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Racing heart that starts and stops suddenly

Also called: SVT, palpitations

A racing heart that starts and stops suddenly is often supraventricular tachycardia (SVT). It's usually not dangerous but can be scary. Chest pain or fainting needs 911.

Common causesSVT, atrial fibrillation
Usually serious?Usually not
Get checked ifFainting or chest pain
If you think it's an emergency, call 911.Thinking about suicide? Call or text 988.

Overview

SVT causes a fast heartbeat that starts and stops suddenly.

Triggers include caffeine, stress, and alcohol.

When to get medical care

Call 911Chest pain, fainting, or trouble breathing.
Get care todayRacing heart that won't stop.
See a doctor soonRepeated episodes.

Causes

Causes include SVT and other heart rhythm problems.

OwieClear has pages on 2 conditions that can cause racing heart that starts and stops suddenly. Each shows how soon to get care.

Common causes

What you can do at home

  • Try bearing down like having a bowel movement.
  • Limit caffeine.

Medicines

Medicines or ablation can help.

At the doctor

An ECG during an episode helps.

Questions you may be asked

  • Episodes
  • Triggers

The exam

A heart exam.

Tests

  • ECG
  • Heart monitor

Prevention

Reduce triggers.

  • Limit caffeine and alcohol

Check your symptoms

Most symptoms have more than one possible cause. The symptom checker looks at all of your symptoms together, plus your age, and shows how soon to get care.

Start the symptom checker

Sources

Last updated 2026-11-13.