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Specific factors: palpitations in children, after coffee, or before menstruation Heart palpitations can also occur in specific situations related to the sensitivity of the organism: in children , they are often linked to emotions they have not yet learned to process when an adult responds calmly and provides the child with a sense of safety, the symptom quickly subsides, caffeine is another common factor some people are highly sensitive to it and even small amounts can cause a rapid pulse or restlessness, hormonal changes before menstruation the nervous system is more sensitive during this period and therefore reacts more intensely to stress