Hi friend, Welcome to Health Care Magic THE FIRST STEP IS TO SEE A CARDIOLOGIST Fast heart beats need to be DOCUMENTED by ElectroCardioGram (EKG). It is advisable to have it investigated ________________________________________________________________ Since there is nothing to suggest Anxiety, Tobacco, Caffeine (too much coffee, cola), or Medicines, it is possibly from abnormal nerve paths (bypass tracts) in the heart. ________________________________________________________________ A thorough history and physical examination is the first step - Routine 12-lead Electrocardiogram (ECG) is part of clinical examination. 24 to 48 hour ambulatory monitoring (Holter) may be necessary. ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality). Treadmill exercise ECG (TMT) is done to exclude Ischemia (reduced blood flow). Laboratory work-up is routine - like blood counts, sugar, urea, electrolytes (potassium in particular), thyroid (over-active) and so on. Your Internist shall suggest based on the situation. If there are no clues and if you are still bothered by it to the extent of interfering with life style, there are more tests. (They are done by ELECTRO-PHYSIOLOGIST / not usually done unless there are compelling indications.) _____________________________________________________________________ A single episode may not need treatment, until investigated At times, beta blockers like Metoprolol may give benefit. Your doctor will give proper prescription and follow up ________________________________________________________________ Take care Wishing speedy recovery God bless Good luck