Common causes of heart palpitation include: strong emotional responses, such as fear, stress or anxiety, strenuous exercise, caffeine, nicotine, fever, taking cold and cough medications. Sometimes, palpitations can be a sign of a serious health problem, such as an overactive thyroid gland (hyperthyroidism) or an abnormal heart rhythm (cardiac arrhythmia). Arrhythmias may include very fast heart rates (tachycardia), unusually slow heart rates (bradycardia) or an irregular heart rhythm. Advice 1. Take rest and avoid all sorts of strenuous activity 2. Alprazolam 0.25 mg per oral at bed time for 7 days 3. Continue BP medicines regularly 4. Investigation – ECG 5. Regular exercise at least 30 minutes for 5 days in a week. The best types of exercise for lowering BP include walking, jogging, cycling, swimming or dancing 6. Eating a diet that is rich in whole grains, fruits, vegetables and low-fat dairy products and skimps on saturated fat and cholesterol 7. Consume less salt 8. Avoid smoking, alcohol, coffee and caffeinated beverages 9. Lose extra weight if you are overweight and keep your body mass index between 19 and 25. BMI is calculated by formula BMI = Weight in Kilograms / (height in meters x height in meters) 10. Reduce your metal stress because stress activates sympathetic system and increases BP and cause palpitation 11. Measure your BP regularly and be in touch with your doctor Thanks