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A person should consult a specialist in cardiology or seek emergency care immediately if they experience: Chest pain, pressure, or tightness accompanying palpitations Severe shortness of breath or difficulty breathing Dizziness, lightheadedness, or fainting episodes Palpitations lasting more than several minutes Frequent episodes that interfere with daily activities Rapid heart rate exceeding 100 beats per minute at rest A family history of heart disease, sudden cardiac death, or arrhythmias Understanding when to worry about heart palpitations also involves recognizing patterns