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Some of the common causes of heart palpitations include: Strenuous exercise Fever Nicotine intake Caffeine intake Alcohol intake Stress, anxiety, and fear, such as during panic attacks Pregnancy Spicy or rich food Medical conditions like overactive thyroid gland (too much thyroid hormone in the body) Low blood sugar Abnormal blood level of certain electrolytes, for example, low blood potassium Low blood oxygen Anemia Blood loss Cocaine and other stimulant drugs Decongestant medications, cough and cold medicines, pseudoephedrine, diet pills, beta blockers, asthma inhalers, antiarrhythmic medications, and thyroid drugs Certain herbal products and nutritional supplements However, palpitations can also result from cardiac arrhythmias (abnormal heart rhythms), where the heart muscle does not beat at a regular rate and rhythm