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Most of the time the heart palpitations are not a cause for concern and they only cause minor symptoms such as feeling: As if you skipped a heartbeat The heart is beating faster than normal As if the heart is pounding in your chest Fluttering in the chest or neck However, there are some types of arrhythmias that can be signs of medical conditions: Tachycardia Heart rate is too fast (in adults, more than 100 beats per minute) Bradycardia Heart rate is too slow (in adults, less than 60 beats per minute) Atrial fibrillation (AFib) Upper heart chambers contract irregularly Ventricular fibrillation (VFib) Disorganized contraction of the lower chambers of the heart Conduction disorders Heart does not beat normally Premature contraction (PACs and PVCs) Early heart beat See a doctor right away if you have palpitations and: Chest pain or pressure Difficulty breathing/ shortness of breath Lightheadedness/fainting near-fainting spells Dizziness Excessive sweating Swelling in your leg Fatigue Weakness Confusion Anxiety Symptoms persist or frequently return You have certain underlying medical conditions such as: Coronary artery disease Congestive heart failure Cardiomyopathy Family history of heart disease Abnormal heart valve Heart attack High blood pressure Diabetes In severe cases, collapse and sudden cardiac arrest Cardiac arrest is a serious medical emergency and can be fatal