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If you're going through menopause, you already know it comes with plenty of changes-- some expected and some not. Hot flashes, mood swings, and trouble sleeping are the most commonly talked about but did you know that menopause can affect your heart? One condition that becomes more common during this stage in life is atrial fibrillation (AFib), a type of irregular heartbeat. Research shows that hormonal shifts in menopause plays a roles in its development.
Age at Menopause and Risk of Heart Failure and Atrial Fibrillation: A Nationwide Cohort Study
Recent research has shed light on the relationship between menopause age and the risk of developing heart issues, including heart failure and atrial fibrillation. A nationwide cohort study published in the *European Heart Journal* highlighted that the age at which women experience menopause can significantly impact their cardiovascular health. Early or late menopause may alter the risk profile, with women arriving at menopause earlier potentially facing a higher likelihood of heart complications later in life.
Understanding these findings emphasizes the importance of regular heart health screenings for women approaching menopause and those in perimenopause. Awareness can facilitate early intervention, allowing for better management of any possible risks.

Symptoms of Irregular Heartbeats and Why They Happen During Menopause
During menopause, your body's hormone levels (especially estrogen) are changing, and this can make your heart more sensitive, leading to irregular heartbeats or even episodes of atrial fibrillation (AFib).
On top of these hormonal changes, many women experience elevated stress levels or have trouble sleeping, which can also make your heart more likely to flutter or feel like it's racing. It can feel like you are having a heart attack or panic attack. In other cases, women don't even recognize the fast heart beat because they are too focused on others around them. It is one of the downfalls of being the primary caregiver for their families, they are often not paying attention to their own health changes. Yet another reason to see your doctor for annual check ups to ensure your heart health is intact.
Even everyday habits like drinking a lot of caffeine or alcohol can trigger these palpitations. While it's alarming to feel your heart pounding outside your chest, remember there things you can do to prevent them from happening.
We had the pleasure of discussing heart health and menopause with Dr. Saru Bala, a naturopathic physician specializing in women's hormonal and period health. Dr. Saru suggests doing the following:
- Using magnesium (300-400 mg/day) either the glycinate or malate. This helps support stress levels and adrenal function.
- Increasing electrolytes intake to help with potassium and sodium balance. It's best to avoid stimulants like caffeine, alcohol, and sugar spikes.
- Managing stress, which we know is easier said than done for most. Practicing breath work, such as deep belly breathing and vagus nerve activation exercises can help calm the heart.
- Make sure you chat with your doctor if you're experiencing persistent palpitations so you can get an appropriate work up like an EKG and rule out thyroid dysfunction.
Finding ways to relax, get better rest, and taking care of yourself each day can help calm your heart and feeling more confident about your heart health.
If you’re asking, “Is an irregular heartbeat a symptom of menopause?” the answer leans toward yes. Many women report that these sensations become more pronounced as they navigate perimenopause and menopause, making it essential to discuss any heart concerns with your healthcare provider.
But why do women experience palpitations during menopause?
Estrogen helps regulate heart rhythm. As it declines, the nervous system becomes more sensitive to stress. Lower progesterone levels can also impact perceived stress levels, impacting physical symptoms such as heart rate and palpitations."
Dr. Saru Bala, a naturopathic physician
Finding ways to relax, get better rest, and taking care of yourself each day can help calm your heart and leave you feeling more confident about your heart health. If you have any tips to share or are looking for additional resources, join our WomenLikeMe group where we started a discussion with others experiencing menopause.

Everyday Life Changes You Can Start Today
Addressing irregular heartbeats during menopause often involves a holistic approach that incorporates lifestyle changes, stress management, and, when necessary, medical interventions. Here are some strategies that can help:
1. Dietary Modifications: Eating a heart-healthy diet rich in fruits, vegetables, whole grains, and lean proteins can support cardiovascular health.
2. Regular Exercise: Engaging in regular physical activity can improve overall heart health and reduce anxiety, which might trigger palpitations. Activities such as walking, swimming, or yoga can be particularly soothing.
3. Stress Management Techniques: Practices like mindfulness, meditation, or deep-breathing exercises can significantly alleviate anxiety associated with menopause and its symptoms, including irregular heartbeat.
4. Seeking Professional Help: If you are experiencing significant or persistent irregular heartbeats, consult with a healthcare provider or a virtual cardiologist. They can provide tailored advice and treatment options, alleviating stress during what can already be a challenging time.
Navigating menopause is undoubtedly a complex journey, but understanding the potential connections between menopause and irregular heartbeats, including atrial fibrillation, can empower women to take charge of their health.
Join The Menopause Discussion
Remember, knowledge is power—taking proactive steps in your health journey can lead to a smoother transition through menopause and beyond. The best knowledge not only comes from your healthcare provider but from others who have experienced the same symptoms first hand. The WomenLikeMe community understands that by gaining insights into the menopause-AFib connection, women can equip themselves with the tools needed for a healthier, more informed future.
Join PatientsLikeMe for free to track your health, monitor treatment, and connect with others who are managing similar challenges.
