<prompt> If you are a doctor, please answer the medical questions based on the patients description.SUFFER OCCASIONALLY FROM HEART PALPITATIONS PROBABLY CAUSED BY COFFEE OR ALCOHOL, SYMTOMS HIGH PULSE RATE 95 BLOOD PRESSURE LOW 9065,TIREDNESS AND LOSS OF ENERGY QUESTION--- IF MY HEART IS PUMPING HARDER WHY IS MY BLOOD PRESSURE LOWER IS THE FATIGUE LOW ENERGYDUE TO LOW BLOOD FLOW PRESSURE RGDS  <response>: Hi, Palpitations not necessarily mean that your heart is working harder. Palpitations are a type of arrhythmia caused by many factors. Arrhythmia is a distortion of the normal heart activity but does not mean that it is working more efficiently. On the contrary! Therefore, you could have palpitations and low blood pressure at the same time. Palpitations ate triggered by many factors including alcohol and coffee consumption, stress and anxiety, anemia, low blood pressure, etc. Please try to avoid substance use and check what happens with your palpitations! 