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Possible causes of palpitations include: Lifestyle factors such as: exhausting exercises (related to fitness or otherwise) excessive caffeine or alcohol intake nicotine from tobacco products such as cigarettes and cigars lack of sleep dehydration smoking Emotional or psychological factors stress anxiety fear panic shock Drugs and medication over-the-counter medicines, including cold and cough medicines, herbal supplements and food supplements prescription medicines such as asthma inhalers stimulants such as amphetamines and cocaine Heart diseases Although palpitations can be harmless, they can also be an indication of an underlying heart condition, such as: arrhythmia or irregular heart rhythm abnormal heart valves heart disease congestive heart failure Other medical conditions hormonal changes due to pregnancy or menopause overactive thyroid or hyperthyroidism fever sleep apnea electrolyte abnormalities low levels of oxygen or carbon dioxide in the blood blood loss anemia low blood sugar According to some specialists, you don't necessarily need to seek medical help if the palpitations pass quickly or only happen occasionally
