Heavy exercising my ecg are normal and lipid profile are normal in my echo only things are normal ejection fraction is 59% And all cardiac valves are normal but only mild dilated left ventricle whose size is 60mm but my palpitations is started when I do excercise and hard work I face panic attack and chest pain in January 2022 and my palpitations will not stopped during January 2022 I will take paraxotine for palpitations but I will not understand this palpitations problem is a heart problem or panic disorder or anxiety