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Why Does My Heart Jerk?

Published in Heart Irregularities 3 mins read

A sudden jerking sensation in your chest might be caused by several factors, not all of them related to serious heart problems. It's crucial to understand the context and other symptoms to determine the cause.

Possible Causes of a Heart Jerk Sensation:

  • Benign Causes: Many times, a perceived "jerk" is simply a harmless palpitation. These are irregular heartbeats that can feel like fluttering, skipping, or pounding. Common triggers include stress, caffeine, exercise, dehydration, and certain medications. [Reference: Franciscan Health blog, Harvard Health, Practo]

  • Hypnic Jerks: If the jerk occurs while falling asleep, it's likely a hypnic jerk (also called a sleep start). These are involuntary muscle twitches that are perfectly normal and affect many people. [Reference: AED Leader]

  • Myoclonus: A sudden, involuntary muscle jerk is called myoclonus. This can affect various muscles, including those near the chest, and may be related to underlying medical conditions or simply be idiopathic (without known cause). [Reference: Medical News Today, Mayo Clinic]

  • Arrhythmias: In some cases, a jerking sensation could be related to an arrhythmia, an irregular heartbeat. While some arrhythmias are benign, others can be serious and require medical attention. Atrial fibrillation, for example, involves erratic beating of the atria (upper chambers of the heart), which might be perceived as a jerk. Ventricular arrhythmias affect the lower chambers, potentially causing abnormal twitching. [Reference: Harvard Health, Cleveland Clinic]

  • ICD Stimulation: If you have an implantable cardioverter-defibrillator (ICD), a jolt or kick in the chest might be the device delivering a shock to correct an irregular heartbeat. [Reference: Johns Hopkins Medicine]

When to Seek Medical Attention:

While many causes are benign, consult a doctor if:

  • The jerking sensation is frequent, severe, or accompanied by chest pain, shortness of breath, dizziness, or fainting.
  • You have other symptoms like heart palpitations, fatigue, or swelling in your legs and ankles.
  • You have a history of heart disease.

It's important to note that a "jerking heart" isn't a medically precise term. The sensation you describe might be interpreted differently based on underlying conditions and individual experiences. A physician can accurately diagnose the cause after a thorough evaluation.

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