Though rarely dangerous, heart palpitations can be frightening, and like hot flashes they can range from mild to severe. Heart palpitations at menopause are certainly related to changing hormones. But in many midlife women, heart palpitations are primarily caused by increasing heart energy (influenced by partnership, passion, anger, and forgiveness issues) trying to become embodied in a woman’s life. At midlife our hearts and bodies often become increasingly sensitive to those things that don’t serve us, like caffeine, refined carbohydrates, aspartame, alcohol, or monosodium glutamate—all of which may overstimulate our hearts.

One patient described this, "It’s like, all of a sudden, I’m aware of my heart beat, whereas before it just did its job without me noticing it."

Palpitations result from an imbalance between the sympathetic and parasympathetic nervous systems, and often result from fear and anxiety that aren’t conscious.

Make sure your estrogen dose isn’t too high. (See Symptoms of Estrogen Dominance.)

Heart palpitations often cease as soon as women begin taking progesterone cream or estrogen, stop caffeine, and also normalize their blood sugar and insulin levels through a change of diet. But finding out what your heart is yearning for is also important. One of my patients with heart palpitations found that they stopped soon after she asked for a promotion, something she hadn’t had the courage to do before. She got the promotion and now finds her work more fulfilling than ever. Her heart no longer has to speak so loudly.

At midlife, all the issues that have been occurring premenstrually and which perhaps had been avoided until now come up and hit us between the eyes rather relentlessly, demanding attention. Though women with palpitations often insist that a thorough examination of their lives hasn’t turned up any personal issues bothering them, my experience has been that our bodies speak to us only when we can’t seem to "hear" them any other way. When issues of love, issues of the soul, or issues of a woman’s unmet passions cry out for attention, they often take the form of heart palpitations. If we are willing to be open to their meaning, we will be giving our hearts a chance to be heard. If we act on what we hear, the symptom often goes away.

An herbal remedy that is often helpful is hawthorn (Crataegus ssp.). Herbalist and naturopathic physician Sharol Tilgner writes, "Hawthorn is indicated for irritable, nervous heart conditions related to an emotional or spiritual heartache from a disconnection with spirit. It helps open the heart to forgiveness on all levels." Many research scientists believe hawthorn to be effective in a variety of heart conditions.¹  Hawthorn can also be taken as a standardized extract, easily found in natural food stores. Take as directed on bottle or according to the advice of an experienced herbalist.

Women with this condition may also find it helpful to avoid scary, violent, or emotionally draining news, movies, books, or people.