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Common triggers include excess caffeine and energy drinks (see young adults and heart risk), alcohol especially binge drinking, which can provoke holiday heart (see alcohol and your heart) poor sleep and untreated sleep apnoea (see sleep and your heart), dehydration, intense stress, certain medicines and stimulants, and an overactive thyroid (see the thyroidheart connection)

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Because the FDA did not design the pictorial HWLs to correct specific deceptive claims by the industry about their products, the appeals court viewed the FDAs recommended HWLs as going beyond this goal and agreed with the tobacco industry contention that the HWLs aimed to discourage consumers from buying the companys products