a heartbeat that is unusually rapid, strong, or irregular enough to make a person aware of it, usually over 120 beats per minute, as opposed to the normal 60 to 100 per minute. In most cases, it is the result of excitement, nervousness, strong exertion, or taking of certain medications (including
caffeine and
nicotine). There are also palpitations that result from heart disorders such as
paroxysmal tachycardia,
flutter, abnormal rhythms in which the heart has runs of rapid beats, and
atrial fibrillation (in which the beats are rapid but irregular or seemingly random).
Palpitations may be caused by organic heart disease, but they also can result from other factors. Similarly, emotional pressures rather than organic changes may cause the so-called “nervous heart,” or functional heart disease.