If a woman had to "clutch her heart" - I would interpret this as the woman touching her heart with her hand - then joyfully gasping.
October 19, 2018
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Without knowing the exact context, I would say it's like saying, "I 'held my heart' ." This is an expression which implies that someone is feeling anxious, nervous, excited or scared by something that is happening.
October 19, 2018
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