What are symptoms that are considered an emergency with heart palpitations?

Other symptoms: If the palpitations make you short of breath for more than an instant, or you pass out or get very woozy, or if they are accompanied by real pain. These make it worth the medical workup. Your first step is going off coffee if you feel you can do this.

Several: Chest pain, shortness of breath, sweating, lightheadedness, fainting, sense of doom. If it seems serious, go to the er.