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heart palpitations and ectopic beats heart palpitations are heartbeats that suddenly become more noticeable your heart may feel like itamp;#39;s pounding fluttering or beating irregularly often for just a few seconds or minutes you may also feel these sensations in your throat or neck palpitations may seem alarming but in most cases theyamp;#39;re harmless and are not a sign of a serious problem sometimes you may feel an extra or missed beat these are known as ectopic beats and are also usually nothing to worry about causes of heart palpitations causes of heart palpitations include lifestyle triggers emotions and psychological triggers medicines hormone changes heart rhythm problems heart conditions other medical conditions lifestyle triggers common triggers of heart palpitations include strenuous exercise not getting enough sleep drinks containing caffeine such as coffee tea and energy drinks alcohol smoking illegal drugs such as cocaine heroin amphetamines ecstasy and cannabis rich