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Heart palpitations or missing a beat can be caused by anxiety. I just had it happen to me last week for the first time in several years. It felt like a flutter in my chest with a bit of breathlessness. I had forgotten what it felt like. School, hurting my back and some family things just piled on me.

Try to use your strategies to calm down. Take a walk, a warm bath, exercise, go visit with a good freind.

Be sure to mention this to your pdoc at next visit. It may be time for a med adjustment.

Best, a.m.

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