Hello and welcome to Healthcare Magic. Thanks for your query.
It is possible that your palpitations could be anxiety related. Especially, the perimenopausal period is a period where hormonal
imbalances can also contribute to changes in mood or an increase in the anxiety levels. It is important to understand that anxiety can present with not only psychological symptoms but also with physical or somatic symptoms. Shakiness, dizziness
, fast heart rate
(palpitations), etc. are symptoms which are commonly seen in anxiety disorders.
However, considering your age and since you mention that you sometimes have "skipped beats", it is also important to rule out a cardiac cause. So, I would advise you to have an ECG done to rule out the possibility of an cardiac arrythmia
For your anxiety symptoms, in addition to the medication, I would suggest that you try relaxation therapies, like deep breathing, progressive muscle relaxation
, yoga, etc. Avoiding excessive stress and adopting a healthy lifestyle with regular food and sleep habits and regular physical exercise is also essential.
Wish you all the best.
Dr. Jonas Sundarakumar