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The following conditions make you more likely to have an abnormal heart rhythm: Known heart disease at the time the palpitations begin Significant risk factors for heart disease An abnormal heart valve An electrolyte abnormality in your blood -- for example, a low potassium level Causes Heart palpitations can be due to: Anxiety, stress, panic attack, or fear Caffeine intake Cocaine, methamphetamine or other stimulant drugs Decongestant medications, such as phenylephrine or pseudoephedrine Diet pills Exercise Fever Nicotine intake However, some palpitations are due to an abnormal heart rhythm, which may be caused by: Heart disease Abnormal heart valve, such as mitral valve prolapse Abnormal blood level of potassium Certain medicines, including those used to treat asthma, high blood pressure, or heart problems Overactive thyroid Low level of oxygen in your blood Home Care Things you can do to limit palpitations include: Lower your intake of caffeine and nicotine

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This global context frames Saudi Arabia's role as a trading participant within the broader industry