Palpitations might be primary (the heart is causing its fast heart rate), or secondary (the heart is beating fast due to a non-cardiac stimulus, like stress, hyperthyroidism, stimulant intake, or other).
You should have a blood test and an electrocardiogram, and afterwards you might need a holter-EKG (a 24-hour electrocardiogram).
Treatment will be adapted to the final diagnosis.
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It is recommended that all individuals see a Family Doctor for a full medical examination annually. Adults should get their blood pressure checked (US Preventive Task Force), a flu vaccine (CDC) and more each year.