My wife is experiencing dizzy spells and heart palpitations. she has had heart palpitations before but not dizzy spells. but she does get tired someti?

Needs a few tests: Palpitations are a conscious awareness of your own heart beat . It can be simple premature beats or one of multiple arrythmias.The palpitations can be the cause of your problems or reactive to other conditions. Pts with dizzyness and palpitations are particularly worrisome. She needs a full history and physical , labs , cxr, and ekg. A echo should be tone too. Holter/event recorder also as needed.