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Why Does My Heart Beat So Loud at Night?

Published in Heart Health 3 mins read

Your heart might feel like it's beating loudly at night due to a variety of common factors, often referred to as heart palpitations. These are usually harmless.

Common Causes of Nighttime Heart Palpitations

Several things can contribute to a noticeable heartbeat at night. Here's a breakdown:

  • Lifestyle Factors:

    • Alcohol: Consuming alcohol, especially close to bedtime, can increase your heart rate.
    • Caffeine: Beverages containing caffeine, like coffee, tea, and some sodas, can stimulate your heart.
    • Nicotine: Using tobacco products or e-cigarettes can lead to a faster heart rate.
  • Stress and Hormones:

    • Stress: Feeling anxious or stressed can make your heart beat harder and faster.
    • Hormones: Fluctuations in hormones, particularly in women due to menstruation or menopause, can cause palpitations.

Less Common Medical Reasons

While it’s most often related to lifestyle factors, sometimes a more serious health issue could be the cause. These include:

  • Heart Disease: Conditions affecting the heart's structure or function might lead to irregular heartbeats.
  • Thyroid Disorders: An overactive thyroid can also lead to a faster heart rate.

When To Seek Medical Advice

While heart palpitations at night are usually not cause for concern, you should consult a doctor if:

  • They are frequent or persistent.
  • They are accompanied by other symptoms such as dizziness, chest pain, or shortness of breath.

Practical Solutions

Here are some things that might help reduce nighttime heart palpitations:

  • Limit Stimulants: Reduce or avoid alcohol, caffeine, and nicotine.
  • Manage Stress: Practice relaxation techniques like meditation or deep breathing.
  • Healthy Diet: Eat a balanced diet and stay hydrated.
  • Regular Exercise: Engage in regular physical activity, but avoid strenuous exercise close to bedtime.
  • Consistent Sleep Schedule: Try to maintain a regular sleep-wake cycle.


Cause Example Solution
Alcohol Drinking wine before bed Reduce or avoid alcohol, especially before bed.
Caffeine Drinking coffee in the evening Limit caffeine intake, especially late in the day.
Nicotine Smoking before bed Avoid nicotine, especially before bed.
Stress Feeling anxious about work Practice relaxation techniques and stress management.
Hormonal Changes Menstruation or menopause Track symptoms, consider hormone management if necessary.
Heart or Thyroid Issues Family history of heart issues or thyroid issue Consult a doctor for diagnosis and treatment.

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