Hi friend, Welcome to Health Care Magic THE FIRST STEP IS TO SEE A CARDIOLOGIST Irregular heart beats need to be DOCUMENTED by ElectroCardioGram (EKG). Standard ECG records the electrical activity of the heart, for a few seconds. It can detect the arrhythmia occurring during that time only. If the episode occurs randomly or precipitated by a specific activity like exercise, one needs Holter or event monitor... Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much coffee, cola) / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on are common causes... Fever / Thyroid / Vitamin D, calcium and magnesium may all have a role... Illicit ‘drugs’ like Amphetamine are notorious to cause abnormal beats At times, abnormal nerve paths in the heart (bypass tracts) are responsible! ECHOcardiogram / TMT (Treadmill exercise ECG) / LABORATORY work-up – may all be necessary for further assessment and assistance. The treating doctor may suggest them depending on need, based on his assessment of the situation. Take care Wishing speedy recovery God bless Good luck