Hello and thank you for using HCM.I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that this palpitation are related whith a rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm.They cause premature heart contaction that its not a normal one followed by a pause and you might experience palpitation, strong beating, difficulties in breathing deeply, anxiety. There are different causes of this rhythm issue like simple stress , coffee and alcohol consumption or pathologys like anemia , hyperthyroidism or electrolyte imbalance, cardiac pathologys ect. As you mention, stress is a powerful cause of your palpitation. It doesn t mean that you have anxiety disorder. It is normal that in stressed period you might feel this symtoms. If I was your treating doctor I will recommend some examination like a cardiac echo, a full bloodanalyze exclude anemia , hyperthyroidism and a holter rhythm monitoring to see your rhythm tendency. If we exclude all other factors than we can easily deal whith your strees. I would recommend you to avoid coffe and strart regular physical activity. It helps your emotional situation and palpitations. Then there are different kind of medications that might help but we can leave them at the end. Hope I was helpfull. Best regards.