Is It Normal to See Your Heart Beating? Heart Palpitations

Is it normal to see the heartbeat?

Hello, doctor.
I was diagnosed with mild mitral valve prolapse about two years ago.
Occasionally, I feel my heart racing up to my throat, especially during dinner, which happens quite frequently.
Sometimes, I also feel a sudden strong heartbeat that makes my whole body sway.
Recently, I noticed in the mirror that I could see my heart beating, as if it were just beneath a thin layer of skin, particularly at the apex of my chest when I take a deep breath.
The visibly pulsating area is about three fingers in length.
My BMI is approximately 20.9, so I am not particularly underweight.
After exercising, I sometimes experience a strong and rapid heartbeat, feeling as if my heart is about to leap out of my chest, but I don't feel particularly short of breath.
Thank you, doctor, for your patient response.

Ao Li, 10~19 year old female. Ask Date: 2023/04/05

Dr. Wu Xueming reply Cardiology

The heart cannot be seen beating within the thoracic cavity.
It is recommended to adjust your lifestyle and engage in regular exercise.

Reply Date: 2023/04/05

More Info

Experiencing heart palpitations, or the sensation of your heart beating strongly or irregularly, can be concerning, especially for individuals with a history of heart conditions such as mitral valve prolapse. In your case, the feeling of your heart beating strongly, particularly after meals or during physical activity, is not uncommon and can be attributed to several factors.

Firstly, mitral valve prolapse (MVP) is a condition where the mitral valve does not close properly, which can lead to a variety of symptoms, including palpitations. While MVP is often benign and many individuals live without significant issues, it can sometimes cause the heart to beat more forcefully or irregularly, especially during times of stress or after eating. This is due to the increased demand on the heart as it works to pump blood more effectively.

When you mention feeling your heart beating in your throat, this can be a result of heightened awareness of your heartbeat, which can occur during moments of anxiety, excitement, or even after consuming a large meal. Eating can stimulate the vagus nerve, which influences heart rate and can lead to sensations of palpitations. Additionally, if you are consuming caffeine or other stimulants, these can exacerbate the feeling of palpitations.

The observation of your heart beating visibly through your skin, especially in the area of the chest, can also be normal, particularly in individuals with a lower body fat percentage or those who are physically fit. When you take a deep breath, the diaphragm moves down, and this can create a more pronounced sensation of your heart beating, especially if you are aware of it at that moment.

It is important to note that while occasional palpitations are usually harmless, certain symptoms warrant further investigation. If you experience any of the following, you should seek medical attention:
1. Chest Pain or Discomfort: If the palpitations are accompanied by chest pain, this could indicate a more serious condition.

2. Shortness of Breath: Difficulty breathing, especially if it occurs suddenly or is severe, should be evaluated.

3. Dizziness or Fainting: Feeling lightheaded or fainting can be a sign of an underlying issue.

4. Prolonged Palpitations: If palpitations last for an extended period or occur frequently, it is advisable to consult a healthcare provider.

In your case, since you have a history of mitral valve prolapse, it is wise to maintain regular check-ups with your cardiologist. They may recommend an echocardiogram or Holter monitor to assess your heart's function and rhythm over a period of time. Lifestyle modifications, such as reducing caffeine intake, managing stress, and ensuring adequate hydration, can also help mitigate palpitations.

In conclusion, while it is common to experience heart palpitations, especially with a known condition like mitral valve prolapse, it is essential to monitor your symptoms and consult with a healthcare professional if you notice any concerning changes. Regular follow-ups and a healthy lifestyle can help manage your symptoms effectively.

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