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When people have palpitations, they may feel as though their heart is doing one or more of the following: fluttering skipping a beat beating fast If palpitations rarely occur, a person may not need a medical exam, but if they happen more frequently or worsen, they should talk with a doctor, advises the a physical examination and history an EKG, a test that measures electrical activity in the heart the use of a Holter monitor, a device that records EKG continuously for a certain length of time Additionally, a doctor may order the following blood tests: complete blood count to check for an infection or anemia thyroid function test to check for low thyroid hormone electrolytes and other kidney function tests to check for electrolyte imbalances and decreased kidney function Serious symptoms that indicate a heart condition require immediate medical attention

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