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Sometimes, palpitations are related to changes in vagal tone rather than a primary heart problem.[ncbi.nlm.nih] What vagal palpitations feel like You may notice palpitations when youre bending over, straining at stool, coughing, or after a big mealsituations that stimulate your vagus nerve or change pressure in the chest

47 It should be noted in this section that there is not a large enough data set on this topic and some studies have been included that do not describe the use of RUCAM in assessing immunotherapy-induced hepatotoxicity

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