My heartbeats suddenly seem stronger and somewhat faster and

Patient : My heartbeats suddenly seem stronger and somewhat faster and my heart seems to be skipping a beat every 4-8 beats? I can feel it in my throat and it comes and goes, and I'm a bit short of breath but in no pain. Ive had this before but its been worse this evening. Its always in the evening. What could this be?
Symptoms:  Palpitation, racing heart, heart skipping beats, breathless
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