This is very common. Many women just assume that all hot flushes are the same but they can be caused by a variety of factors including stress, dehydration, digestive problems to name a few. Getting palpitations with hot flushes often indicates adrenal stress. I would suggest Menopause Support to help calm the adrenal system but if you are experiencing a lot of stress you could add in one of the Flower Essences. These can be used whenever needed, just put a few drops on the tongue, and they can resolve stress issues quite quickly. Popular Essences for the Menopause are Female Essence, Relaxation Essence, Concentration Essence and Emergency Essence.