May be nothing, or..: The sensation of irregular heart beats may be entirely benign, or a harbinger of more serious cardiac conditions. That the symptoms are rare and presumably not progressive would argue for a benign cause. If progressive or associated with other symptoms, further evaluation is warranted with rhythm monitors (holter, event monitor), echocardiography and stress testing or electrophysiologic testing.
Answered 9/18/2013
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Depends: Usually these are extra beats from the upper or lower chambers of the heart. However, this symptom could represent other heart rhythm abnormalities. If the heart is otherwise normal they are usually benign. A holter monitor or event recorder can help capture your heart rhythm during symptoms to precisely determine the cause of palpitations.
Answered 4/8/2014
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