27.02.2025

You have a pounding heart. Here’s how to normalize it in 1 minute, without medication

By Lesia

A pounding heart, or palpitations, can be alarming. While occasional palpitations are often harmless, frequent or severe episodes warrant medical evaluation. Here’s how to try and normalize a pounding heart in a minute, along with important caveats:  

Techniques to Try (Vagal Maneuvers):

These techniques stimulate the vagus nerve, which can help slow down your heart rate.  

  1. Valsalva Maneuver (Caution):
    • This involves bearing down as if you’re having a bowel movement.
    • How to do it: Close your mouth, pinch your nose, and try to exhale forcefully for 10-15 seconds.  
    • Caution: This maneuver can cause a temporary drop in blood pressure, so it’s not recommended for people with heart conditions or high blood pressure. Do not perform this maneuver if you have any heart conditions.  
  2. Coughing:
    • Coughing forcefully and repeatedly can sometimes stimulate the vagus nerve.
  3. Cold Water Immersion:
    • Splashing cold water on your face or applying a cold compress to your forehead can sometimes slow down your heart rate.  
    • This triggers the “diving reflex,” which can slow the heart.  
  4. Carotid Sinus Massage (Requires Professional Guidance):
    • This involves gently massaging the carotid artery in your neck.  
    • Caution: This should only be performed by a healthcare professional, as improper technique can be dangerous. Never attempt this on yourself.
  5. Deep Breathing:
    • Take slow, deep breaths, inhaling deeply through your nose and exhaling slowly through your mouth.
    • This can help calm your nervous system and slow your heart rate.  

Important Considerations:

  • Underlying Causes: Palpitations can be caused by various factors, including:
    • Anxiety or stress  
    • Caffeine or alcohol consumption  
    • Dehydration  
    • Certain medications
    • Heart conditions (e.g., arrhythmias)  
    • Therefore, if you have frequent or concerning palpitations, it’s essential to consult a doctor.
  • When to Seek Immediate Medical Attention:
    • If your palpitations are accompanied by:
      • Chest pain
      • Shortness of breath  
      • Dizziness or lightheadedness  
      • Fainting  
    • These symptoms could indicate a serious heart condition.
  • These techniques are not a cure: These techniques may temporarily slow down a rapid heart rate, but they don’t treat the underlying cause.
  • Do not rely on these techniques in place of medical help: If you have serious heart problems, these techniques are not a replacement for professional medical care.

In summary:

While vagal maneuvers can sometimes help slow down a pounding heart, they are not a substitute for professional medical advice. If you have frequent or concerning palpitations, seek medical attention.