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Palpitations can be a sign of an underlying serious problem such as heart disease, an overactive thyroid gland or anemia. Rarely, tumors can produce certain hormones that can cause heart palpitations.
Emergency care is recommended when palpitations are accompanied by chest pain or fainting, or if they involve a racing heart that doesn't slow to a normal pace within about 20 minutes.
Palpitations, along with light-headedness, shortness of breath or a feeling of dizziness, or a racing heart that returns to normal on its own, are not considered medical emergencies but should be checked out with a physician.
To determine the underlying cause of palpitations, diagnostic tests might include a blood test to check for health concerns and a chest X-ray or echocardiogram to view the structure and function of the heart. An electrocardiogram (ECG) recording of the heart is generally recommended, too. Some patients are given ECG monitors to wear at home for one to three days in the hope of recording the heart during a palpitation episode
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