Hi there. Palpitations could arise due to various causes like during stress, fear, panic attack, vigorous physical activity, an overactive thyroid and a low blood sugar level, anemia, fever, dehydration etc. hormonal changes during pregnancy, menses, perimenopausal period etc, medicines like asthma inhalers, over treated hypothyroidism can cause palpitations, some antiarrythmics can cause other irregular heart rhythms, decongestants, caffeine, etc. Heart problems like heart attacks, heart disease or risk factors, heart valve problems, abnormal electrolytes levels. You need to get an electrocardiogram , holter or event monitor for 24 -48 hours. ECHOcardiography, stress test etc depending on the results of ecg and as deemed necessary by the cardiologist. Treatment would be according to diagnosis. Hope this helps. Take care.
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