Hi friend, Welcome to Health Care Magic Fast heart beats need to be DOCUMENTED by ElectroCardioGram (EKG). THE FIRST STEP IS TO SEE A CARDIOLOGIST Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much coffee, cola) / Medicines / abnormal nerve paths (bypass tracts) in the heart may be responsible. . It is advisable to have it investigated. A thorough history and physical examination is the first step - Routine 12-lead Electrocardiogram (ECG) is part of clinical examination. If a routine ECG does not show, 24 to 48 hour ambulatory monitoring (Holter) is done to analyse and plan for further management 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, like Electro Physiological Studies The first line medicine is generally beta blockers, like Metoprolol – slow release and small dose. Several other classes of drugs are available – acting by different mechanisms - There are other advanced treatment modalities - like RF ablation, which could be done during EPS. Relax. You are young; you sound intelligent – you stand an excellent chance of returning to normalcy. Be positive – why fear the heart beats faster? The problem iis only if it could not beat! You are tolerating the rate well - means that you may not have any basic disease of the valve, muscle and so on. Be in touch with your doctor - it is a question of time and you will be well. Medicine is well advanced nowadays – management is possible for almost all situations... Take care Wishing speedy recovery God bless Good luck