Palpitations :
Palpitations are abnormal changes in regular heartbeats. It is recognised by the presence of a strong pounding or fluttering sound / skipped beats, rapid racing of the heart, shortness of breath, syncope or chest pain. Some of the prevalent conditions that cause palpitations are anxiety, stress and uncontrollable emotional responses, increased caffeine or nicotine consumption, certain medicated drugs, hormonal fluctuations during menses or pregnancy, thyroid hormone fluctuations, dehydration, trauma response, and electrolyte impairment. A 24 hour Holter monitor can monitor the activities of heart, ECHO, EKG, stress tests and cardiac ultrasound with detailed patient history and physical examination can contribute to the diagnosis of palpitations. A Electrophysiologist or a cardiologist can provide patient counseling on lifestyle changes, prescribe anti-arrhythmic medications, cardioversion or ablation therapy.