Hi welcome to HCM I can understand your concern for your . palpitations, anxiety and panic attacks. If you are experiencing palpitations, there is a good chance that stress is to blame. In fact, palpitations can be the body’s way of alerting you that your stress level has exceeded the safe range. Heart palpitations can be no doubt bothersome or frightening. But they usually aren t serious or harmful, though, and often go away on their own. Dear I am happy that you are able to control your attacks by your medication but for your info , only meds cannot assure you full health unless you modify you life style and food habits Medical conditions, including , thyroid disease, a low blood sugar level, anemia, low blood pressure, fever, and dehydration Some people experience palpitations after eating heavy meals that are rich in carbohydrates, sugar, or fat. , eating foods with high levels of monosodium glutamate (MSG), nitrates, or sodium can bring them on. ‘ As soon as you notice an irregular heartbeat, sit down and prop up your feet. Breathe slowly and deeply, letting your belly expand with each inhalation. If you focus on slow, steady breathing, your heartbeat will probably return to its normal rhythm right away. Removing the cause and modifying your lifestyle and food habits - balanced diet containing all essential nutrients - fiber ,vitamins ,minerals and antioxidants in natural form . Lemon juice, with a glass of water and little glucose . coconut water . ‘ Cough forcefully. It increases pressure inside your chest. Sometimes that’s all you need to restore your heart to its regular rhythm. ‘‘ Get at least 30 minutes of exercises ,walk, yoga ,deep breathing k. Walking, running, and tennis are all excellent choices. Just be sure to exercise at a pace that allows you to comfortably carry on a conversation. Meditating helps get your stress level back down. So set aside 30 minutes each day just to let your body relax and your mind unwind. Hope this helps solve your query Take care All the best .