<human>: Hi,i have been having occasional palpitations for at least 10 years now.i am 28. On some occasions if I bend down my heart starts trembling feels like it is just shivering,i start feeling breathless and light headed and that lasts for less than a min.recently my heart would just skip a beat and it is very uncomfortable leaves me breathless.also it haas ben happening a lot when walking at a faster pace, or if I eat too much and sitting or lying down on my left side(am only 57kg). Any advice? Thanks
<bot>: Hello, Brief answer: Your heart palpitations need to be identified and treated. Electrocardiogram and echocardiogram is a must. Explanation: My opinion is that heart palpitations have many causes. Simple causes are more common such as anxiety, stress, excess coffee, and anemia. Other diseases as thyroid problems and hypertension are also causes. In your case, you have accompanying symptoms such as lightheadedness and dyspnea and that is a source of worry. I suggest my patients the following: general and local heart examination is a must, EKG and echocardiogram to see any structural or functional defects are present. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about family history of similar conditions, relation to exercise and also history of syncopal attacks. Conclusion: I suggest you check with your cardiologist to investigate accordingly. Hope I have answered your query. Let me know if I can assist you further.