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Published on: 11/18/2024

Is There a Way to Calm Down When You Feel Heart Palpitations From Anxiety or Stress?

When experiencing heart palpitations due to anxiety or stress, there are effective techniques to help calm down. Practices such as deep breathing, meditation, and mindfulness can significantly reduce symptoms and promote relaxation.

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Explanation

Deep Breathing Exercises:

One of the simplest and most effective ways to calm heart palpitations is through deep breathing exercises. Slow, controlled breathing can help lower heart rate and improve heart rate variability, which is a measure of the heart's ability to respond to stress. Research shows that voluntary slow breathing can activate the body's relaxation response, reducing feelings of anxiety and stress. To practice deep breathing, try the following technique:

  • Find a comfortable position, either sitting or lying down.
  • Inhale deeply through your nose for a count of four, allowing your abdomen to rise.
  • Hold your breath for a count of four.
  • Exhale slowly through your mouth for a count of six.
  • Repeat this cycle for several minutes until you feel more relaxed.

Meditation and Mindfulness:

Meditation and mindfulness practices can also be beneficial in managing anxiety and heart palpitations. Engaging in meditation helps focus the mind and can lead to a decrease in heart rate and blood pressure (Peng et al., 2004). Mindfulness involves being present in the moment and observing your thoughts and feelings without judgment, which can help reduce anxiety levels. To practice mindfulness:

  • Sit in a quiet place and close your eyes.
  • Focus on your breath, noticing the sensation of air entering and leaving your body.
  • If your mind wanders, gently bring your focus back to your breath.
  • Continue this practice for 5-10 minutes.

Physical Activity and Relaxation Techniques:

Incorporating regular physical activity into your routine can also help manage anxiety and reduce the frequency of heart palpitations. Exercise releases endorphins, which are natural mood lifters. Additionally, relaxation techniques such as yoga or tai chi can promote calmness and improve overall well-being.

(References)

  • Peng CK, Henry IC, Mietus JE, Hausdorff JM, Khalsa G, Benson H, Goldberger AL. Heart rate dynamics during three forms of meditation. Int J Cardiol. 2004 May;95(1):19-27. doi: 10.1016/j.ijcard.2003.02.006. PMID: 15159033.

  • Dossett ML, Needles EW, Donahue Z, Gadenne G, Macklin EA, Ruskin JN, Denninger JW. A SMART approach to reducing paroxysmal atrial fibrillation symptoms: Results from a pilot randomized controlled trial. Heart Rhythm O2. 2021 Jun 22;2(4):326-332. doi: 10.1016/j.hroo.2021.06.003. PMID: 34430937; PMCID: PMC8369288.

  • Laborde S, Allen MS, Borges U, Dosseville F, Hosang TJ, Iskra M, Mosley E, Salvotti C, Spolverato L, Zammit N, Javelle F. Effects of voluntary slow breathing on heart rate and heart rate variability: A systematic review and a meta-analysis. Neurosci Biobehav Rev. 2022 Jul;138:104711. doi: 10.1016/j.neubiorev.2022.104711. Epub 2022 May 24. PMID: 35623448.

  • Garg P, Mendiratta A, Banga A, Bucharles A, Victoria P, Kamaraj B, Qasba RK, Bansal V, Thimmapuram J, Pargament R, Kashyap R. Effect of breathing exercises on blood pressure and heart rate: A systematic review and meta-analysis. Int J Cardiol Cardiovasc Risk Prev. 2023 Dec 27;20:200232. doi: 10.1016/j.ijcrp.2023.200232. PMID: 38179185; PMCID: PMC10765252.

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Dr. Kenji Taylor

Family Medicine, Primary Care Roots Community Health Center, Hippo Education, Kameda Medical Center

Kenji Taylor, MD

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