Conversation: The conversation between human and AI assistant.
[|Human|] I am 35 f on celexa for anxiety. did have random chests pain before meds now only once and a great while i get them. NOW, I am suddenly getting random pauses or a skip in my heart beat?   55 beats, pause, 10 beats, pause, 9 beats, pause 35 beats, pause, thats where I stopped counting to come on here and ask why! I am scarred! should I get my meds upped? I have been good on celexa for 11 mons and now all of a suddan this!
[|AI|]  Hello! Welcome and thank you for asking on Chat Doctor! I passed carefully through your question and would explain that Elena can lead to QT prolongation and cardiac arrhythmia as a possible adverse effect. For this reason, I would recommend consulting with your attending physician and performing a resting ECG to investigate for this disorder. Some blood lab tests (complete blood count, blood electrolytes, thyroid hormone levels) are needed to exclude other metabolic causes that may trigger this clinical scenario. An ambulatory 24-48 hours ECG monitoring would help investigate for possible cardiac arrhythmia. If cardiac arrhythmia or prolonged QT interval in ECG is detected, you may need to stop taking Elena. You should discuss with your doctor on the above issues. Kind regards,