<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi Doctor my wife has paptation problem, recently i take ECG and the pulse previous 195, and then it reduce to 113 and normal, ca u advice me why the paptation problems create, please advice me what to do. shes age 25.mother of 1 kid and now shes pregnant 8 monthsregards  <response>: Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that her palpitations are related to the high heart rate. This clinical scenario may be related to a metabolic disorder thyroid dysfunction, anemia, inflammation, etc. or a cardiac arrhythmia. Anxiety could also be associated to this clinical situation. I recommend consulting with your GP for a careful physical examination, a resting ECG and cardiac ultrasound, a chest X-ray study and some blood lab tests : -complete blood count for possible anemia-blood electrolytes-fasting glucose-kidney and liver function tests -thyroid hormone levels-PCR and sedimentation rate possible inflammation. An ambulatory 24-48 hours ECG monitoring is necessary to examine her heart rate trends. Hope to have been helpful! Best regards! 