It should be managed appropriately because it may be the early sign of life threatening arrhythmia. For most people, heart palpitations are a once-in-a-blue-moon occurrence. To create this article, volunteer authors worked to edit and improve it over time. A fast heartbeat is a possible side effect of that drug. Antidepressants. Heart palpitations (pal-pih-TAY-shuns) are the feelings of having a fast-beating, fluttering or pounding heart. Many medications can cause arrhythmias to some degree. wikiHow is a “wiki,” similar to Wikipedia, which means that many of our articles are co-written by multiple authors. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Some supplements can trigger a fast or irregular heartbeat. ACE inhibitors or angiotensin II receptor blockers (ARBs) can cause harmful side effects for pregnant women and their developing babies. PVCs that occur frequently or for longer periods of time are more likely to be related to heart disease, an injury to the heart or other, non-cardiac conditions such as a chemical imbalance in the body. Illicit drugs, such as the illegal use of cocaine, is well known to cause arrhythmias, sometimes fatal. These substances excite the heart and make people more prone to developing PVCs. Eliminating common PVC triggers — such as caffeine or tobacco — can decrease the frequency and seve… Heart palpitations are caused by stress, exercise, caffeine, nicotine, hormone changes, fever, medications, low blood sugar, overactive thyroid, heart rhythm problems, alcohol, PVCs, and illegal drugs. Just a few days of charting your symptoms will give you an idea about which activity is causing PVCs. Stress can trigger or worsen heart palpitations. Common drugs causing PVCs are digoxin, aminophylline, caffeine and sympathetic agonists. Causes of PVCs include heart attacks, high blood pressure, COPD, medications, alcohol, excess caffeine, and more. Most palpitations are caused by a harmless hiccup in the heart's rhythm. See how much you know about abnormal heart rhythm. However, these drugs are prone to cause significant problems. However, if you have frequent PVCs, your doctor might recommend treatment.In some cases, if you have heart disease that could lead to more-serious rhythm problems, you might need the following: 1. These include anti-asthma medications (salbutamol, theophylline), nasal decongestants (pseudoephedrine), thyroxine and other sympathomimetic drugs. The hypertrophied ventricles are likely to produce frequent PVCs. Under normal conditions, we do not feel our heartbeats because we are adapted to it. PVC'S AND ANXIETY. You may feel extra beats, no beats for a short time, or skipped beats. Tab propranolol 10-40mg 3-4 times daily will be required to treat PVCs. An echocardiogram (echo) is a type of ultrasound that shows the movement and blood vessels of your heart on a monitor. The medication is thought to help reset the cardiac state, but it induces a hypothyroid state. In rare cases, they can be a symptom of a more serious heart condition, such as an irregular heartbeat (arrhythmia), that might require treatment. Heart palpitations may be frightening, but are usually not caused by a serious problem. Doctors may use tests like an ECG, Holter monitor, event monitor, and electrocardiogram to help diagnose the underlying cause of heart palpitations. Do my blood pressure medications cause heart palpitations? You may have these feelings in your chest, throat, or neck.   Chief among them is a tendency to cause "proarrhythmia"—that is, actually triggering arrhythmias that may be far more dangerous than the PVCs. 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