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I am a 59 year old woman who has a mechanical mitral valve as of 2005. Occasionally I have felt palpations in my chest, and once in awhile the fluttering palpations in my wrist and throat. However, in the last three days I have had several instances of strong palpations in my neck, always in the same spot. No pain. Every time they have checked my carotid artery, it is fine. I am on Warfarin, Lopressor, Synethroid, Prilosec, and anti-inflammatories. I have not changed medication in several months. My blood pressure is normal to low, with pulse at 60-70 beats per minute. I do have stuffy sinuses and my right ear and throat (on that side) feel a little swollen. Otherwise, no other heart symptoms at all. Should I be concerned?