People with Mitral Valve Prolapse (MVP) can get palpitations, which generally is self containing, at the end of which there may be a pause in the heart, that is felt as skipped beat. Some people with MVP have what is known as an aberrant pathway, that conducts fast, producing heart rates as high as 160/min thus producing palpitations. If your palpitation have bothered your normal work or you have had to go to a hospital emergency for it, then you require to consult an electrophysiologist.