<prompt> Answer this question truthfullyWhat role does secondary prevention play in managing palpitations?  <response>: <reason> Secondary preventionThere are no established measures for the secondary prevention of palpitations. Effective measures for the secondary prevention of palpitations include: Medication compliance Avoidance of triggers such as caffeine intake, alcohol abuse. Cessation of substance abuse cocaine, amphetamines, alcohol, MDMA However, individuals who are involved in certain occupations eg pilots, commercial truck drivers and have a history of palpitations would require specialist referral and should discontinue such activities until clearance is obtained. 