Conversation: The conversation between human and AI assistant.
[|Human|] i have what feels like the stitch in my heart for the whole day (12 hours)...last week i woke up every night with fright feeling like i was going to pass out and with palpatations or fluttery feeling in my heart. how do i know if this is anxiety or a heart issue
[|AI|]  Hi, I understand your concern and would explain that your symptoms seem to be related to anxiety.  You should know that a heart issue is usually triggered by physical activity and the chest pain is proportional to the physical activity.  Anyway, I would recommend performing a prolonged ECG Holder monitoring in order to investigate for possible cardiac arrhythmia and an exercise cardiac stress test in order to exclude coronary artery disease and the possibility of a heart attack. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further.