitative studies. Eur J Cardiovasc Nurs. 2021 May;20(4):303-315. doi: 10.1093/eurjcn/zvaa033. Epub 2020 Jun 22. PMID: 32567683.
* Grewal D, et al. Palpitations: a clinical approach to diagnosis and management. Postgrad Med J. 2020 Aug;96(1138):498-504. doi: 10.1136/postgradmedj-2020-137834. Epub 2020 Jun 2. PMID: 32487627.
* Hendriks JM, et al. Patient perspectives on symptom management in paroxysmal atrial fibrillation. Eur J Cardiovasc Nurs. 2017 Aug;16(6):531-537. doi: 10.1177/1474515116688194. Epub 2017 Jan 20. PMID: 28103774.
* Kirchhof P, et al. Symptoms in Patients With Atrial Fibrillation. J Am Heart Assoc. 2022 Jul 5;11(13):e024622. doi: 10.1161/JAHA.121.024622. Epub 2022 Jun 29. PMID: 35767223.
* Sayers M, et al. Understanding Symptom Experience and Self-Care in Patients With Atrial Fibrillation: A Qualitative Systematic Review. J Cardiovasc Nurs. 2020 Nov/Dec;35(6):557-567. doi: 10.1097/JCN.0000000000000676. PMID: 32097034.
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