怦怦 is overwhelmingly paired with 心 (heart) + 跳 (beat) to describe a racing heartbeat — from nerves, fear, or romantic feeling. Standard collocations: 心怦怦地跳 / 心怦怦直跳. Less commonly imitates other rapid thumping sounds (a knock, a footstep).
memory
怦 has 忄 (heart radical) + 平 (flat/level), giving the visual of "heart" + a sound element. Reduplicated 怦怦 doubles the beat — the rhythm of the character mirrors the rhythm being described.