Hi Heart palpitations are a feeling that your heart is beating too hard or too fast, skipping a beat, or fluttering. You may notice heart palpitations in your chest, throat, or neck Heart palpitations can be bothersome or frightening. They usually aren t serious or harmful, though, and often go away on their own. Most of the time, they re related to stress and anxiety or to consumption of stimulants such as caffeine, nicotine, or alcohol In rare cases, palpitations can be a sign of a more serious heart condition. Therefore, if you have heart palpitations, make arrangements to get an ECG and Echo done Treatment of heart palpitations depends on their cause. In most cases, palpitations are found to be harmless and often go away on their own. In those cases, no treatment is needed If palpitations are not due to an underlying condition, your doctor may advise you to avoid the things that trigger them. Strategies may include: - Reducing anxiety and stress. Common stress-reducing therapies include relaxation exercises, yoga, tai chi, biofeedback, guided imagery, and aromatherapy - Avoiding certain foods, beverages, and substances. This may include alcohol, nicotine, caffeine, and illegal drugs - Avoiding medications that act as stimulants. These include cough and cold medicines, and certain herbal and nutritional supplements If lifestyle changes fail to reduce or eliminate palpitations, your doctor may prescribe certain medications. In some cases, beta-blockers or calcium-channel blockers are used If your doctor finds that your palpitations are related to an underlying condition, such as anemia, the focus will be on treating that condition. If the palpitations are caused by a medication, your doctor will try to find another medication you can use. If the palpitations represent an arrhythmia, medications or procedures may be required. You may also be referred to a heart rhythm specialist known as an electrophysiologist Before sleeping do meditation as per your age (if age 45 yrs-45 minutes mediation) this will calm your mind and get sound sleep and also harmones that are responsible for palpitations will be under control Wish You Good Health Regards Dr Sridhar K