Hi Palpitations make you feel like your heart is beating too hard or too fast, skipping a beat, or fluttering. You may notice heart palpitations in your chest, throat, or neck. They usually aren t serious or harmful, though, and often go away on their own. Most of the time, they re caused by stress and anxiety, or because you’ve had too much caffeine, nicotine, or alcohol. So frequent papitations can be because of anxiety also but at first we have to find out the nature of palpitations= a Holter monitor occasionally ambulatory electrocardiography device) is a portable device for continuously monitoring various electrical activity of the cardiovascular system for at least 24 hours (often for two weeks at a time).all rythms will be recorde and treatment could be done for chest pain a 2d echo and tread mill test are adviced to rule out ischemia.