Dear Sir/Madam Thanks for your query. 1. If you ever had loss of consciousness/ blackout/ dizziness associated with palpitation? If yes, you need to see your cardiologist on priority. 2. Most of the palpitations are premature contractions or extra beats. We only need to get an ECHO done. If ECHO is normal, There is nothing to worry. In most case scenarios either no treatment is required or a single drug will suffice. 4. In the meantime, avoid coffee/tea/smoking/ stress. Anti-asthma medication/ anti cold medication/ thyroid disorders may also cause palpitations. Feel free to discuss further. Sincerely Sukhvinder