Your resting ECG appears normal, which is reassuring. Palpitations specifically when bending forward (during prostration) that resolve on getting up are most likely positional â bending forward compresses the abdomen and can stimulate the vagus nerve or cause the heart to shift position, triggering ectopic beats or a brief rhythm change. This is a very common and usually benign phenomenon. Since the palpitations occur only in a specific position and resolve quickly, a resting ECG often won't capture them.
Next Steps
A Holter monitor (24-48 hour ECG recording) or an echocardiogram would be the most useful next steps to capture the rhythm during episodes and assess heart structure. A treadmill stress test can also help. Please consult me directly on Practo for a detailed evaluation.