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Patients should contact their GP or healthcare provider if palpitations are accompanied by: Chest pain or pressure this may indicate myocardial ischaemia or other serious cardiac conditions Severe breathlessness particularly if it occurs at rest or with minimal exertion Dizziness, light-headedness, or syncope (fainting) suggesting haemodynamic compromise Palpitations lasting more than a few minutes or occurring very frequently throughout the day Associated symptoms such as excessive sweating, nausea, or a sense of impending doom Immediate medical attention (999 or A&E) is required if: Palpitations are accompanied by severe chest pain, particularly if radiating to the arm, jaw, or back There is sudden collapse or loss of consciousness Severe difficulty breathing develops alongside palpitations The patient has a known history of serious heart conditions For urgent but non-emergency situations, patients should contact NHS 111 for advice